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 is accessible to children in an unsecured kitchen drawer. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0146(1)(a)(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. 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.

A porch swing is placed above concrete. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Some outlets were blocked with small, removeable inserts that may present a choking hazard to toddlers. Plastic gloves are accessible on the diaper changing table. The sliding glass doors do not have art or vinyl stickers to prevent children from walking through them accidentally. Pizza cutters are accessible to children in a lower level drawer in the kitchen. A lighter was accessible to children in a lower level drawer in the kitchen. The provider has a secondary chest freezer in an accessible storage room. The dining area chandelier has exposed light bulbs which are not shatter-resistant type. Window blinds with draw cord and inner cord which may be pulled to create a loop are present in a small bedroom the provider would like to use for child care.

Open Not marked corrected in the state record

Open / not marked corrected.

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

The first aid kit is stored in a location that is accessible to children. There are insufficient supplies in the first aid kit for the applicant's requested capacity and her own family. There is only one ice pack-multiple packs are required. There is no adult and pediatric CPR mask with a one-way valve. There is a limited supply of sterile gauze pads. There is no elastic wrapping bandage. There is no current first-aid manual. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Some outlets were blocked with small, removeable inserts that may present a choking hazard to toddlers. Plastic gloves are accessible on the diaper changing table. The sliding glass doors do not have art or vinyl stickers to prevent children from walking through them accidentally. Pizza cutters are accessible to children in a lower level drawer in the kitchen. A lighter was accessible to children in a lower level drawer in the kitchen. The provider has a secondary chest freezer in an accessible storage room. The dining area chandelier has exposed light bulbs which are not shatter-resistant type. Window blinds with draw cord and inner cord which may be pulled to create a loop are present in a small bedroom the provider would like to use for child care. Outlets exposed to children are not TR type, covered with a blank plate, or blocked by furniture. Outlet near bathroom sink is not TR and GFCI.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Some outlets were blocked with small, removeable inserts that may present a choking hazard to toddlers. Plastic gloves are accessible on the diaper changing table. The sliding glass doors do not have art or vinyl stickers to prevent children from walking through them accidentally. Pizza cutters are accessible to children in a lower level drawer in the kitchen. A lighter was accessible to children in a lower level drawer in the kitchen. The provider has a secondary chest freezer in an accessible storage room. The dining area chandelier has exposed light bulbs which are not shatter-resistant type. Window blinds with draw cord and inner cord which may be pulled to create a loop are present in a small bedroom the provider would like to use for child care. Outlets exposed to children are not TR type, covered with a blank plate, or blocked by furniture. Outlet near bathroom sink is not TR and GFCI. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(5)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Some outlets were blocked with small, removeable inserts that may present a choking hazard to toddlers.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(3)(b) · 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: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

Some outlets were blocked with small, removeable inserts that may present a choking hazard to toddlers. Plastic gloves are accessible on the diaper changing table. The sliding glass doors do not have art or vinyl stickers to prevent children from walking through them accidentally. Pizza cutters are accessible to children in a lower level drawer in the kitchen. A lighter was accessible to children in a lower level drawer in the kitchen. The provider has a secondary chest freezer in an accessible storage room.

Open Not marked corrected in the state record

Open / not marked corrected.

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 applicant has purchased various types of emergency lighting but has not installed batteries inside of them. The applicant has installed an extra door knob on the front/main emergency exit door in order to prevent children from leaving easily. WAC/RCW Correction Date Disputed Date Disputed 110-300-0170(3)(d) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0170(3)(d) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (d) Open flame devices, candles, matches and lighters. (i) Except for the use of a gas kitchen range, open flame devices must not be used in early learning program space or any other space accessible to children in care during operating hours. (ii) Candles must not be used during operating hours. (iii) Matches and lighters must be inaccessible to children.

A lighter was accessible to children in a lower level kitchen drawer.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Sanitizing wipes were accessible to children on the diaper changing table. Storage rooms (two) and the garage are accessible to children. A toilet brush was accessible to children in the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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

Sanitizing wipes were accessible to children on the diaper changing table. Storage rooms (two) and the garage are accessible to children. A toilet brush was accessible to children in the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

Sanitizing wipes were accessible to children on the diaper changing table. Storage rooms (two) and the garage are accessible to children. A toilet brush was accessible to children in the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.