110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) · A school-age provider must administer medication to children in care as follows: (i) Prescription medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. Prescription medication must be accompanied with medication authorization form that has the medical need and the possible side effects of the medication. Prescription medication must be labeled with: (A) A child's first and last name; (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and (E) Instructions for administration and storage.

110-301-0215(3) The medication consent form is missing for a child with a confirmed allergy who requires an EpiPen. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed

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110-301-0300(1)(b) · Plans and documentation required under this section must: (b) Be available for department review;

110-301-0300(1)(b) Missing the ICP for Child DST.

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110-301-0470(4)(b) · A school-age provider must practice and record emergency drills with staff and children as follows: (b) Earthquake, lockdown, or shelter-in-place drill once every three calendar months;

The Emergency Plan does not:

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110-301-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. A school-age provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children except as provided for in this subsection (3) (a) (v) (A) of this section; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

A child's epi pen was stored in an unlocked storage cabinet on a low shelf in an area accessible to children. The medication was placed on top of the cabinet when I identified the violation to the site coordinator. Risk Correction WAC/RCW Level Date 110-301-0230(2)(b) Serious

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110-301-0230(2)(b) · Non-Compliances: This section of the Inspection Report lists non-compliances found during any licensing inspection. Information from this section will be reported to Child Care Check and be can be used to determine current and future licensing and enforcement actions. A first-aid kit must: (b) Be inaccessible to children;

The first aid kit was observed stored in an unlocked storage cabinet in an area accessible to children (next to the parent information area). Risk Correction WAC/RCW Level Date 110-301-0165(3)(b) Serious

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110-301-0165(3)(b) · A school-age provider must take measures intended to prevent other hazards to children in care in school-age program space including, but not limited to: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

A clothing iron was accessible to children in the program. It was not on. Risk Correction WAC/RCW Level Date Short 110-301-0470(1)(a)(b)(c)(d)(e)(f)(g) Term

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110-301-0470(1)(a)(b)(c)(d)(e)(f)(g) · A school-age provider must have and follow a written emergency preparedness plan. The plan must be reviewed and approved by the department prior to when significant changes are made. Emergency preparedness plans must: (a) Be designed to respond to fire, natural disasters, and other emergencies that might affect the school-age program; (b) Be specific to the school-age program and able to be implemented during hours of operation; (c) Address what the provider would do if the provider has an emergency and children may be left unsupervised; (d) Address what the school-age program must do if parents or guardians are not able to get to their children for up to three days; (e) Must follow requirements in chapter 212-12 WAC , Fire marshal standards, and the state fire marshal's office requirements; (f) Be reviewed at program orientation, annually with all school-age program staff with documented signatures, and when the plan is updated; and (g) Be reviewed with parents or guardians when a child is enrolled and when the plan is updated.

The Emergency Plan does not: -Address what the provider would do if the provider has an emergency and children may be left unsupervised; -Address what the school-age program must do if parents or guardians are not able to get to their children for up to three days; There is not verification that the Plan is:

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110-301-0470(2)(a)(i)(ii)(iii)(iv)(v)(vi)(A)(B)(C)(D)(vii)(viii)(ix)(b)(i)(ii)(iii)(c)(i)(ii)(d) · The written emergency preparedness plan must cover at a minimum: (a) Disaster plans, including fires that may require evacuation: (i) An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, and emergency exit doors; (ii) Methods to be used for sounding an alarm and calling 911; (iii) Actions to be taken by a person discovering an emergency; (iv) How the school-age provider will evacuate children, especially those who cannot walk independently. This may include children with disabilities, functional needs requirements, or other special needs; (v) Where the alternate evacuation location is; (vi) What to take when evacuating children, including: (A) First-aid kit(s); (B) Copies of emergency contact information; (C) Child medication records; and(D) Individual children's medication, if applicable; (vii) How the provider will maintain the required staff-to-child ratio and account for all children; (viii) How parents or guardians will be able to contact the school-age program; and (ix) How children will be reunited with their parents or guardians after the event. (b) Earthquake procedures including: (i) What a provider will do during an earthquake; (ii) How a provider will account for all children; and (iii) For any program that does not operate on public or private school premises, how a provider will coordinate with local or state officials to determine if the licensed space is safe for children after an earthquake. (c) Public safety related lockdown scenarios where an individual at or near a school-age program is harming or attempting to harm others with or without a weapon. This plan must include lockdown of the school-age program or shelter-in-place steps including: (i) How doors and windows will be secured to prevent access, if needed; and (ii) Where children will safely stay inside the school-age program; (d) How parents or guardians will be contacted after the emergency ends. Non-Compliances: This section of the Inspection Report lists non-compliances found during any licensing inspection. Information from this section will be reported to Child Care Check and be can be used to determine current and future licensing and enforcement actions.

The Emergency Plan does not: -Address what the provider would do if the provider has an emergency and children may be left unsupervised; -Address what the school-age program must do if parents or guardians are not able to get to their children for up to three days; There is not verification that the Plan is: -Reviewed at program orientation, annually with all school-age program staff with documented

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