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.

0216(3) The provider does not have a signed consent for child "C" medications: Diphenhydramine or Benadryl. Provider does not have either medication. 0215 (3)(a)(i) DT medication does not have individual care plan that goes with it. Parent sent some information on a yellow sticky note but not all required information and there is no doctor singnature. Child "C" medical form for Dephenhydramine does not have start and end date, exparation date, or possible side effects. No information about substitute foods. Individula care plan for the Epi-pen is missing start and end date, and possible side effects. Risk WAC/RCW

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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.

0216(3) The provider does not have a signed consent for child "C" medications: Diphenhydramine or Benadryl. Provider does not have either medication. 0215 (3)(a)(i) DT medication does not have individual care plan that goes with it. Parent sent some information on a yellow sticky note but not all required information and there is no doctor singnature. Child "C" medical form for Dephenhydramine does not have start and end date, exparation date, or possible side effects. No information about substitute foods. Individula care plan for the Epi-pen is missing start and end date, and possible side effects.

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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 0210(1)(2) SY doesn't have medically verified CIS form. Child HU doesn't have medically verified CIS form. Child CG doesn't have medically verified CIS form.

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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.

0215(2) Teacher YY giving medication to child DT without DCYF medication training. 0216(3) The provider does not have a signed consent from child's parents to give medication. 0215 (3)(a)(i) DT medical form does not have a medical form that has prescribing professional info, the date prescription was filled, the exparation date and the lenth of time to give medication. No information about how the medication is supposed to be stored. Risk WAC/RCW

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110-300-0470(4)(a) · An early learning provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

0470(1) The emergency plan is not specific to the program. Information missing about what provider would do if parents are not able to pick up their children. Plan is not reviewed yearly with staff. 0470 (2) Plan is missing methods that will be used for sounding the alarm and how the children will be evacuated. Information about the meeting place and alternate meeting place is missing. 0470(4)(a) Fire drills have not been done since April. 0470(4)(b) Emergency drills have not been done this year. Risk WAC/RCW

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An early learning provider must practice and record emergency drills with staff and children as follows: (b) Earthquake, lockdown, or shelter-in-place drill once every three calendar months;

0470(1) The emergency plan is not specific to the program. Information missing about what provider would do if parents are not able to pick up their children. Plan is not reviewed yearly with staff. 0470 (2) Plan is missing methods that will be used for sounding the alarm and how the children will be evacuated. Information about the meeting place and alternate meeting place is missing. 0470(4)(a) Fire drills have not been done since April. 0470(4)(b) Emergency drills have not been done this year. Risk WAC/RCW

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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) Child with allergy to kiwi and peantus does not have a complete individual care plan. 0186(2) Provider has not obtained medication and training for their staff for the child with kiwi and peanut allergy. Risk WAC/RCW

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110-300-0186(2) · An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

0186(1) Child with allergy to kiwi and peantus does not have a complete individual care plan. 0186(2) Provider has not obtained medication and training for their staff for the child with kiwi and peanut allergy. Risk WAC/RCW

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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.

Exit door locked with a baby gate. Risk WAC/RCW

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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.

0106(10) Staff are not doing their BBP training every year as recommended by L&I Staff YY has been working at a center for several years. 0106(3) Staff YY does not have childcare basic training within 3 months of employment. 0106(4) Staff YY does not have child abuse and neglect training.

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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.

0106(10) Staff are not doing their BBP training every year as recommended by L&I Staff YY has been working at a center for several years. 0106(3) Staff YY does not have childcare basic training within 3 months of employment. 0106(4) Staff YY does not have child abuse and neglect training. 0106(5) Staff YY does not have emergency preparedeness training. 0106(5) Staff YY does not have homelessness training. Risk WAC/RCW

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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.

Open Not marked corrected in the state record

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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.

W allergic to walnuts- No individial care plan Child (I) allergic to dairy- No individula care plan

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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;

Plastic bags stored under handwashing sinks in the classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(2)(b) Serious

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110-300-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children

1st Aid Kit is stored within reach of children. 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;

Sanitizing products and detergents were stored under the handwashing sinks in the bathrooms where they were accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

Open Not marked corrected in the state record

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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. 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.

Xin Mou food handlers card is expired. Yukiko Mutoh Food handlers card expired. Chikako Tagata No food handlers card on file.

Open Not marked corrected in the state record

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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.

BW allergic to walnuts- No individial care plan Child (I) allergic to dairy- No individula care plan WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

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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;

Small rubber balls and marbles in size of one and three quarter inches and less were strewn throughtout the playground. Plastic bags were stored under the sinks in the bathrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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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;

Small rubber balls and marbles in size of one and three quarter inches and less were strewn throughtout the playground. Plastic bags were stored under the sinks in the bathrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(2)(b) Serious

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110-300-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children

First Aid Kit was accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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110-300-0260(1)(a) · 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 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;

Sanitizing products and detergents were stored under the handwashing sinks in the bathrooms where they were accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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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.

Staff are not getting their BBP training as per L&I requirements (once per year) Sharon Gao CPR/1st Aid training is expired. Xin Mou food handlers card is expired. Yukiko Mutoh CPR/1StAid and Food handlers card expired. Chikako Tagata CPR/1st Aid expired. No food handlers card on file. Mari Uozato CPR/1st Aid and food handlers card expired.

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