110-300-0165(3)(g) · An early learning provider must take measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (g) Equipment in poor condition. Equipment in poor condition (loose parts, rusty parts, flaking paint, or other dangers) must be repaired, removed, or made inaccessible to children.

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110-300-0170(2) · An early learning provider must arrange for a fire safety inspection annually. A provider must arrange a fire safety inspection with a local government agency. If a local government agency is not available to conduct a fire safety inspection, a provider must inspect for fire safety using the state fire marshal form.

Annual fire inspection was not conducted for 2023 Risk WAC/RCW

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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.

0105(2) One staff was working with children without a cleared background check 0105(3) two out of four sampled staff files were missing staff's negative TB test result Risk WAC/RCW

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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(3) one staff has been working with children for more than a year and has not completed initial training (child care basics) 0106(8) Some staff members are missing current safe sleep training 0106(10)(11)(12) Some staff members either have not completed FA/CPR, BBP, Food worker card or their trainings have expired 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(3) one staff has been working with children for more than a year and has not completed initial training (child care basics) 0106(8) Some staff members are missing current safe sleep training 0106(10)(11)(12) Some staff members either have not completed FA/CPR, BBP, Food worker card or their trainings have expired 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(3) one staff has been working with children for more than a year and has not completed initial training (child care basics) 0106(8) Some staff members are missing current safe sleep training 0106(10)(11)(12) Some staff members either have not completed FA/CPR, BBP, Food worker card or their trainings have expired Risk WAC/RCW

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110-300-0106(3) · License applicants, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and aides must complete the child care basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

0106(3) one staff has been working with children for more than a year and has not completed initial training (child care basics) 0106(8) Some staff members are missing current safe sleep training 0106(10)(11)(12) Some staff members either have not completed FA/CPR, BBP, Food worker card or their trainings have expired Risk WAC/RCW

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110-300-0106(8) · License applicants and early learning providers licensed to care for infants must complete the safe sleep training as approved or offered by the department. This training must be completed annually and: (a) Prior to being licensed; (b) Prior to caring for infants; or (c) According to subsection (1) of this section.

0106(3) one staff has been working with children for more than a year and has not completed initial training (child care basics) 0106(8) Some staff members are missing current safe sleep training 0106(10)(11)(12) Some staff members either have not completed FA/CPR, BBP, Food worker card or their trainings have expired Risk WAC/RCW

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110-300-0146(1) · Playground equipment and surfacing used by an early learning provider must comply with applicable CPSC guidelines including, but not limited to, installing, arranging, designing, constructing, and maintaining outdoor play equipment and surfacing.

Insufficient fall zone around the climbing structure. Some of the structures were not designed for toddlers. The swings and climber set does not meet CPSC safety guidelines. Licensor provided technical assistance to director and send director link to the CPSC guidelines. Risk WAC/RCW

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110-300-0210(1)(2) · (1) On or before their children's first day of attending an early learning program, the parents or guardians of enrolled children must give to early learning providers proof of vaccination or acquired immunity for the vaccine-preventable disease, required under RCW 43.216.690 and chapter 246-105 WAC. Early learning providers may accept children without proof of vaccinations or immunity as otherwise indicated in this section. (2) Early learning providers must receive for each enrolled child upon enrollment and annually thereafter, as required by RCW 43.216.690 and WAC 246-105-050: (a) A current, complete, and medically verified certificate of immunization status (CIS) form; (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunization information system (WA IIS).

One out of three sampled child files was missing child's immunization record. The other two children's immunization were not on CIS form. Risk WAC/RCW

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An early learning provider must develop an individual care plan for each child with special needs and must notify the department when a child with special needs is enrolled or identified in the early learning program. Plans and documentation required under this section must: (a) Meet the requirements of this section;

One child with special needs diagnosis does not have an individual care plan on file.

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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;

Child proof latch under the sink is worn out in preschool room. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious 02/09/2024

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110-300-0291(1)(h) · An early learning provider must follow safe infant sleep practices when infants are napping or sleeping by following the current standard of American Academy of Pediatrics concerning safe sleep practices including SIDS/SUIDS risk reduction, including: (h) Not allowing a blanket or any other item to cover or drape over an occupied crib, bassinet, or other equipment where infants commonly sleep;

Window curtain/drape was down to the crib mattress where infants commonly sleep. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious 12/22/2023

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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.

Lack of the specific treatment plan for a child who is allergic to peanuts and tree nuts. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious 12/22/2023

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110-300-0215(3) · Medication administration. An early learning provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and using appropriate cleaned and sanitized medication measuring devices.

Found an epi-pen stored in a cabinet with random food/snacks. It was for the child with severe allergy but there was no label indicated who the epi-pen belongs to. Also there was lack of medication authorization form for the epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 12/22/2023

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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.

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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) 2 out of 3 sampled staff files were missing BBP training proof. 0106(11) not all staff members have completed or have current first aid/CPR training. 0106(12) 2 out of 3 sampled staff files were missing food worker card. The 3rd staff's food worker card expired. 0106(3) Some staff members have been working with children for more than 3 months but have not completed CCB training. 0106(8) Not all staff members have current safe sleep training.

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