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) Staff brought out a group activity with small pom poms. These pose a choking hazard for the toddlers. (3)(f) Licensor observed unmounted fire extinguisher sitting on the top of the cubbies next to where the toddlers were eating snack. The fire extinguisher is very heavy and posed a fall risk. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff did not have access to the individual care plan at the time of the monitoring visit. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0200(5) · Early learning providers must direct, assist, teach, and coach, children to wash their hands, using the steps listed above: (a) When arriving at the early learning premises; (b) After using the toilet; (c) After diapering; (d) After outdoor play; (e) After gardening activities; (f) After playing with animals; (g) After touching body fluids such as blood or after nose blowing or sneezing; (h) Before and after eating or participating in food activities including table setting; and (i) As needed or required by the circumstances.

(4) Licensor observed several diaper changes where staff did not wash their hands after. (5) Licensor observed that the infants did not get thier hands washed after a diaper change. The children in the toddler room did not wash hands upon arrival to the program or after eating snack. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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) Licensor observed a mop with mopping solution and diaper cream in low unlocked drawer accessible to children in the toddler room. (5) Licensor observed mop with cleaning solution, empty mop bucket, and vacuum cleaner accessible to children in the toddler room. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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

(1)(a) Licensor observed a mop with mopping solution and diaper cream in low unlocked drawer accessible to children in the toddler room. (5) Licensor observed mop with cleaning solution, empty mop bucket, and vacuum cleaner accessible to children in the toddler room. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0345(5)(b) · An early learning provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

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 last fire drill on the form was dated June 2024.

Open Not marked corrected in the state record

Open / not marked corrected.