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.

- there were several staff that did not have current food handler cards - BM, BP, JSI, SW - there were several staff that did not have current safe sleep training - LA, AC , KC, FE, BP, IS, BW Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there were several staff that did not have current food handler cards - BM, BP, JSI, SW - there were several staff that did not have current safe sleep training - LA, AC , KC, FE, BP, IS, BW Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there was not 6 ft. of fall zone around two small climbers Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

- there loose cords in the large preschool room and the young preschool classroom - there were plastic bags and latex gloves accessible in several classroom - in drawers that weren't locked or on the diaper changing table

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;

- there loose cords in the large preschool room and the young preschool classroom - there were plastic bags and latex gloves accessible in several classroom - in drawers that weren't locked or on the diaper changing table Risk WAC/RCW

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.

- the center did not have a back-up battery for their cell phone in case in emergency - several doors had door knob covers that prevent the children from opening the door and the infant door had a gate in front of an exit door Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0480(2) · During travel to an off-site activity, an early learning provider must: (a) Have the health history, appropriate medication (if applicable), emergency information, and emergency medical authorization forms accessible for each child being transported; (b) Have a phone to call for emergency help; (c) Have a complete first-aid kit; (d) Maintain the staff-to-child ratio, mixed groupings, and active supervision requirements; (e) Have a current first aid and CPR certification pursuant to WAC 110-300-0106 (11); (f) Take attendance using a roll call or other method that assures all children are accounted for each time children begin and end travel to an off-site activity, and every time children enter and exit a vehicle; and (g) Never leave children unattended in the vehicle.

- the van did not have a first aid kit or a roll call sheet for attendance

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(4)(a) · An early learning provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

- the center missed their May fire drill - the center was missing one of their required disaster drills - they had completed one for 2023 and they should have completed 2

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there were medications on site with no permission forms - there was a prescription medication with no length of time designated on the permission form - there were over the counter oral medication with no start/stop dates - there was hand sanitizer that was stored accessible to the children in some classrooms - there were unused, old medications on site WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 08/14/2023

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there were medications on site with no permission forms - there was a prescription medication with no length of time designated on the permission form - there were over the counter oral medication with no start/stop dates - there was hand sanitizer that was stored accessible to the children in some classrooms - there were unused, old medications on site WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious 08/14/2023

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there were two staff that did not have a current food handler card WAC/RCW Correction Date Disputed Date Disputed 110-300-0470(4)(a) Short Term 07/31/2023

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.

- there were medications on site with no permission forms - there was a prescription medication with no length of time designated on the permission form - there were over the counter oral medication with no start/stop dates - there was hand sanitizer that was stored accessible to the children in some classrooms

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there was not the required 6 ft. fall zone around the small climbers in the toddler/preschool play area - there was not the required 9 inches of ground cover under and around the climbers/slides in the toddler/preschool play area WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(c) Short Term 08/01/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

- there were cords hanging in several classrooms - toddler 1 and preschool - the knives in the kitchen were accessible to the children WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(a) Short Term 08/01/2023

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(3)(a) · 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 take measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (a) Cuts, abrasions, and punctures. Equipment, materials, and other objects on the premises that have splintered edges, sharp edges, points, protruding nails, bolts, or other dangers must be repaired, removed, or made inaccessible to children;

- there were cords hanging in several classrooms - toddler 1 and preschool - the knives in the kitchen were accessible to the children WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 08/01/2023

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;

- there were cleaners in the kitchen and some of the classrooms - toddler 2, pre-K classroom and school age classroom that were accessible ot the children WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious 08/14/2023

Open Not marked corrected in the state record

Open / not marked corrected.

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.

- there were medications on site with no permission forms - there was a prescription medication with no length of time designated on the permission form

Open Not marked corrected in the state record

Open / not marked corrected.