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;

110-300-0165(2)(d): It was observed that plastic bags were accessible to children under the sink in classroom #3, in close proximity to a child's slip mat. 110-300-0165(3)(a): It was observed that two plastic toys in the storage container located outside had cracks with pointy edges. 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.

110-300-0186(1): It was observed that child A lacked individual care plan for the astma medication provided by the parent and labeled with the child's A name. 110-300-0186(2): Two children's medciation authorisation forms had Benadril listed in it without the medication being provided to the program by the parent/guardian. Child A had a mecic ation authorisation form provided ofr epi-pen and benadryl with no nedciation provided to the pragram by the parent /guardian. 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.

110-300-0186(1): It was observed that child A lacked individual care plan for the astma medication provided by the parent and labeled with the child's A name. 110-300-0186(2): Two children's medciation authorisation forms had Benadril listed in it without the medication being provided to the program by the parent/guardian. Child A had a mecic ation authorisation form provided ofr epi-pen and benadryl with no nedciation provided to the pragram by the parent /guardian.

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110-300-0265(6)(a) · Mats, cots, and other sleep equipment used in an early learning program must be: (a) In good condition, have no tears or holes, and have no repairs with tape;

There are some nap mats that have tears in them. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 05/01/2024

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110-300-0215(3)(a)(i) · 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 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.

There was a epi pen in a bag and there was no prescription (name or other information) on the pen WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious 05/01/2024

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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.

There is playground equipment that does not comply with the CSPC guidelines, they do not have 9 inches of playchips. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 04/24/2024

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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;

There were large refill bottles of soap located under the sink and they were accessible to the children - proivder removed during the visit.

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110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

There were large refill bottles of soap located under the sink and they were accessible to the children - proivder removed during the visit. There were toilet plungers located in the childrens bathrooms and they are accessible to the children.

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