110-300-0186(1) · An early learning 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 110-300-0300 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 early learning 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.

0186 (1) Licensor observed a child's file with a known food allergy indicated on the enrollment form did not have the supporting documents (Individual Care Plan) completed or signed by the parent or the child's health care provider. 0186 (2) Licensor observed there was no supporting documents (individual care plan) if the child with a known food allergy was prescribed the necessary medication. WAC/RCW Correction Date Disputed Date Disputed

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110-300-0186(2) · An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

0186 (1) Licensor observed a child's file with a known food allergy indicated on the enrollment form did not have the supporting documents (Individual Care Plan) completed or signed by the parent or the child's health care provider. 0186 (2) Licensor observed there was no supporting documents (individual care plan) if the child with a known food allergy was prescribed the necessary medication. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

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110-300-0215(3) · Medication administration. An early learning provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and using appropriate cleaned and sanitized medication measuring devices.

0215 (3) Licensor observed the child with a prescribed medication for a known food allergy did not have the Request for dietary accommodations or Medication Authorization form completed or signed by the parent. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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110-300-0165(2)(d) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (d) Making inaccessible to children plastic bags and other suffocation hazards;

0165 (2)(d) Licensor observed a roll of trashbags were stored on the lower shelving unit accessible to children. (immediate corrections were made and staff placed the roll of trash bags at the top shelving unit inaccessible to children). WAC/RCW Correction Date Disputed Date Disputed

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110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

0260 (5) Licensor observed a cellulose sponge mop was facing upwards in a container located in the kitchen area. (immediate corrections were made and staff placed the sponge mop facing downwards in the container). WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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110-300-0106(12) · Early learning providers who prepare or serve food to children at an early learning 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.

0106 (1) Licensor observed Lead Teacher Lisa I did not complete the requirements (4 through 10) Staff had been employed since 08/24/2023 exceeding the 3 months of the hired date to complete the trainings. 0106 (10) Licensor observed staff members with expired Bloodborne Pathogens trainings: Karen, Tiffany G., Lisa I., Pam S., Alejandra M. 0106 (12) Licensor observed staff member Sophia P. does not have a food handlers uploaded on merit or a copy on file. 0106 (3) Licensor observed staff members did not complete the 20-30 hour Child Care basic training: Lisa I.

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