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.

110-300-0115(1) - The Merti page was not updated with the current staff working at the facility. 110-300-0115(3) - No paper staff records for the assitant teacher were available for review during the visit. Risk WAC/RCW

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110-300-0115(3) · A licensee, center director, assistant director, or program supervisor must maintain the following records for each early learning provider and program staff in a confidential manner. These records must be reviewable by the department and must include at a minimum: (a) A copy of current government issued photo identification; (b) Emergency contact information; (c) Completed employment application or resume; (d) Annual observation, evaluation, and feedback information; (e) The licensee’s Social Security Number, Federal EIN, or a written document stating the licensee does not possess either; and (f) Immunization records including exemption documents (center early learning programs only.)

110-300-0115(1) - The Merti page was not updated with the current staff working at the facility. 110-300-0115(3) - No paper staff records for the assitant teacher were available for review during the visit. 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;

The main entry door was kept locked from the inside during the childcare hours. 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.

110-300-0215(3)(a)(ii) - One child's diaper cream was missing a label indicating ownership. 110-300-0215(3)(a)(iii) - Few over the counter medciation had expired dates. 110-300-0215(3)(c) - Diaper creams were stored within children's reach. Risk WAC/RCW

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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.

110-300-0215(3)(a)(ii) - One child's diaper cream was missing a label indicating ownership. 110-300-0215(3)(a)(iii) - Few over the counter medciation had expired dates. 110-300-0215(3)(c) - Diaper creams were stored within children's reach. 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;

Single use gloves with note "keep out of reach of children" were kept in an area accessible to children.

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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.

110-300-0146(1): The climbing equipment installed in the chipped area is not centered, resulting in an uneven distribution of the fall zone around the equipment, which does not meet the height requirements for the equipment. 110-300-0146(1)(a)(b): The wood chip ground cover is not evenly distributed, allowing for a height of 9 inches throughout the play area. Specifically, the area around the slide exit was measured at 6 inches, while the edges measured over 9 inches.

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110-300-0165(2)(a) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (a) Making inaccessible to infants and toddlers any equipment, material, or objects that may pose a risk of choking, aspiration, or ingestion. For the purposes of this section, equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less are considered items that may pose a risk of choking, aspiration, or ingestion. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion;

110-300-0165(2)(a) - Tamper-resistant (TR) outlet caps were observed installed in outlets equipped with TR covers. 110-300-0165(2)(c) - A lamp with an accessible cord was observed within reach of children. Shower cords in both the stand-up shower and the shower tub were found to be accessible to children. 110-300-0165(2)(f) - The sliding glass door lacked stickers or posters at children's eye level to prevent from walking into the glass. 110-300-0165(3)(a) - The water drainage located near the emergency gate has a very sharp edge on the top. 110-300-0165(3)(g) - The shed exhibited flaking paint on the walls. Risk WAC/RCW

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110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

110-300-0260(2)(a)(b) - The shed containing gardening equipment did not have a lock on the door.

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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(2)(a)(b) - The shed containing gardening equipment did not have a lock on the door. 110-300-0260(5) - Gardening tools were observed on the side wall of the shed, making them accessible to children.

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