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.

110-300-0186(1) child file reviewed by licensor, registration indicated the child had a food allergy but there was no individual health care plan in place by child nor health provider. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0200(5) · Early learning providers must direct, assist, teach, and coach, children to wash their hands, using the steps listed above: (a) When arriving at the early learning premises; (b) After using the toilet; (c) After diapering; (d) After outdoor play; (e) After gardening activities; (f) After playing with animals; (g) After touching body fluids such as blood or after nose blowing or sneezing; (h) Before and after eating or participating in food activities including table setting; and (i) As needed or required by the circumstances.

110-300-0200(4) licensor observed during the visit staff member not washing her hands prior to preparing food. 110-300-0200(5) licensor observed during the visit staff member not washing child hands prior and after eating snack. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0210(1)(2) · (1) On or before their children's first day of attending an early learning program, the parents or guardians of enrolled children must give to early learning providers proof of vaccination or acquired immunity for the vaccine-preventable disease, required under RCW 43.216.690 and chapter 246-105 WAC. Early learning providers may accept children without proof of vaccinations or immunity as otherwise indicated in this section. (2) Early learning providers must receive for each enrolled child upon enrollment and annually thereafter, as required by RCW 43.216.690 and WAC 246-105-050: (a) A current, complete, and medically verified certificate of immunization status (CIS) form; (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunization information system (WA IIS).

110-300-0210(1)(2) child file reviewed by licensor was not up to date with immunizations acording to the CIS form in the file.

Open Not marked corrected in the state record

Open / not marked corrected.