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 five child files and observed one child’s CIS immunization record incomplete and not including required HEP, DTAP, HIB, PCV, or POLIO. (1)(2) Risk WAC/RCW

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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.)

During onsite inspection, Licensor requested to review staff records for Lead Teacher ZH and Lead Teacher SN, and Provider IK was unable to produce staff records that include a copy of government issued photo identification, Emergency Contact Information, or Completed Resume or Job Application. (3) Risk WAC/RCW

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110-300-0460(2) · Each child's enrollment record must include the following: (a) The child's birth date; (b) An enrolled child’s parent or guardian's phone numbers, address, and contact information for reaching the family while the child is in care; (c) Emergency contact information. If no emergency contact is available, a written and signed emergency contact plan may be accepted; (d) Names and phone numbers of persons authorized to pick up enrolled children; (e) A plan for special or individual needs of the child, if applicable, including parent or guardian signature, pursuant to WAC 110-300-0300; (f) Signed parent or guardian permissions, pursuant to WAC 110-300-0450 as applicable for: (i) Field trips; (ii) Transportation; (iii) Bathing; (iv) Water activities including swimming pools or other bodies of water; and (v) Photo, video, or surveillance activity. (g) The beginning and end enrollment date for children no longer in the early learning program’s care; (h) Physical restraint documentation pursuant to WAC 110-300-0335, if applicable; (i) Expulsion information, documentation, and steps taken to avoid expulsion, if applicable; (j) Termination of services documentation and communication, if applicable; and (k) Notification of child developmental screening information given to the child’s parent or guardian, if applicable.

During onsite inspection, Licensor reviewed five child files and observed that two of the child files did not include beginning date of enrollment. (2)

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110-300-0470(4)(b) · An early learning provider must practice and record emergency drills with staff and children as follows: (b) Earthquake, lockdown, or shelter-in-place drill once every three calendar months;

During onsite inspection, Licensor observed that Provider IE has not conducted an emergency drill once ever three calendar months and recorded on Department form for an Earthquake, Lockdown, or Shelter in Place drill. (4)(b)

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110-300-0235(2) · An early learning provider must use a Washington state certified water laboratory accredited by the department of ecology to test the program water supply for lead and copper.' (a) All fixtures used to obtain water for preparing food or infant formula, drinking, or cooking must be tested prior to licensing approval and at least once every six years;' (b) Testing must be done pursuant to current environmental protection agency standards; and' (c) A copy of the water testing results must be kept on the licensed premises or in the program's administrative office.'

During onsite inspection, Licensor requested to review Washington State Laboratory Water Test results, and Provider IE was unable to produce records of water testing. (2) WAC/RCW Correction Date Disputed Date Disputed 110-300-0221(4)(a) Short Term

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110-300-0221(4)(a) · The diaper disposal container must be: (a) Hands-free and covered with a lid to prevent cross contamination;

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110-300-0221(4)(b) · The diaper disposal container must be: (b) Lined with a disposable plastic trash bag; and

During onsite inspection, Licensor did not observe a soiled diaper container in the diaper changing area. (4) During onsite inspection, Licensor did not observe a hands-free soiled diaper container in the diaper changing area. (4)(a) During onsite inspection, Licensor did not observe a hands-free soiled diaper container lined with a plastic trash bag in the diaper changing area. (4)(b) WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

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110-300-0215(3)(c) · 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. 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.

During onsite inspection, Licensor observed a bottle of Vicks Vapo Steam on the dining room counter accessible to children in care. (3)(c) WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

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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;

During onsite inspection, Licensor observed two water bottle caps on the floor in the licensed play areas, and used a choking device and measure them less then one and three-quarters in diameter and posing a risk of choking with two toddlers present in care. (2)(a) During onsite inspection, Licensor observed cords to a play guitar, iPhone/iPad charge, space heater, TV, extension cord, and cable cords capable of forming a loop and accessible to children in care. (2)(c) During onsite inspection, Licensor observed a black plastic trash bag on the floor in the dining area with laundry and later on the child sized table accessible to the two children present. (2)(d) During onsite inspection, Licensor observed an extension cord being used as a main outlet for iPhone/iPad charger, television, and cable outlet in the licensed area. (5)(f)

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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;

During onsite inspection, Licensor observed two water bottle caps on the floor in the licensed play areas, and used a choking device and measure them less then one and three-quarters in diameter and posing a risk of choking with two toddlers present in care. (2)(a) During onsite inspection, Licensor observed cords to a play guitar, iPhone/iPad charge, space heater, TV, extension cord, and cable cords capable of forming a loop and accessible to children in care. (2)(c) During onsite inspection, Licensor observed a black plastic trash bag on the floor in the dining area with laundry and later on the child sized table accessible to the two children present. (2)(d) During onsite inspection, Licensor observed an extension cord being used as a main outlet for iPhone/iPad charger, television, and cable outlet in the licensed area. (5)(f) WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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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;

During onsite inspection, Licensor observed two water bottle caps on the floor in the licensed play areas, and used a choking device and measure them less then one and three-quarters in diameter and posing a risk of choking with two toddlers present in care. (2)(a)

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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 observe upon arriving Provider IE unlock sliding glass door to allow access to childcare, and front door single turn doorknob locked from the inside and requiring special knowledge to unlock (both are emergency exit doors). (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 Washington State Fire Marshal form, and Provider IE was unable to produce (stating locked in bedroom and didn’t have key). (2)

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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;

During onsite inspection, Licensor observed a bottle of Johnson and Johnson body oil, Castrol oil, face wash solution, two bottles of perfume, and sanitizing wipes accessible to children in the licensed bathroom and on dining room counter. (1)(a) During onsite inspection, Licensor observed the laundry room storage area door unlocked and broken and accessible to children in the licensed area. (2)(a)(b) During onsite inspection, Licensor observed a toilet plunger next to the toilet in the licensed bathroom accessible to children. (5) WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

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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;

During onsite inspection, Licensor observed a bottle of Johnson and Johnson body oil, Castrol oil, face wash solution, two bottles of perfume, and sanitizing wipes accessible to children in the licensed bathroom and on dining room counter. (1)(a) During onsite inspection, Licensor observed the laundry room storage area door unlocked and broken and accessible to children in the licensed area. (2)(a)(b)

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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.

During onsite inspection, Licensor observed a bottle of Johnson and Johnson body oil, Castrol oil, face wash solution, two bottles of perfume, and sanitizing wipes accessible to children in the licensed bathroom and on dining room counter. (1)(a) During onsite inspection, Licensor observed the laundry room storage area door unlocked and broken and accessible to children in the licensed area. (2)(a)(b) During onsite inspection, Licensor observed a toilet plunger next to the toilet in the licensed bathroom accessible to children. (5) WAC/RCW Correction Date Disputed Date Disputed 110-300-0150(2) Short Term

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110-300-0150(2) · An early learning provider must ensure a sufficient quantity and variety of materials to engage children in the early learning program, such as arts and crafts supplies, various textured materials, construction materials, manipulative materials, music and sound devices, books, and social living equipment. Materials must: (a) Encourage both active physical play and quiet play activities; (b) Promote imagination and creativity; (c) Promote language development and literacy skills; (d) Encourage social skill development; (e) Promote numeracy (counting and numbers) and spatial ability; (f) Encourage discovery and exploration; and (g) Promote learning skills.

During onsite inspection, Licensor did not observe defined areas in the licensed space to promote imagination and creative play (dramatic play area) or encourage discovery and exploration (science area). (2)

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