110-300-0495(1) · An early learning program must have and follow a policy that promotes the consistent care of children.

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110-300-0500(1) · An early learning provider must have and follow a written health policy reviewed and approved by the department that includes the topics listed in subsection (2) of this section. The health policy must be reviewed and approved by the department when changes are made, and as otherwise necessary.

The health policy has not been approved. It is a template from 2015 and does not follow current DOH guidelines and meet all WAC requirements. Risk WAC/RCW

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110-300-0105(3) · Early learning providers, including volunteers and household members in a family home early learning program ages fourteen and over, must provide documentation signed within the last twelve months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of: (a) A negative TB symptom screen and negative TB risk assessment; (b) A previous positive FDA approved TB test and a current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program; or (c) A positive symptom screening or a positive risk assessment with documentation of a: (i) Current negative FDA approved TB test; (ii) Previous or current positive FDA approved TB test; and (iii) Current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program.

Shulin An does not have a current TB test. Risk WAC/RCW

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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.

Volunteers of the program have not completed these health and safety trainings. Risk WAC/RCW

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110-300-0110(1) · An early learning provider must have and follow written policies for early learning program staff. Staff policies must include those listed in subsections (2) and (3) of this section and must be reviewed and approved by the department prior to issuing a provider’s initial license. Providers must notify the department when substantial changes are made.

Staff do not have documented training of policies, RCW and WAC. The staff policies have not been approved by licensor as they do ot meet WAC as outlined. Risk WAC/RCW

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110-300-0110(2) · (2) Early learning program staff policies must include, but are not limited to: (a) All of the information in the parent or guardian handbook except fees; (b) Job descriptions, pay dates, and benefits; (c) Professional development expectations and plans; (d) Expectations for attendance and conduct; (e) Early learning program staff responsibilities for: (i) Child supervision requirements, including preventing children's access to unlicensed space; (ii) Child growth and development; (iii) Developmentally appropriate curriculum; (iv) Teacher-child interaction; (v) Child protection, guidance, and discipline techniques; (vi) Safe sleep practices, if applicable; (vii) Food service practices; (viii) Off-site field trips, if applicable; (ix) Transporting children, if applicable; (x) Health, safety, and sanitization procedures; (xi) Medication management procedures; (xii) Medical emergencies, fire, disaster evacuation and emergency preparedness plans; (xiii) Mandatory reporting of suspected child abuse, neglect, and exploitation, per RCW 26.44.020 and 26.44.030 and all other reporting requirements; (xiv) Implementation of child's individual health care or special needs plan; (xv) Following nonsmoking, vaping, alcohol and drug regulations; (xvi) Overnight care, if applicable; (xvii) Religious, equity and cultural responsiveness; (xviii) Nondiscrimination; (xviv) Planned daily activities and routines. (f) Staff responsibilities if the family home licensee, center director, assistant director, or program supervisor is absent from the early learning program; (g) A plan that includes how both administrative and child caretaking duties are met when a job requires such dual responsibilities; and (h) Observation, evaluation, and feedback policies.

Staff do not have documented training of policies, RCW and WAC. The staff policies have not been approved by licensor as they do ot meet WAC as outlined. Risk WAC/RCW

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110-300-0166(3)(b) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (b) Exit doors that are not designated as an emergency exit door may be locked during operating hours. Locking interior doors in early learning program space must be designed to be unlocked from either side. An unlocking device must be readily available; and

2a) an extra set of batteries were not easily available. 2b) A back up power source was not easily available for the cell phones. 3b) The back sliding door is considered an emergency exit door. It was locked. Licnesor unlocked the door to go in the playground. 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.

A child's listed allergies were posted stating mango and peanut. The child registration form was reviewed. It also stated allergies to these foods. An ICP was not included in the child's file. Risk WAC/RCW

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110-300-0198(4) · Center early learning programs licensed after the date this chapter becomes effective must have: (a) A handwashing sink separate from dishwashing facilities; (b) A food preparation sink located in the food preparation area; and (c) A method to clean and sanitize dishes, pans, kitchen utensils, and equipment in the food preparation area using: (i) A two-compartment sink and an automatic dishwasher that sanitizes with heat or chemicals; or (ii) A three-compartment sink method (sink one is used to wash, sink two is used to rinse, sink three contains a sanitizer, and the dishes are allowed to air dry).

The program does not have an adeqate number of sinks to prep food, 3 step dishes and complete handwashing. There are two sinks with an additional sink labeled food prep. Risk WAC/RCW

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110-300-0450(2) · An early learning provider must have and follow formal written policies in either paper or electronic format, including: (a) A nondiscrimination statement; (b) A family engagement and partnership communication plan; (c) A parent or guardian’s permission for photography, videotaping, or surveillance of his or her child; (d) Alcohol, tobacco, cannabis use and prohibition of illegal drugs; (e) Curriculum philosophy on how children learn and develop, and how this philosophy is implemented; (f) Child guidance plan, which includes restraint policies and forbidding corporal punishment; (g) Expulsion policy; (h) Early learning program staff-to-child ratios and classroom types offered, if applicable; (i) If the early learning program offers any of the following, they must include a policy for each that applies to their program: (i) Care for children with specific or special needs; (ii) Infant and toddler care, covering: (A) Diapering; (B) Feeding; (C) Toilet training; (D) Child sleep pattern; and (E) Safe sleep requirements; (iii) Dual language learning; (iv) Religious and cultural activities, including how holidays will be celebrated; (v) Transportation and off site field trips; (vi) Water activities; (vii) Overnight care; and (viii) How weapons on the premises are secured; (j) Program days and hours of operation, including closure dates and observed holidays; (k) Enrollment and disenrollment requirements; (l) Fees and payment plans; (m) Sign-in and sign-out requirements; (n) Information required for the child’s record, including: (i) The importance and plan for keeping the information current; (ii) A plan to keep the child’s information confidential; and (iii) Who may legally access the child’s information; (o) A kindergarten transition plan, if applicable; (p) What parents or guardians must supply for their child (for example: Extra clothing or diapers); (q) Permission for a parent or guardian’s access to areas of the early learning program during business hours; (r) Termination of services policy; (s) Emergency preparedness plan; (t) The early learning provider and program staff’s duty to report incidents including reporting suspected child abuse, neglect, sexual abuse, or maltreatment; (u) Policies regarding mixed age groups, if applicable (including when children may be in a mixed age group); (v) Description of where the parent or guardian may find and review the early learning program’s: (i) Health policy; (ii) Staff policies, if applicable; (iii) Consistent care policy; (iv) Menus; (v) Liability insurance (vi) Inspection reports and notices of enforcement actions, if applicable; and (vii) Other relevant program policies.

