110-300-0460(4)(e) · A health record must include: (e) Medical and dental care provider names and contact information or what facility parents or guardians would prefer for treatment;

Licensor observed 4 child files. Some files were missing the following information: Child's birthdate Date child entered child care Dental provider and last date of dental appointment Doctor name and last date of physical exams.

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110-300-0215(3) · Medication administration. An early learning provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and using appropriate cleaned and sanitized medication measuring devices.

Licensor did not observe written consent from parent regarding medicine administration from two children enrolled in child care. Licensor observed medication log on provider's phone, but licensor did not observe on the log name of medication, notes of side effects, or name and siganture of medication given. Risk WAC/RCW

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110-300-0145(11) · Prior to licensing, exiting mechanisms on gates from a licensed outdoor play area to unlicensed space must be equipped with a self-closing and self-latching mechanism (shuts automatically when released from an individual’s control). A gate that is not an emergency exit must be locked or self-closing and self-latching.

Emergency gate was not self-closing when licensor released it from her hand. Risk WAC/RCW

Open Not marked corrected in the state record

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110-300-0165(2)(a) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (a) Making inaccessible to infants and toddlers any equipment, material, or objects that may pose a risk of choking, aspiration, or ingestion. For the purposes of this section, equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less are considered items that may pose a risk of choking, aspiration, or ingestion. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion;

Licensor observed outlet plugs smaller than one-three quarter inches in outdoor licensed space posing a chocking hazard. Licensor observed various cables from fans and piano loose and accessible to children. Licensor observed light bulbs in bathroom area used by children to not be shatter-resistant. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

Licensor observed emergency sliding door to be locked while children were present. Licensor observed emergency exit door in outdoor space to have an additional lock that must be removed before the emergency exit door is opened. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

Licensor observed a spray bottle, and Fabuloso cleaning supplies in sink space accessible to children. Risk WAC/RCW

Open Not marked corrected in the state record

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110-300-0146(4) · Bouncing equipment including, but not limited to, trampolines, rebounders, and inflatable equipment must be inaccessible and locked. This requirement does not apply to bounce balls designed to be used by individual children.

Provider has trampoline in outdoor licensed area accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(5)(b) Serious

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110-300-0165(5)(b) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (b) Outlets near sinks, tubs, toilets, or other water sources must be inaccessible to children or be tamper-resistant and equipped with a ground fault circuit interrupter (GFCI) outlet type;

Open Not marked corrected in the state record

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110-300-0165(2)(a) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (a) Making inaccessible to infants and toddlers any equipment, material, or objects that may pose a risk of choking, aspiration, or ingestion. For the purposes of this section, equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less are considered items that may pose a risk of choking, aspiration, or ingestion. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion;

2a) Tiny dice and googly eyes in childcare area are choking hazards and accessible to all children. 2b) Blinds in licensed space have pull cords that are capable of forming a loop 2f) Sliding glass door did not have stickers or art work at child level to prevent children from walking into or through sliding glass door. 3f) Cubbies in licensed spare were not secured to wall and were capable of tipping 4g) Deck measuring 2'7" off ground did not have guardrails or steps. 5a) Outlets in licensed area were not Tamper Resistant (TR) 5b) Outlet next to bathroom sink was not GFCI or Tamper Resistant (TR)

Open Not marked corrected in the state record

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110-300-0165(2)(b) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

2a) Tiny dice and googly eyes in childcare area are choking hazards and accessible to all children. 2b) Blinds in licensed space have pull cords that are capable of forming a loop 2f) Sliding glass door did not have stickers or art work at child level to prevent children from walking into or through sliding glass door. 3f) Cubbies in licensed spare were not secured to wall and were capable of tipping 4g) Deck measuring 2'7" off ground did not have guardrails or steps. 5a) Outlets in licensed area were not Tamper Resistant (TR) 5b) Outlet next to bathroom sink was not GFCI or Tamper Resistant (TR) WAC/RCW Correction Date Disputed Date Disputed 110-300-0225(3) Serious

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110-300-0225(3) · Pets or other animals that have contact with children must: (a) Have all required vaccinations, pursuant to local and county regulations; (b) Show no signs of illness, disease, worms, or parasites. If these symptoms appear, the pet or animal must be removed from the licensed space until appropriately treated for the condition; and (c) Be nonaggressive. If the pet or animal exhibits aggressive behavior, the pet or animal must be removed from the licensed space.

Provider did not have vaccinations for both cats on site at time of visit.

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110-300-0170(3)(a) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (a) Combustible materials. (i) Combustible materials must be properly discarded pursuant to local jurisdictions, removed from the premises, or properly stored in closed metal containers specifically designed to hold such combustible materials. (ii) Combustible materials stored in a closed metal container must not be stored in the premises licensed space or any place that may be accessible to children in care. (iii) Combustible materials include, but are not limited to, lint, gasoline, natural gas, diesel, fuel, propane, rags soaked in combustible materials, oils, chemicals, or solvents.

2) Provider did not complete state fire marshal form at time of visit. 3a) Two propane tanks were in licensed outdoor area.

Open Not marked corrected in the state record

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