110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records.

The updated early learning staff training records were not entered or maintained in the electronic workforce registry (MERIT).

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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;

-0165(2)(d) - Plastic bags were observed in two bathrooms on a level accessible to children. -0165(5)(b) - The outlets near every sink in the center were observed not to be equipped with GFCI (Ground Fault Circuit Interrupter) protection. - 0165(5)(c) -The charging cords observed in classrooms #3, #1, and #5, were located on a level accessible to children. - 0165(5)(d)(f) - It was observed that the electrical cords for the fish tank were plugged into an extension cord, which in turn was plugged into another extension cord. - 0165(5)(e) - It was observed that the surge protector was initially located on the top of the shelf in the classroom # 3 on a level accessible to children. During the visit, the director moved the surge protector behind the shelf, making it inaccessible to children.

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110-300-0165(5)(b) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (b) Outlets near sinks, tubs, toilets, or other water sources must be inaccessible to children or be tamper-resistant and equipped with a ground fault circuit interrupter (GFCI) outlet type;

-0165(2)(d) - Plastic bags were observed in two bathrooms on a level accessible to children. -0165(5)(b) - The outlets near every sink in the center were observed not to be equipped with GFCI (Ground Fault Circuit Interrupter) protection. - 0165(5)(c) -The charging cords observed in classrooms #3, #1, and #5, were located on a level accessible to children. - 0165(5)(d)(f) - It was observed that the electrical cords for the fish tank were plugged into an extension cord, which in turn was plugged into another extension cord. - 0165(5)(e) - It was observed that the surge protector was initially located on the top of the shelf in the classroom # 3 on a level accessible to children. During the visit, the director moved the surge protector behind the shelf, making it inaccessible 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;

It was observed that bottles of sanitizer were located in classrooms #1 and #3 in areas accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

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110-300-0186(1) · 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 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) - The individual care plan for children requiring prescription medication was not observed, and the WAC related to this matter has not been addressed. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

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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) - It was noted that the "Wal-Dryl" non-prescription medication suitable for children 6 years and older was missing a medical professional's note stating that this medication could be administered to a child of 5 years old for an allergic reaction. WAC/RCW Correction Date Disputed Date Disputed 110-300-0197(4) Short Term

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110-300-0197(4) · 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. Food must be stored as follows: (a) In original containers or in clean, labeled, dated, and airtight food grade containers, if appropriate. (b) Food not required to be refrigerated or frozen must not be stored directly on the floor; (c) In a manner that prevents contamination; (d) Food and food service items (such as utensils, napkins, and dishes) must not be stored in an area with toxic materials (such as cleaning supplies, paint, or pesticides); (e) Food that is past the manufacturer's expiration or “best served by” date must not be served to enrolled children; and (f) Raw meat must be stored in the refrigerator or freezer below cooked or ready to eat foods.

-0197(4)(a) - The rice container observed near the refrigerator had a non-airtight lid because it wasn't tightly closed. The yogurt container inside the refrigerator had a lid that wasn't airtight due to a crack.

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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;

110-300-0165(2)(d) - rolls of plastic garbage bags were observed located in the bathrooms on a level accessible to children. 110-300-0165(3)(c) - plastic toy trucks and carts with holes and brocken sharp edges were observed outside on the playground. 110-300-0165(3)(d) - fridges located in the classrooms were lacking safety locks. A saltwater aquarium located in the hallway, had a bottom drawer lacking a safety lock to prevent children from accessing the aquarium's filtration system. 110-300-0165(3)(g), the metal door frame in the bathroom in room #3 has exposed rust at children's level. 110-300-0165(5)(b) - the outlets observed near the sinks were not equipped with the GFCI outlet type.

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110-300-0165(5)(b) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (b) Outlets near sinks, tubs, toilets, or other water sources must be inaccessible to children or be tamper-resistant and equipped with a ground fault circuit interrupter (GFCI) outlet type;

110-300-0165(2)(d) - rolls of plastic garbage bags were observed located in the bathrooms on a level accessible to children. 110-300-0165(3)(c) - plastic toy trucks and carts with holes and brocken sharp edges were observed outside on the playground. 110-300-0165(3)(d) - fridges located in the classrooms were lacking safety locks. A saltwater aquarium located in the hallway, had a bottom drawer lacking a safety lock to prevent children from accessing the aquarium's filtration system. 110-300-0165(3)(g), the metal door frame in the bathroom in room #3 has exposed rust at children's level. 110-300-0165(5)(b) - the outlets observed near the sinks were not equipped with the GFCI outlet type. Risk WAC/RCW

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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;

110-300-0166(2)(a) - the program did not obtain emergency backpacks with the required emergency items, including flashlights with an extra set of batteries. 110-300-0166(3)(a) - the exit door in classroom #2 was hard to open and required adjustment in the lock. Similarly, the infant classroom #6 located downstairs was not shutting down and required lock adjustment. Risk WAC/RCW

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110-300-0197(3) · For all foods offered by the provider or given to an enrolled child by a parent or guardian, the provider must: (a) Provide appropriate refrigeration to preserve foods from spoiling. Foods that may be subject to spoiling include, but are not limited to, meats, cooked potatoes, cooked legumes, cooked rice, sprouts, cut melons, cut cantaloupes, milk, and cheese; and (b) Refrigerate foods requiring refrigeration at 41 degrees Fahrenheit or less and freeze foods required to be frozen at 10 degrees Fahrenheit or less.

