110-301-0106(10)(a)(b) · A school-age provider who prepares or serves food to children at a school-age program must obtain a current food worker card prior to preparing or serving food. Food worker cards must: (a) Be obtained through the local health jurisdiction, in-person or online; and (b) Be renewed prior to expiring.

During the onsite monitor visit this licensor observed in Merit and in staff files that staff member, L.J. is miss food handlers training and was observed helping serve snack to the children. Verified Risk Corrected On WAC/RCW Corrected Disputed Date Disputed Level Site Date 110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) · A school-age provider must obtain written instructions (the individual care plan) from the child's health care provider and parent or guardian when caring for a child with a known food allergy or special dietary requirement due to a health condition. The individual care plan pursuant to WAC 110-301-0300 must: (a) Identify foods that must not be consumed by the child and steps to take in the case of an unintended allergic reaction; (b) Identify foods that can substitute for allergenic foods; and (c) Provide a specific treatment plan for the school-age provider to follow in response to an allergic reaction. The specific treatment plan must include the: (i) Names of all medication to be administered; (ii) Directions for how to administer the medication; (iii) Directions related to medication dosage amounts; and (iv) Description of allergic reactions and symptoms associated with the child's particular allergies.

During the onsite monitor visit this licensor observed in one of the child files there was a child with an allergy that was missing an individual care plan from the child's health care provider and parent or guardian. Verified Risk Corrected On WAC/RCW Corrected Disputed Date Disputed Level Site Date 110-301-0260(1)(a) Serious