110-300-0186(1) · An early learning provider must obtain written instructions (the individual care plan) from the child's health care provider and parent or guardian when caring for a child with a known food allergy or special dietary requirement due to a health condition. The individual care plan pursuant to WAC 110-300-0300 must: (a) Identify foods that must not be consumed by the child and steps to take in the case of an unintended allergic reaction; (b) Identify foods that can substitute for allergenic foods; and (c) Provide a specific treatment plan for the early learning provider to follow in response to an allergic reaction. The specific treatment plan must include the: (i) Names of all medication to be administered; (ii) Directions for how to administer the medication; (iii) Directions related to medication dosage amounts; and (iv) Description of allergic reactions and symptoms associated with the child's particular allergies.

(1) Child with inhaler did not have paperwork for allergy (2) Child with allergy has expired epi pen on site WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious

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An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

(1) Child with inhaler did not have paperwork for allergy (2) Child with allergy has expired epi pen on site WAC/RCW Correction Date Disputed Date Disputed 110-300-0197(6) Short Term

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110-300-0197(6) · Prior to storing leftover food in a refrigerator or freezer, an early learning provider must label the food with the date the leftover food was opened or cooked.

Fridge in Classroom 2 had leftover food that was not labeled with the date food was opened WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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110-300-0215(3)(a)(i) · 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.

Prescribed inhaler and prescribed epi pen was not labeled with child's first and last name, date prescription was filled, name and contact information of prescribing health professional, expiration date, dosage amount, and length of time to give the medication. WAC/RCW Correction Date Disputed Date Disputed

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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.

Smaller playground had less than 6 feet of fall zone from slide and stairs to wooden barrier 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;

(2c) Plugged in laptop cord, phone cord, and lamp cord were accessible to children and capable of forming a loop (2d) Plastic bags were accessible to children in classrooms 1, 3 and 4 (5e) Power strip with surge protector in lobby area accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(3) Long Term

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110-300-0230(3) · (3) A first-aid kit must include: (a) Disposable nonporous protective nonlatex gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use; (i) A sling, or a large triangular bandage; (j) Adhesive tape; (k) A CPR barrier with a one-way valve or both an adult and pediatric CPR mask with a one-way valve; (l) A current first-aid manual; and (m) Hand sanitizer (for adult use only).

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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;

(1a) Bleach, Windex, Ajax, Floor Cleaner, Wood Cleaner, (2ab) Utility/Facilities Room and electrical panel room were unlocked and accessible to children (5) Broom and dustpan accessible to children in classrooms, mopbucket and used mop heads in unlocked utility/facilities room accessible to children 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;

(1a) Bleach, Windex, Ajax, Floor Cleaner, Wood Cleaner, (2ab) Utility/Facilities Room and electrical panel room were unlocked and accessible to children (5) Broom and dustpan accessible to children in classrooms, mopbucket and used mop heads in unlocked utility/facilities room accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

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

(1a) Bleach, Windex, Ajax, Floor Cleaner, Wood Cleaner, (2ab) Utility/Facilities Room and electrical panel room were unlocked and accessible to children (5) Broom and dustpan accessible to children in classrooms, mopbucket and used mop heads in unlocked utility/facilities room accessible to children WAC/RCW Correction Date Disputed Date Disputed 110-300-0105(2) Serious

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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) Lead Teacher Simone Lewis' background check with withdrawn (3) Eun Choi, Daneyell Bolling, and Willow Shaniah Le Hew did not have TB tests in MERIT within the last 12 months of employment. Rylie Colvin, Patricia Gwin, Janae Velasco, Maraia Villalva-Weaver are missing TB tests in MERIT WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(10) Short Term

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110-300-0106(10) · Early learning providers who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

(10) Cheyenne Cavin, Eun Choi, Rylie Colvin, Jennifer Gunewarda, Patricia Gwin, Simone Lewis, Janae Velasco, Maria Villalva-Weaver, Daneyell Bolling, and Willow Shaniah were missing or had expired BBP. (11) Rylie Colvin, Jennifer Gunewarda, Patricia Gwin, Simone Lewis, Janae Velasco, Maria Villalva-Weaver, Daneyell Bolling, and Willow Shaniah were missing or had expired CPR and First Aid.

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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.

Postings were missing directions from nearest arterial street or nearestcross street to facility and a notice that inspection reports and any notices of enforcement actions from the previous three years are available from the licensee and the department

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