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).

0210(1)(2) The provider's eight-year-old son's file did not have any immunization records. Risk WAC/RCW

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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;

0165(2)(c) There was a backpack in the bathroom that had small looped-ropes hanging at about 4ft high from the ground. Risk WAC/RCW

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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;

0260(1)(a) One of the bathroom sink drawers had a hairspray bottle and was accessible to children.

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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.

3)a)iii)E) There was a young toddler-age child in care who was wearing an amber bead necklace. The provider reported that the child has worn the necklace every day since starting child care, and she did not know how to remove the necklace. Amber bead necklaces are prohibited. 3)c)i) There were two tubes of diapering ointment (Aquaphor) in the unsecured drawers in the bathroom, accessible to children. The ointment had warnings on the label to keep it out of reach of children. WAC/RCW Correction Date Disputed Date Disputed

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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;

2)b)i) There were window blinds on the windows in the playroom that had pull cords and inner cords capable of forming a loop and posing a risk of strangulation to children. The window blinds had not been secured or properly retrofitted in a manner that eliminates the formation of loops. 2)c) There was a cable type cord hanging from the shelf the television is on that was accessible to children. There was vinyl tacked over it with a thumbtack, but this would not be sufficient to secure the cord and keep it from posing a hazard. 2)c) The kitchenette area in the playroom had a safety gate that was not securely mounted and a child was observed pushing over and moving the gate, gaining access to the kitchenette. The cord to the crock pot was hanging down from the outlet in this area and was accessible to children. 3)b) Because the gate was not secure in the kitchenette area and the crock pot was accessible and in use/hot, this appliance would pose a hazard of burning a child if they pulled it down with the hot food in it. 3)d) The safety latch on the clothes dryer was not secured, and the dryer poses an entrapment hazard to children. It is accessible to children in the bathroom and the older preschoolers who use the bathroom independently would not be actively supervised when using the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(b) Serious 01/25/2024

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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;

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110-300-0165(3)(d) · 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: (d) Entrapment. Washers, dryers, large compost bins, spare or secondary freezers and refrigerators, and other entrapment dangers must be inaccessible to children unless being actively supervised;

2)b)i) There were window blinds on the windows in the playroom that had pull cords and inner cords capable of forming a loop and posing a risk of strangulation to children. The window blinds had not been secured or properly retrofitted in a manner that eliminates the formation of loops. 2)c) There was a cable type cord hanging from the shelf the television is on that was accessible to children. There was vinyl tacked over it with a thumbtack, but this would not be sufficient to secure the cord and keep it from posing a hazard. 2)c) The kitchenette area in the playroom had a safety gate that was not securely mounted and a child was observed pushing over and moving the gate, gaining access to the kitchenette. The cord to the crock pot was hanging down from the outlet in this area and was accessible to children. 3)b) Because the gate was not secure in the kitchenette area and the crock pot was accessible and in use/hot, this appliance would pose a hazard of burning a child if they pulled it down with the hot food in it.

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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;

2)a) There are some art materials that were small enough to pose a choking hazard stored on a shelf that will be accessible to toddlers. 2)d) There are some art materials stored in plastic bags on low shelves where they will be accessible to children in care. 2)d) There are two plastic garbage bags on the ground in the area that will be licensed for outdoor play. 3)a) There are shaving razors in the shower stall in the bathroom children will use. The shower stall is accessible with no latch or lock.

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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;

2)a) There are some art materials that were small enough to pose a choking hazard stored on a shelf that will be accessible to toddlers. 2)d) There are some art materials stored in plastic bags on low shelves where they will be accessible to children in care. 2)d) There are two plastic garbage bags on the ground in the area that will be licensed for outdoor play. 3)a) There are shaving razors in the shower stall in the bathroom children will use. The shower stall is accessible with no latch or lock. 3)d) There is a significant gap under the shed in the outdoor play area that a child could fit into and become trapped/stuck. 3)f) The shelves and cubbies are not anchored to the wall to prevent tipping. 4)c)i) There are exposed light bulbs in the fixture in the play room and above the kitchenette area. The light fixtures do not have shatter resistant light bulbs or covers.

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110-300-0165(5)(g) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (g) Electrical devices accessible to children must not be plugged into an electrical outlet near a water source such as sink, tub, water table, or swimming pool.

2)a) There are some art materials that were small enough to pose a choking hazard stored on a shelf that will be accessible to toddlers. 2)d) There are some art materials stored in plastic bags on low shelves where they will be accessible to children in care. 2)d) There are two plastic garbage bags on the ground in the area that will be licensed for outdoor play. 3)a) There are shaving razors in the shower stall in the bathroom children will use. The shower stall is accessible with no latch or lock. 3)d) There is a significant gap under the shed in the outdoor play area that a child could fit into and become trapped/stuck. 3)f) The shelves and cubbies are not anchored to the wall to prevent tipping. 4)c)i) There are exposed light bulbs in the fixture in the play room and above the kitchenette area. The light fixtures do not have shatter resistant light bulbs or covers. 4)f)iii) There is a safety gate for the stairway to keep stairs inaccessible to toddlers, but the gate is not yet installed. 5)a) There is an electrical outlet on the back of the house that is not tamper-resistant or covered to prevent child access.

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110-300-0170(3)(b) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (b) Furnaces and other heating devices. (i) Paper, rubbish, or other combustible materials must be at least three feet from furnaces, fireplaces, or other heating devices; (ii) Furnaces and other heating devices must be inaccessible to children in care; and (iii) An appliance or heating device that has a surface capable of burning a child or reaching 110 degrees Fahrenheit must be inaccessible to children in care unless a program activity involves such an appliance or device and children are being actively supervised.

3)b)ii) The safety latch on the closet door to the furnace and water heater closet is falling off so the furnace and water heater are accessible in the bathroom children will use. 3)f) The fire place is blocked and inaccessible, but there is no written statement stating the applicant's plan not to use the fire place. 3)i) The fire extinguisher is a 1A:10 BC. It is required to have a fire extinguisher with a minimum rating of 2A:10 BC. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 08/26/2023

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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;

1)a) There are hygiene products in the shower in the bathroom, which was not locked or latched in any way to keep it inaccessible to children. There is also a bottle of lotion on the counter where it will be accessible to children.

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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;

1)a) There are hygiene products in the shower in the bathroom, which was not locked or latched in any way to keep it inaccessible to children. There is also a bottle of lotion on the counter where it will be accessible to children. 1)a) There is a shelf of toxic products, including laundry and cleaning products, in the bathroom children will use. The shelf is quite high, but there are climbable surfaces underneath it. Children could climb onto a stool, trash can, and onto the laundry equipment to reach the toxic products. 2)b) The door to the storage shed in the licensed outdoor play area does lock, but there is no key so it cannot currently be locked to prevent child access. 5) Maintenance equipment is stored in the shed, which cannot currently be locked, and there was a mop and mop bucket on the patio in the licensed outdoor play space. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious 08/26/2023

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

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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.

2) One household member who is required to have a department background check has not yet completed the portable background check.

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