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).

During onsite inspection, Licensor reviewed four enrolled children’s files and observed two children’s CIS immunization records incomplete and missing MMR, DTAP, Polio, Varicella, PCV, and HIB vaccines, and no 30-day written plan to get children updated of Certificate of Exemption was on file. (1)(2). WAC/RCW Correction Date Disputed Date Disputed 110-300-0115(3) Short Term

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110-300-0115(3) · 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. A licensee, center director, assistant director, or program supervisor must maintain the following records for each early learning provider and program staff in a confidential manner. These records must be reviewable by the department and must include at a minimum: (a) A copy of current government issued photo identification; (b) Emergency contact information; (c) Completed employment application or resume; (d) Annual observation, evaluation, and feedback information; (e) The licensee’s Social Security Number, Federal EIN, or a written document stating the licensee does not possess either; and (f) Immunization records including exemption documents (center early learning programs only.)

During onsite inspection, Licensor reviewed staff records and did not observe an emergency contact form in Assistant Teacher KW’s file. (3) WAC/RCW Correction Date Disputed Date Disputed 110-300-0455(3) Long Term

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110-300-0455(3) · An early learning provider must keep daily staff attendance records for each center classroom or family home program. These attendance records must be on paper or in an electronic format and clearly document: (a) The name of each staff member (including staff assigned to care for children with special needs and one-on-one care) and volunteers; (b) The number of children in each classroom or family home program; (c) The staff-to-child ratio; (d) The date; and (e) Start and end times of the assigned staff or volunteers.

During onsite inspection, Licensor observed onsite staff attendance records and did not observe daily attendance records for Provider NA, and they were unable to produce attendance records when requested. (3)

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110-300-0145(3) · An early learning program must have shaded areas in outdoor play space provided by trees, buildings, or shade structures.

During onsite inspection, Licensor observed one of the emergency exit gates (closest to childcare entrance) self-closing mechanisms was not functioning to close and latch the gate. (11) During onsite inspection, Licensor did not observe a means (trees, building, or shade structure) to provide shade in the outdoor play area. (3) WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

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110-300-0165(2)(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 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;

During onsite inspection, Licensor observed an infant place an object in their mouth that posed a risk of choking (object measured less than one and third inches and was measured using a Safety 1st choking instrument), and six other objects were observed on the floor near the infant that measure less than one and third inches near the infant. (2)(a) During onsite inspection, Licensor measured a 6-inch gap in the pressure gate that is installed on the front deck stairway. (4)(f) WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(4)(f) Short Term

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110-300-0165(4)(f) · To ensure a safe environment for children in care, an early learning provider must comply with the following requirements: (f) Stairway safety. (i) There must not be clutter or obstructions in the stairway; (ii) All stairways (indoor and outdoor), not including play structures, must meet local building codes pursuant to RCW 43.216.340. (A) Open stairways with no walls on either side must have handrails with slats (balusters) that prevent a child from falling off either side of the stairway. (B) Stairways with a wall on only one side must have a handrail with slats (balusters) on the side without the wall that prevents a child from falling off the stairway. (C) Stairways with a wall on both sides must have a handrail no higher than thirty-eight inches on at least one side of the stairway; and (iii) Stairways must have a pressure gate, safety gate, or door to keep stairs inaccessible to infants and toddlers when not in use. Openings between slats on pressure or safety gates must not be large enough to allow a sphere that is three and one-half inches wide to pass through.

During onsite inspection, Licensor observed an infant place an object in their mouth that posed a risk of choking (object measured less than one and third inches and was measured using a Safety 1st choking instrument), and six other objects were observed on the floor near the infant that measure less than one and third inches near the infant. (2)(a) During onsite inspection, Licensor measured a 6-inch gap in the pressure gate that is installed on the front deck stairway. (4)(f)

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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;

During onsite inspection, Licensor observed the front door emergency exit dead bolted, and the sliding glass door emergency exit mechanism locked, and wooden rod placed in the sliding glass door to keep locked. (3)(a) WAC/RCW Correction Date Disputed Date Disputed 110-300-0170(2) Short Term

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110-300-0170(2) · An early learning provider must arrange for a fire safety inspection annually. A provider must arrange a fire safety inspection with a local government agency. If a local government agency is not available to conduct a fire safety inspection, a provider must inspect for fire safety using the state fire marshal form.

During onsite inspection, Licensor requested to review State Fire Marshal form in the facility site records, and Provider NA was unable to produce the facility records of the State Fire Marshal form. (2) WAC/RCW Correction Date Disputed Date Disputed 110-300-0115(3) Short Term

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110-300-0115(3) · A licensee, center director, assistant director, or program supervisor must maintain the following records for each early learning provider and program staff in a confidential manner. These records must be reviewable by the department and must include at a minimum: (a) A copy of current government issued photo identification; (b) Emergency contact information; (c) Completed employment application or resume; (d) Annual observation, evaluation, and feedback information; (e) The licensee’s Social Security Number, Federal EIN, or a written document stating the licensee does not possess either; and (f) Immunization records including exemption documents (center early learning programs only.) 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.

During onsite inspection, Licensor requested to review Provider NA staff records, and Provider NA was unable to produce records for Department review. (3) WAC/RCW Correction Date Disputed Date Disputed 110-300-0505(1)(2) Long 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.

During onsite inspection, Licensor observed the posted floor plan with only one emergency exit route clearly define, and not meeting the WAC for two emergency exit pathways defined on the floor plan. (1)(2)

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