110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

Licensor observed one emergency exit door to be partially blocked by a large wooden foldable toy. Licensor also observed a child placed to sleep on a cot in emergency exit pathway (in front of the door).

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(10) · Early learning providers who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

Staff had expired CPR / First Aid and Bloodborne pathogens. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(11) · Family home licensees, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable.

Staff had expired CPR / First Aid and Bloodborne pathogens. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0146(1)(a)(b) · Playground equipment and surfacing used by an early learning provider must comply with applicable CPSC guidelines, as now and hereafter amended including, but not limited to, installing, arranging, designing, constructing, and maintaining outdoor play equipment and surfacing. (a) Climbing play equipment must not be placed on or above concrete, asphalt, packed soil, lumber, or similar hard surfaces;(b) The ground under swings and play equipment must be covered by a shock absorbing material (grass alone is not an acceptable) such as: (i) Pea gravel at least nine inches deep; (ii) Playground wood chips at least nine inches deep; (iii) Shredded recycled rubber at least six inches deep; or (iv) Any material that has a certificate of compliance, label, or documentation stating it meets ASTM standards F1292.

Licensor measured woodhcips in slide area to be less than one inch deep. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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 radio inside one classroom that had a loose cord plugged with cable within child's reach.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Second emergency exit in outdoor space that is located in the back of the outdoor area is locked although it is used as an emergency exit. Director informed licensor that the gate is kept locked and does not have a self-closing / self-latching system.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0146(1)(a)(b) · Playground equipment and surfacing used by an early learning provider must comply with applicable CPSC guidelines, as now and hereafter amended including, but not limited to, installing, arranging, designing, constructing, and maintaining outdoor play equipment and surfacing. (a) Climbing play equipment must not be placed on or above concrete, asphalt, packed soil, lumber, or similar hard surfaces;(b) The ground under swings and play equipment must be covered by a shock absorbing material (grass alone is not an acceptable) such as: (i) Pea gravel at least nine inches deep; (ii) Playground wood chips at least nine inches deep; (iii) Shredded recycled rubber at least six inches deep; or (iv) Any material that has a certificate of compliance, label, or documentation stating it meets ASTM standards F1292.

Ground covering around climbing structures had only 8 inches of woodchips WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(d) · 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. 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;

Plastic Ziploc bags were accessible to children in food prep area and plastic bag was accessible to children in a child's cubby. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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;

1a) Hand sanitizers labeled keep out of reach of children were accessible to children in all classrooms, and Cerave lotion labeled keep out of reach of children was accessible to children in mapletree classroom. 2ab) Storage rooms in all three classrooms were unlocked and inaccessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

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;

1a) Hand sanitizers labeled keep out of reach of children were accessible to children in all classrooms, and Cerave lotion labeled keep out of reach of children was accessible to children in mapletree classroom. 2ab) Storage rooms in all three classrooms were unlocked and inaccessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0186(1) · 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. 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.

Child with food protein induced allergy does not have Individual Care Plan. WAC/RCW Correction Date Disputed Date Disputed 110-300-0105(2) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC.

Staff member N.C. has an expired background checks. Staff members L.S. and I.F. has a withdrawn background check. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

10) No staff attached to Provider in MERIT have valid Bloodborne Pathogens training. 11) Teachers I.F. and L.S. do not have valid CPR or First Aid. 12) No staff attached to Provider in MERIT have Food Workers Cards on MERIT or in files. 3) Teachers S.B., I.F, and L.S. did not take 30 hrs/initial training requirement within 3 mos of hire.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(1) · An early learning provider must have and follow a written emergency preparedness plan. The plan must be reviewed and approved by the department prior to when changes are made. Emergency preparedness plans must: (a) Be designed to respond to fire, natural disasters, and other emergencies that might affect the early learning program; (b) Be specific to the early learning 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 early learning program must do if parents 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, as now or hereafter amended and the state fire marshal's office requirements if a center early learning program; (f) Be reviewed at program orientation, annually with all early learning program staff with documented signatures, and when the plan is updated; (g) Be reviewed with parents or guardians when a child is enrolled and when the plan is updated.

1) Provider's emergency preparedness plan did not address what provider would do if the provider had an emergency and children were to be left unsupervised or what provider must do if parents are not able to get to their children for up to three days 2) Provider's emergency preparedness plan did not address methods used for sounding alarm and calling 911 or how the provider will evacuate children, especially those who cannot walk independently.

Open Not marked corrected in the state record

Open / not marked corrected.