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) The licensor observed that a 24-year-old household member, Ms. Nasra, was left alone to supervise a child. Ms. Nasra is listed only as a household member and is not approved or qualified as staff. Additionally, her Safe Sleep training was expired, and she had not completed the required trainings in First Aid/CPR, Bloodborne Pathogens, and Food Handling. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(3)(a) · An early learning provider must take measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (a) Cuts, abrasions, and punctures. Equipment, materials, and other objects on the premises that have splintered edges, sharp edges, points, protruding nails, bolts, or other dangers must be repaired, removed, or made inaccessible to children;

0165 (2)(c) The Licensor observed a television cord dangling and forming a loop, creating a potential strangulation hazard. 0165 (3)(a) The Licensor observed that knives were stored on the kitchen counter in a knife holder, which was accessible to children. This posed a potential safety hazard. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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) The licensor observed a child’s file indicating a peanut allergy; however, there was no individual care plan on file completed by the child’s health care provider specifying the food allergen. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0197(3) · For all foods offered by the provider or given to an enrolled child by a parent or guardian, the provider must: (a) Provide appropriate refrigeration to preserve foods from spoiling. Foods that may be subject to spoiling include, but are not limited to, meats, cooked potatoes, cooked legumes, cooked rice, sprouts, cut melons, cut cantaloupes, milk, and cheese; and (b) Refrigerate foods requiring refrigeration at 41 degrees Fahrenheit or less and freeze foods required to be frozen at 10 degrees Fahrenheit or less.

0197 (3) The Licensor observed that the refrigerator temperature was set at 45°F, which exceeds the recommended safe food storage temperature. 0197 (4) The Licensor noted that the food items were not labeled or dated. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(1)(a) · An early learning provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, disinfectants and items labeled “keep out of reach of children” are stored: (a) In a location that is inaccessible to children;

0260(1)(a) The licensor observed that the retractable gate was not secured, allowing access to the unlicensed kitchen. The Licensor observed that the kitchen cabinets were equipped with child-proof locks; however, the locks were not securely fastened, allowing potential access to cleaning products stored inside. The licensor observed that a 3-year-old child had access to the pantry storage. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0480(2) · During travel to an off-site activity, an early learning provider must: (a) Have the health history, appropriate medication (if applicable), emergency information, and emergency medical authorization forms accessible for each child being transported; (b) Have a phone to call for emergency help; (c) Have a complete first-aid kit; (d) Maintain the staff-to-child ratio, mixed groupings, and active supervision requirements; (e) Have a current first aid and CPR certification pursuant to WAC 110-300-0106 (11); (f) Take attendance using a roll call or other method that assures all children are accounted for each time children begin and end travel to an off-site activity, and every time children enter and exit a vehicle; and (g) Never leave children unattended in the vehicle.

0480 (3) The licensor observed both vehicles used for transportation had expired tabs. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0455(2) · An early learning provider must keep daily child attendance records, either in paper or electronic format, for each child (including the children of staff in the program). These records must be easily accessible and kept on-site or in the program's administrative office for department review. These records must clearly document: (a) The name of the child; (b) The date of care; (c) Child arrival and departure times from the early learning program; (d) Signature or electronic signature of parent, guardian or other authorized person at the time of arrival and departure; and (e) A staff signature when a child leaves the early learning program to attend school or participate in off-site activities not offered by the early learning program.

0455 (2) The licensor was not able to review attendance records for staff, household child within age range and enrolled children. Neither electronic nor paper attendance records were provided during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.