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;

0165(2)(b) Window blinds in the Chipmunks room are not retrofitted in a manner that eliminates the formation of loops. The blink cords were folded and hung "out of reach." 0165(2)(c) Charging cables capable of forming a loop around a child's neck were accessible to children.

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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.

Child, Damir Karimov, doesn't have an individual care plan for his nut allergy. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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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.

Epi-pen medical authorization form didn't have side effects listed on it. Unused medicatoin (Epi-pen) not returned to parent and not disposed of according to FDA recommendations. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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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;

Entrance door (exit door) requires special knowledge to open. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

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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.

Nail polish stored in the closet in the reception area. Sunscreens labled "keep out of reach of children" accessible to children. Toilet plungers and brushes stored next to the toilets.

Open Not marked corrected in the state record

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