The parent policies do not meet WAC as outlined, pertaining to this program. Risk WAC/RCW

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110-300-0486(2) · An expulsion policy must: (a) Provide examples of behavior that could lead to expulsion from the early learning program; (b) Detail steps the provider takes to avoid expelling a child including, but not limited to, environmental and staffing changes; (c) Detail how the provider communicates to the parent or guardian of a child that steps taken under (b) of this subsection; and (d) Include information that may benefit an expelled child including, but not limited to, community based resources.

An expulsion policy is not available to meet WAC requirements. Risk WAC/RCW

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110-300-0490(1) · An early learning provider must have and follow a child restraint policy that contains behavior management and practices, pursuant to WAC 110-300-0335.

A restraint policy is not available which meets WAC. Risk WAC/RCW

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110-300-0500(2) · An early learning program's health policy must meet the requirements of this chapter including, but not limited to: (a) A prevention of exposure to blood and body fluids plan; (b) Meals, snacks, and food services including guidelines for food allergies and food brought from home; (c) Handwashing and hand sanitizer use; (d) Observing children for signs of illness daily; (e) Exclusion and return of ill children, staff, or any other person in the program space; (f) Contagious disease notification; (g) Medical emergencies, injury treatment and reporting; (h) Immunization tracking, (i) Medication management, storage, administration and documentation; (j) Care for pets and animals that have access to licensed space and the health risks of interacting with pets and animals; (k) How general cleaning will be provided and how areas such as food contact surfaces, kitchen equipment, toys, toileting equipment, and laundry will be cleaned, sanitized and disinfected; (l) Pest control policies; (m) Caring for children with special needs or health need, including allergies, as listed in the child's record; and (n) Dental hygiene and education.

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110-300-0505(1)(2) · (1) Postings listed in subsection (2) of this section that are part of an early learning program must be clearly visible to parents, guardians, and early learning program staff. (2) Postings on early learning premises must include: (a) The child care license, pursuant to WAC 110-300-0010; (b) Floor plan with emergency routes and exits identified in each child care area, pursuant to WAC 110-300-0400(1)(b)(i) and 110-300-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-300-0186(8); (d)Handwashing practices at each handwashing sink, pursuant to WAC 110-300-0200(1); (e) If applicable, diaper changing or stand-up diapering procedure at each diapering station, pursuant to WAC 110-300-0220 and 110-300-0221(1)(d); (f) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (g) Emergency numbers and information, including but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department’s toll-free number; (iv) Washington poison center toll-free number; and (v) The department’s child protective services; (h) The location of emergency medical information for children and staff; (i) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (j) A notice of safe sleep violation in the licensed space as required by WAC 110-300-0291(2), if applicable; (k) “No smoking” and “No vaping” signs, pursuant to WAC 110-300-0420(2)(f); (l) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (m) Insurance coverage, or a lapse or termination of such coverage if applicable, pursuant to RCW 43.216.700; and (n) Any other information listed in RCW 43.216.687.

certificate of liability is not posted Risk WAC/RCW

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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.

Quarterly drills have not been conducted. The disaster policy does not address all WAC requirements as outlined. Risk WAC/RCW

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110-300-0470(2) · The written emergency preparedness plan must cover at a minimum: (a) Disaster plans, including fires that may require evacuation: (i) An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, emergency exit doors, and emergency exit windows for family-home based programs as described in WAC 51-51-0326; (ii) Methods to be used for sounding an alarm and calling 911; (iii) Actions to be taken by a person discovering an emergency; (iv) How the early learning provider will evacuate children, especially those who cannot walk independently. This may include infant evacuation cribs (for center early learning programs), children with disabilities, functional needs requirements, or other special needs; (v) Where the alternate evacuation location is; (vi) What to take when evacuating children, including: (A) First-aid kit(s); (B) Copies of emergency contact information; (C) Child medication records; and (D) Individual children's medication, if applicable; (vii) How the provider will maintain the required staff-to-child ratio and account for all children; (viii) How parents or guardians will be able to contact the early learning program; and (ix) How children will be reunited with their parents or guardians after the event; (b) Earthquake procedures including: (i) What a provider will do during an earthquake; (ii) How a provider will account for all children; and (iii) How a provider will coordinate with local or state officials to determine if the licensed space is safe for children after an earthquake. (c) Public safety related lockdown scenarios where an individual at or near an early learning program is harming or attempting to harm others with or without a weapon. This plan must include lockdown of the early learning program or shelter-in-place steps including: (i) How doors and windows will be secured to prevent access, if needed; and (ii) Where children will safely stay inside the early learning program; (d) How parents or guardians will be contacted after the emergency ends.

Quarterly drills have not been conducted. The disaster policy does not address all WAC requirements as outlined.

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