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.

Licensor observed child missing an individual care plan for a diagnosed food allergy. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious 08/22/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3) · 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. 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 observed medication in a child's backpack, without a prescription label and no medication authorization form. The staff members were also missing the medication authroization training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 08/02/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(i) · An early learning provider must administer medication to children in care as follows: (i) Prescription medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. Prescription medication must be accompanied with medication authorization form that has the medical need and the possible side effects of medication. Prescription medication must be labeled with: (A) A child's first and last name; (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and (E) Instructions for the administration and storage.

Licensor observed medication in a child's backpack, without a prescription label and no medication authorization form. The staff members were also missing the medication authroization training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious 07/27/2023

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 observed the bark in the climbing structure's fall zone was 1-4 inches.

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) Licensor observed the cleaning supplies accesible in a couple of bathrooms. 0260(2)(a)(b) Licensor observed a couple of storage spaces accesible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious 07/26/2023

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;

0260(1)(a) Licensor observed the cleaning supplies accesible in a couple of bathrooms. 0260(2)(a)(b) Licensor observed a couple of storage spaces accesible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0345(5)(c) Serious 07/26/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0345(5)(c) · 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: (c) Actively supervise children when the children: (i) Interact with pets or animals; (ii) Engage in water or sand play; (iii) Play in an area in close proximity to a body of water; (iv) Use a safe route to access an outdoor play area not immediately adjacent to the early learning program; (v) Engage in planned activities in the kitchen; (vi) Ride on public transportation; (vii) Engage in outdoor play; and (viii) During field trips.

Licensor did not observe alarms on all doors. Licensor observed the sandbox and outdoor play was not actively supervised. Staff were standing together, talking, with little scanning and interactions with children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(3) Short Term 08/03/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(3) · License applicants, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and aides must complete the child care basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

Licensor observed there were staff members that had been employed for more than 3 months that did not have childcare basics or DCYF safety trainings. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious 08/03/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(4) · Early learning providers must complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030.

Open Not marked corrected in the state record

Open / not marked corrected.