Ramko Learn and Care LLC

Training requirements · WAC 110-300-0106(12) · Serious

Food handler permits were either incomplete or expired for more than six staff members.

Preservice requirements · WAC 110-300-0105(3) · Short Term

TB test documentation was not observed for one staff member present on site.

Food allergies and special dietary needs · WAC 110-300-0186(1) · Serious

Some children with allergy requiring prescription medication were missing individual care plans, or the plans on file were incomplete and missing information required under subsection (a) through (iv).

Medication · WAC 110-300-0215(3) · Serious

Medication authorization forms were not observed for every child's medication on site.

Safety requirements · WAC 110-300-0165(2)(a) · Serious

Tamper-resistant (TR) round caps were observed in outlet covers that already had TR covers installed.

Safe food practices · WAC 110-300-0197(4) · Short Term

In one classroom, food stored in the refrigerator was missing labels indicating ownership or the date it was opened, and "veggi straws" were not stored in an airtight container.

The state lists this complaint on the provider’s record, but the state’s published report includes no citation detail.

Food allergies and special dietary needs · WAC 110-300-0186(1) · Serious

Several individual care forms observed with the prescription medication did not contain all the necessary information. It is suggested to utilize the state-provided form to ensure comprehensive documentation.

Safety requirements · WAC 110-300-0165(2)(d) · Serious

0165(2)(d), rolls of plastic bags were observed stored in the bathroom atop the dryer, accessible to children when using a step stool. 110-300-0165(3)(e), the blue rug observed in classroom #127 was rolled up at the edges, posing a tripping hazard.

Medication · WAC 110-300-0215(3)(a)(i) / 110-300-0215(3)(a)(ii) · Serious

0215(3)(a)(i), the prescription medication used for treating eczema observed in classroom #115 did not have an "end date" recorded on the form. 110-300-0215(3)(a)(ii), nonprescription oral medications such as stinging cream and ibuprofen tablets were observed in the first aid kit; acetaminophen 160mg in liquid form in red capsule was observed in the emergency backpack. No labels to whom the medication belonged were observed.