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;

Licensor observed a non-latex glove in a bathroom drawer accessible to children. Licensor observed a thorn bush along the fence that is accessible to children. Light in playroom was observed not working and playroom did not have appropriate illumination for children.

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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).

Child records were observed to need annually updated vaccination records. Records were last updated in May of 2023. Risk WAC/RCW

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110-300-0280(3)(g) · To prepare bottles, an early learning provider must: (g) Not heat a bottle in a microwave;

3g) Microwave was used to heat a bottle 3k) Three unlabeled bottles of milk were on the floor and children were picking up any bottle and sipping from them and dropping them on the floor. WAC/RCW Correction Date Disputed Date Disputed 110-300-0290(3)(d) Short Term

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110-300-0290(3)(d) · Sleep equipment not covered in WAC 110-300-0265 must: (d) Have a tight-fitted sheet that is designed for the sleep equipment;

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110-300-0291(1)(g) · An early learning provider must follow safe infant sleep practices when infants are napping or sleeping by following the current standard of American Academy of Pediatrics concerning safe sleep practices including SIDS/SUIDS risk reduction, including: (g) Not allowing blankets, stuffed toys, pillows, crib bumpers, and similar items inside a crib, bassinet, or other equipment if occupied by a resting or sleeping infant;

Licensor observed an infant asleep in a pack n' play with a bottle of milk in their mouth WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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110-300-0166(3)(a) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (a) Emergency exit doors must remain unlocked from the inside, but may be locked from the outside while the early learning program is open. The door handle must be of the type that can be opened from the inside without the use of a key, tools, or special knowledge, and must automatically unlock when the knob or handle is turned;

Front emergency door was deadbolted and locked with a top lock out of reach of children WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(3) Long Term

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110-300-0230(3) · (3) A first-aid kit must include: (a) Disposable nonporous protective nonlatex gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use; (i) A sling, or a large triangular bandage; (j) Adhesive tape; (k) A CPR barrier with a one-way valve or both an adult and pediatric CPR mask with a one-way valve; (l) A current first-aid manual; and (m) Hand sanitizer (for adult use only). 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.

First aid kit is missing first aid manual and a triangular bandage or arm sling. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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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;

1a) Toothpaste labeled keep out of reach of children was in upper left drawer in licensed bathroom accessible to children 2ab) Bedroom door was open at time of visit accessible to children and shed outback was unlocked in backyard accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

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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;

1a) Toothpaste labeled keep out of reach of children was in upper left drawer in licensed bathroom accessible to children 2ab) Bedroom door was open at time of visit accessible to children and shed outback was unlocked in backyard accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0460(2) Long Term

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110-300-0460(2) · 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. Each child's enrollment record must include the following: (a) The child's birth date; (b) An enrolled child’s parent or guardian's phone numbers, address, and contact information for reaching the family while the child is in care; (c) Emergency contact information. If no emergency contact is available, a written and signed emergency contact plan may be accepted; (d) Names and phone numbers of persons authorized to pick up enrolled children; (e) A plan for special or individual needs of the child, if applicable, including parent or guardian signature, pursuant to WAC 110-300-0300; (f) Signed parent or guardian permissions, pursuant to WAC 110-300-0450 as applicable for: (i) Field trips; (ii) Transportation; (iii) Bathing; (iv) Water activities including swimming pools or other bodies of water; and (v) Photo, video, or surveillance activity. (g) The beginning and end enrollment date for children no longer in the early learning program’s care; (h) Physical restraint documentation pursuant to WAC 110-300-0335, if applicable; (i) Expulsion information, documentation, and steps taken to avoid expulsion, if applicable; (j) Termination of services documentation and communication, if applicable; and (k) Notification of child developmental screening information given to the child’s parent or guardian, if applicable.

2) 2 children's files were missing emergency contacts and one child's 2nd page of permissions was not filled out or signed 4e) Child's file was missing medical and dental care providers and contact information 4f) Child's file was missing dates of last physical and dental exams 4g) Child's file was missing consent to seek medical care and treatment of child in the event of injury or illness

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