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.

0215 (3)(a)(iii)Expired Epi-pen and allergy medication observed in the medication cabinet 0215 (3) (c) Expired diaper cream and sunscreen are observed in the Toddler classrooms. WAC/RCW Correction Date Disputed Date Disputed

Open Not marked corrected in the state record

Open / not marked corrected.

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)(a)(iii)Expired Epi-pen and allergy medication observed in the medication cabinet 0215 (3) (c) Expired diaper cream and sunscreen are observed in the Toddler classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

Emergency exit door in the Apricot classroom is blocked by a baby gate. Door that leads to the interior of the building is blocked by a baby gate 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.

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;

0260(2)(a)(b) Storage closet in one of the Toddler classroom is accessible to children

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.

0260(2)(a)(b) Storage closet in one of the Toddler classroom is accessible to children 0260 (5) toilet plunger and janitorial equipment in some of the classrooms are accessible to children

Open Not marked corrected in the state record

Open / not marked corrected.