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) Katlyn Moore Brahm does not have a BBP training. Gold Theo BBP training expired on 10/23/23. 0106(11) Katlyn Moore does not have CPR/1st Aid certificate on file. Gold Theo no CPR/1st Aid certificate. 0106(12) Alex Ingrando does not have a food worker's card. Risk WAC/RCW

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110-300-0106(11) · Family home licensees, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable.

0106(10) Katlyn Moore Brahm does not have a BBP training. Gold Theo BBP training expired on 10/23/23. 0106(11) Katlyn Moore does not have CPR/1st Aid certificate on file. Gold Theo no CPR/1st Aid certificate. 0106(12) Alex Ingrando does not have a food worker's card. Risk WAC/RCW

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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.

0106(10) Katlyn Moore Brahm does not have a BBP training. Gold Theo BBP training expired on 10/23/23. 0106(11) Katlyn Moore does not have CPR/1st Aid certificate on file. Gold Theo no CPR/1st Aid certificate. 0106(12) Alex Ingrando does not have a food worker's card. Risk WAC/RCW

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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;

0165(2)(c) speakers with cords left on the shelf accessible to children. 0165(2)(d) Garbage bags stored under the sink in the both classroom's bathrooms. 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.

Child MF's individual care plan is missing informaton about allergenic food and substitute foods. 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.

0215(3)(a)(ii) Child MF's medication form for Benadryl is missing exparation date and length of time to give medication. 0215(3)(a)(i) Child MF's medication form for Epi-pen is missing side effects of medication. Risk WAC/RCW

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110-300-0215(3)(a)(ii) · An early learning provider must administer medication to children in care as follows: (ii) Nonprescription oral medication. Nonprescription (over-the-counter) oral medication brought to the early learning program by a parent or guardian must be in the original packaging. (A) Nonprescription (over-the-counter) medication needs to be labeled with child's first and last name and accompanied with medication authorization form that has the expiration date, medical need, dosage amount, age, and length of time to give the medication. Early learning providers must follow the instructions on the label or the parent must provide a medical professional's note; and (B) Nonprescription medication must only be given to the child named on the label provided by the parent or guardian.

0215(3)(a)(ii) Child MF's medication form for Benadryl is missing exparation date and length of time to give medication. 0215(3)(a)(i) Child MF's medication form for Epi-pen is missing side effects of medication. Risk WAC/RCW

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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;

0260(1)(a) Extra soap bottles stored under the bathrooms sinks in both classrooms.

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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 LG allergic to seasame seeds. No substitute foods listed in the individual care plan. 0186(2) Child LG missing Cetirizine medication. No staff/

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110-300-0186(2) · 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 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 LG allergic to seasame seeds. No substitute foods listed in the individual care plan. 0186(2) Child LG missing Cetirizine medication. No staff/

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110-300-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. An early learning provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

Medication kept in the emergency bag that is accessible to children. 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;

Plastic bags accessible to children in the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(2)(b) Serious

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

First Aid kit placed in the emergency bag which is 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) · 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;

Soap labeled "keep out of reach of children" accessble to children in the drawer under the bathroom sink.

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110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC.

Substitute teacher MU does not have a background check. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

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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 LG allergic to seasame seeds. No substitute foods listed in the individual care plan. 0186(2) Child LG missing Cetirizine medication. No staff/

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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 LG allergic to seasame seeds. No substitute foods listed in the individual care plan. 0186(2) Child LG missing Cetirizine medication. No staff/

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110-300-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. An early learning provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

Medication kept in a drawer that is accesssible to children. 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;

Plastic bags accessible to children in the bathrooms. WAC/RCW Correction Date Disputed Date Disputed

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

First aid kits accessible to children at the entrance and in the bathrooms. 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;

Cleaning items and items labeled "keep out of reach of children" accessible to children in the bathrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0356(3) Serious

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110-300-0356(3) · A center licensee must not exceed the total capacity or age range stated on the child care license at any time except as provided in this section. All children on the premises, signed in to child care, on an off-site trip from the early learning program, or being transported by the early learning program staff are counted in capacity including the children of staff. (a) A center licensee must receive department approval to care for a child with special needs, pursuant to WAC 110-300-0300, if the child is older than the maximum age identified on the license. A child with documented special needs may be in care up to age nineteen and must be counted in capacity and staff-to-child ratio. (b) A child with special needs who requires individualized supervision pursuant WAC 110-300-0300 does not count in the staff-to-child ratio. (c) A child who turns thirteen years old permitted by chapter 110-290 WAC must be counted in both capacity and staff-to-child ratio.

Classroom with the capacity of 15 had 17 children at the time of inspection.

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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 (1) Staff employed for over 3 months do not have required trainings under this section. 0106(10) Staff AI, HK, AR, and GT do not have BBP training according to L&I requirment. 0106(11) No proof of CPR/st Aid training for staff AI, AR, and GT. Staff HK has expired CPR/1st Aid training. 0106(3) Director ED, and staff AC do not have CCB traning after 3 months of employment. 0106(4) Director ED and staff AC do not have child abuse and neglect training. 0106(5)n Director ED and staff AC do not have emergency preparedness training. 0106(7) Director ED and staff AC do not have children experiencing homelessnes training.

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