110-300-0280(1) · An early learning provider may allow parents to bring from home filled bottles clearly labeled with the date and infant's first and last name for daily use. Bottles must be immediately refrigerated.

Bottles in one infant room was missing dates. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(ii) · 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 administer medication to children in care as follows: (ii) Nonprescription oral medication. Nonprescription (over-the-counter) oral medication brought to the early learning program by a parent or guardian must be in the original packaging. (A) Nonprescription (over-the-counter) medication needs to be labeled with child's first and last name and accompanied with medication authorization form that has the expiration date, medical need, dosage amount, age, and length of time to give the medication. Early learning providers must follow the instructions on the label or the parent must provide a medical professional's note; and (B) Nonprescription medication must only be given to the child named on the label provided by the parent or guardian.

Need to ensure that medication forms for diaper cream and sunscreen is completely filled out (expiration dates, start and stop date etc.) signed and dated with day and year. Some staff are missing Basic/Initial STARS and upon review do not have the DCYF medication training. In Room 111 it was observed that there was moisturizing cream for several children by the sink and accessible to all children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Need to ensure that medication forms for diaper cream and sunscreen is completely filled out (expiration dates, start and stop date etc.) signed and dated with day and year. Some staff are missing Basic/Initial STARS and upon review do not have the DCYF medication training. In Room 111 it was observed that there was moisturizing cream for several children by the sink and accessible to all children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(b) · 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: (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;

Roller shades on windows had hardware on the wall to manuever cording but the cording was still loose. Equipment cording in rooms observed to be accessible to children and can form looping. In rooms heavy items stored on shelving units and above cubbies were not secure. Chipping paint was observed in door frames, window sills, and on montessori number rods and blocks. Room 109 water exceeded 120 degrees degrees one sink was at 125.2 and 122.9. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Room 111 was observed to have a small bottle of Dawn soap and a Magic Eraser sponge by the sink accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(4) · Early learning providers must complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030. 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.

Files reviewed: Staff member: D.A.S was missing documentation in MERIT of Basic/Initial STARS and Health and Safety Training via the DCYF Portal listed under WAC 110-300-0106. F.A was missing Basic/Initial STARS. She completed Safe Sleep listed under WAC 110-300-0106 but is missing all the rest of the Health and Safety Training via the DCYF Portal listed under WAC 110-300-0106, All staff files were missing documentation of a current BBP training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(8) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(8) · License applicants and early learning providers licensed to care for infants must complete the safe sleep training as approved or offered by the department. This training must be completed annually and: (a) Prior to being licensed; (b) Prior to caring for infants; or (c) According to subsection (1) of this section.

Files reviewed: Staff member: D.A.S was missing documentation in MERIT of Basic/Initial STARS and Health and Safety Training via the DCYF Portal listed under WAC 110-300-0106. F.A was missing Basic/Initial STARS. She completed Safe Sleep listed under WAC 110-300-0106 but is missing all the rest of the Health and Safety Training via the DCYF Portal listed under WAC 110-300-0106, All staff files were missing documentation of a current BBP training.

Open Not marked corrected in the state record

Open / not marked corrected.