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.

Provider G.E.'s food worker card/permit expired 05.27.2025 and she was observed serving food to children today. Risk WAC/RCW

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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.

Provider L.Z. has a high school diploma, according to her. However, there is not verification of this in her file, nor has it been verified by MERIT. Provider X.Y. also states she has a high school diploma, and has begun the process to have it verified in MERIT. MERIT currently shows as "Pending-Awaiting Documents". There is not verificaiton of X.Y.'s high school diploma or higher degree in her personnel file on site. Risk WAC/RCW

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110-300-0190(1) · A written food plan must be developed by the provider and a child's parent or guardian, signed by all parties, and followed when accommodating a child's: (a) Special feeding needs; (b) Special diets; (c) Religious or cultural preferences; (d) Family preference; or (e) Other needs.

The providers report that most parents of the children in care prefer their children drink whole cow's milk at lunchtime. However, there are not written food plans in place regarding this. (USDA requires zero or one percent milk or enriched plant based alternatives be served at meals) Risk WAC/RCW

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110-300-0460(4)(f) · A health record must include: (f) Dates of the child's last physical and dental exams, if available;

One of five child files reviewed, for boy age 2.5 years, does not contain date of last dental or physical exam.

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

The first aid kit was accessible to children because it was in an unlatched/unlocked cabinet. It was made inaccessible prior to my departure. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0260(1)(a) Serious 12/13/2024

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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;

Dishwasher pods and hand sanitizers were accessible to children in the cabinet below the kitchen sink. Clorox bleach wipes were accessible to children on the edge of the kitchen counter. They were made inaccessible prior to my departure. The doored shelving unit containing batteries and gloves was not locked or latched and is for "staff only". The provider locked the shelving unit prior to my departure. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0260(2)(a)(b) Serious 12/13/2024

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110-300-0110(4) · An early learning provider must develop, deliver, and document the delivery of early learning staff training specific to the early learning program and premises. (a) Training topics must include: (i) Staff policies listed in subsections (2) and (3) of this section; (ii) Chapter 43.216 RCW; and (iii) Chapters 110-300 and 110-06 WAC. (b) Training must be updated with changes in program policies and state or federal regulations.

The providers did not produce documentation of the delivery of early learning staff training specific to the early learning porgram and premises. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-300-0111(1) 01/11/2025 Term

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110-300-0111(1) · An early learning provider who oversees staff must: (a) Establish a work plan with clear expectations; (b) Be aware of what staff members are doing; and (c) Be available and able to respond in an emergency as needed to protect the health and safety of children in care.

There was not verification available of a work plan for providers serving the chidlren. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0165(2)(d) Serious 12/13/2024

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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;

Several plastic bags, and a roll of garbage liners were observed accessible to children in unlatched/unsecured drawers of the bathroom vanity. They were made inaccessible prior to my departure. The garage, which is unlicensed space, and contains the washing machine and dryer for the home, was accessible to children because the door was not locked and opened when I turned the handle. It was locked prior to my departure. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) Serious 12/13/2024

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110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) · For family home early learning programs: (c) Any window used as an emergency exit window must: (ii) Be designed to open from the inside of the room without the use of keys, tools, or special knowledge; (iii) Be easy to open to the full position; (iv) Have at least five point seven square feet of open area, except emergency exit windows on the ground floor which must have at least five square feet of open area; (v) Be at least 20 inches wide and at least 24 inches tall when fully opened; (vi) Have an interior sill height no more than 44 inches above the interior floor; and (vii) Have a place to land outside that is no more than 48 inches below the exterior window sill.

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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;

Dishwasher pods and hand sanitizers were accessible to children in the cabinet below the kitchen sink. Clorox bleach wipes were accessible to children on the edge of the kitchen counter. They were made inaccessible prior to my departure. The doored shelving unit containing batteries and gloves was not locked or latched and is for "staff only". The provider locked the shelving unit prior to my departure. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-300-0345(5)(b) 12/13/2024 Term

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110-300-0345(5)(b) · An early learning provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

The door alarms were not on for the front door, door to outdoor play area, and door to garage. They were turned on prior to my departure. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Long 110-300-0505(1)(2) 12/13/2024 Term

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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.

The provider's license was not posted. It was posted prior to my departure.

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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;

The applicant has some choking hazards present in the space such as button inserts for outlets and play coins. The exterior stairways off of the deck have stairs accessible to toddlers. There are no handrails down from the deck to the upper outdoor play area. Plastic gloves were placed on the diaper changing table making them accessible to children if children in care. Electrical outlets accessible to children are not TR type or covered by blank plates. Risk Corrected On Correction Date

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110-300-0165(2)(b) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

The applicant has some choking hazards present in the space such as button inserts for outlets and play coins. The exterior stairways off of the deck have stairs accessible to toddlers. There are no handrails down from the deck to the upper outdoor play area. Plastic gloves were placed on the diaper changing table making them accessible to children if children in care. Electrical outlets accessible to children are not TR type or covered by blank plates. Risk Corrected On Correction Date WAC/RCW Disputed Level Site 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;

The applicant has some choking hazards present in the space such as button inserts for outlets and play coins. The exterior stairways off of the deck have stairs accessible to toddlers. There are no handrails down from the deck to the upper outdoor play area. Plastic gloves were placed on the diaper changing table making them accessible to children if children in care. Electrical outlets accessible to children are not TR type or covered by blank plates. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) Serious

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110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) · For family home early learning programs: (c) Any window used as an emergency exit window must: (ii) Be designed to open from the inside of the room without the use of keys, tools, or special knowledge; (iii) Be easy to open to the full position; (iv) Have at least five point seven square feet of open area, except emergency exit windows on the ground floor which must have at least five square feet of open area; (v) Be at least 20 inches wide and at least 24 inches tall when fully opened; (vi) Have an interior sill height no more than 44 inches above the interior floor; and (vii) Have a place to land outside that is no more than 48 inches below the exterior window sill.

The applicant has not purchased extra batteries for the flashlight. The applicant had hoped to license a room for sleeping and quiet activities but the windows are 47 inches above the floor inside and more than that outside. He had also hoped to use a second living area for an indoor gross motor space and the exterior ground outside the windows is more than a 47 inched drop.

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