110-300-0197(3): Fridges were observed to lack thermometers necessary for identifying the storage temperature of produce. 110-300-0197(4)(a): Food items were observed stored without labels identifying the name who it belongs (if applicable), dates of opening, or expiration. 110-300-0197(4)(e): A box of expired mayonnaise was observed in the kitchen fridge. 110-300-0197(5): No temperature log was observed in either the kitchen. 110-300-0197(6): Leftover food was stored without appropriate labeling. Risk WAC/RCW

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110-300-0197(4) · Food must be stored as follows: (a) In original containers or in clean, labeled, dated, and airtight food grade containers, if appropriate. (b) Food not required to be refrigerated or frozen must not be stored directly on the floor; (c) In a manner that prevents contamination; (d) Food and food service items (such as utensils, napkins, and dishes) must not be stored in an area with toxic materials (such as cleaning supplies, paint, or pesticides); (e) Food that is past the manufacturer's expiration or “best served by” date must not be served to enrolled children; and (f) Raw meat must be stored in the refrigerator or freezer below cooked or ready to eat foods.

110-300-0197(3): Fridges were observed to lack thermometers necessary for identifying the storage temperature of produce.

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110-300-0197(5) · For food requiring temperature control, a center early learning program must maintain a food temperature log by using a calibrated and working metal stem-type or digital food thermometer.

110-300-0197(3): Fridges were observed to lack thermometers necessary for identifying the storage temperature of produce. 110-300-0197(4)(a): Food items were observed stored without labels identifying the name who it belongs (if applicable), dates of opening, or expiration. 110-300-0197(4)(e): A box of expired mayonnaise was observed in the kitchen fridge. 110-300-0197(5): No temperature log was observed in either the kitchen. 110-300-0197(6): Leftover food was stored without appropriate labeling. Risk WAC/RCW

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110-300-0197(6) · Prior to storing leftover food in a refrigerator or freezer, an early learning provider must label the food with the date the leftover food was opened or cooked.

110-300-0197(3): Fridges were observed to lack thermometers necessary for identifying the storage temperature of produce.

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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.

Two expired allergy medications were observed in classroom #1. Risk WAC/RCW

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110-300-0221(1)(a) · Center early learning providers must have a designated diaper changing area, including stand-up diapering, for each classroom or for every age grouping of children who require diapering. Only one diaper changing area is required for family home early learning programs. (a) Diaper changing area must: (i) Be separate from areas where food is stored, prepared, or served; (ii) Have a sink with hot and cold running water, not used for food preparation and clean up; (iii) Have a sturdy surface or mat that: (A) Is not torn or repaired with tape; (B) Is washable; (C) Has a moisture resistant surface that is cleanable; and (D) Is large enough to prevent the area underneath the diaper changing area from being contaminated with bodily fluids. (iv) Be on moisture resistant, washable material that horizontally or vertically surrounds and extends at least two feet from the diaper changing station and handwashing area; and (v) Be uncluttered and not used for storage of any items not used in diapering a child.

110-300-0221(1)(a)(ii) - A plastic container with washed cutlery was observed in the sink designated for handwashing after diaper changing. 110-300-0221(1)(a)(C) - The mat designated for diaper changing was observed to be moisture-resistant, with a piece of cloth placed on top of it. 110-300-0221(4) - No separate container designated for disposing of soiled diapers and diapering supplies was observed near the diaper changing station. Risk WAC/RCW

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110-300-0221(4)(a) · The diaper disposal container must be: (a) Hands-free and covered with a lid to prevent cross contamination;

110-300-0221(1)(a)(ii) - A plastic container with washed cutlery was observed in the sink designated for handwashing after diaper changing. 110-300-0221(1)(a)(C) - The mat designated for diaper changing was observed to be moisture-resistant, with a piece of cloth placed on top of it. 110-300-0221(4) - No separate container designated for disposing of soiled diapers and diapering supplies was observed near the diaper changing station. Risk WAC/RCW

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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;

110-300-0260(1)(a) - fish food was observed stored in the fridge in classroom #2, accessible to children. A bottle of sanitizer was observed on the shelf in the bathroom in classroom #2, accessible to children. 110-300-0260(1)(b) - fish food was stored in the same fridge where children's food was stored in the classrom #2. Additionally, fish worms, which emitted a bad smell upon touching them, were stored in the freezer on top of the cold pack. 110-300-0260(5) - toilet plungers and toilet brushes were observed in the children's bathroom, accessible to children. Risk WAC/RCW

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110-300-0260(1)(b) · 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: (b) Separate and apart from food preparation areas, food items, and food supplies;

110-300-0260(1)(a) - fish food was observed stored in the fridge in classroom #2, accessible to children. A bottle of sanitizer was observed on the shelf in the bathroom in classroom #2, accessible to children. 110-300-0260(1)(b) - fish food was stored in the same fridge where children's food was stored in the classrom #2. Additionally, fish worms, which emitted a bad smell upon touching them, were stored in the freezer on top of the cold pack. 110-300-0260(5) - toilet plungers and toilet brushes were observed in the children's bathroom, accessible to children.

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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.

110-300-0260(1)(a) - fish food was observed stored in the fridge in classroom #2, accessible to children. A bottle of sanitizer was observed on the shelf in the bathroom in classroom #2, accessible to children. 110-300-0260(1)(b) - fish food was stored in the same fridge where children's food was stored in the classrom #2. Additionally, fish worms, which emitted a bad smell upon touching them, were stored in the freezer on top of the cold pack. 110-300-0260(5) - toilet plungers and toilet brushes were observed in the children's bathroom, accessible to children. Risk WAC/RCW

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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.

It was observed that the director did not create a board with all required postings, including those outlined in 110-300-0505(1)(2) WAC, such as the floor plan, emergency numbers, poison center toll-free number, No smoking/Vaping sign, license certificate, etc. Additionally, diaper changing/stand-up diaper changing posters must be posted near the diaper changing areas.

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