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.

Attendance record did not reflect a child that moved from the home license to toddler classroom. The ratio was not reflected accurately in the attendance.

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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.

Child A. doesn't have indivividual care plan for his Epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious 03/22/2024

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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.

Child A. doesn't have indivividual care plan for his Epi-pen. 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.

Prescription medication was not accompanied with medication authorization form. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious 03/20/2024

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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;

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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;

Safety plug inserted in an electrical outlet. Plastic bags accessible to children in the bathroom area. Power strip with surge protector fastened to the wall next to the sink. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(b) Serious

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110-300-0165(3)(b) · An early learning provider must take measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

Safety plug inserted in an electrical outlet. Plastic bags accessible to children in the bathroom area. Power strip with surge protector fastened to the wall next to the sink. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(5)(b) Serious 03/20/2024

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110-300-0165(5)(b) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (b) Outlets near sinks, tubs, toilets, or other water sources must be inaccessible to children or be tamper-resistant and equipped with a ground fault circuit interrupter (GFCI) outlet type;

Safety plug inserted in an electrical outlet. Plastic bags accessible to children in the bathroom area. Power strip with surge protector fastened to the wall next to the sink.

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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;

The exit door in the Seeds classroom had a baby gate placed in it. Door locked from the inside. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(c) Serious 03/20/2024

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110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

The exit door in the Seeds classroom had a baby gate placed in it. Door locked from the inside. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 03/20/2024

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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;

Bear mace placed in a drawer accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0170(3)(d) Serious 03/20/2024

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110-300-0170(3)(d) · 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. To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (d) Open flame devices, candles, matches and lighters. (i) Except for the use of a gas kitchen range, open flame devices must not be used in early learning program space or any other space accessible to children in care during operating hours. (ii) Candles must not be used during operating hours. (iii) Matches and lighters must be inaccessible to children.

Lighter placed a drawer accessible to children in the Seeds room.

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