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.

Staff member was in the classroom without a cleared background check. Several staff members do not have their TB test in Merit or staff files: Liying Li, Alana Pereir, Shital Hiran and Stephanie Sheppard. Risk WAC/RCW

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110-300-0145(8) · Fences, barriers, and gates must be in good condition, have no gap through which a sphere with a diameter of three and one-half inches can pass, and have a minimum height of forty-eight inches or conform in height to applicable local codes.

The front gate to the playground is not self-closing or self-latching. There was a limited amount of toys and materials outside that were age appropriate. The gate that seperates the playground has an opening greater than 3 1/2 inches and during the visit a child was observed climbing through the opening to get something on the other side. Risk WAC/RCW

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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;

There are plastic bags stored in the Ladybugs room accessible to children. Risk WAC/RCW

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110-300-0170(3)(i) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (i) Extinguishers. An early learning provider must have and maintain working fire extinguishers that are marked with a minimum rating of 2A:10 BC. (i) Fire extinguishers must be located pursuant to the State Building Code chapter 51-54A WAC, as now and hereafter amended, and must be readily available for use in case of an emergency; (ii) Fire extinguishers must be located on each level of the early learning program space used by children and mounted within seventy-five feet of an exit next to the path of the exit; and (iii) If a fire extinguisher is mounted in a closet, there must be a sign indicating the location of the extinguisher and obstructions must not block access to the closet.

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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.

There was an epi-pen in the Ladybugs classroom without the prescription or the required paperwork. There was an epi-pen in the Ladybugs classroom that was expired. Risk WAC/RCW

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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.

There was a mop and a mop bucket filled with what appeared to be used mop water stored in the hallway.

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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.

No documentation that the staff have been trained on using the medication. WAC/RCW 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.

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110-300-0145(8) · Fences, barriers, and gates must be in good condition, have no gap through which a sphere with a diameter of three and one-half inches can pass, and have a minimum height of forty-eight inches or conform in height to applicable local codes.

The fence that is dividing the playground has several gaps that are more than 3 1/2 inches under the fence and between the slats. WAC/RCW 110-300-0146(1)(a)(b) Serious

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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.

There is not enough wood chips on the playground around the climbing equipment and the swings that do not meet the CPSC guidelines. WAC/RCW 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.

Staff are missing BBP training: Shital Hiran.

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110-300-0241(6) · Toileting and diaper changing areas including, but not limited to, toilets, counters, sinks, and floors must be cleaned and disinfected daily or more often as needed.

The bathroom in the Grasshoppers room did not appear clean. Diaper changing is going on in the Lady Bugs room but there wasn't three step spray bottles in that area for cleaning, rinsing and sanitizing the area. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious

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110-300-0186(2) · 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. 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.

No documentation that the staff have been trained on using the medication. 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.

The child in the Honeybee's room did not have the medication authorization form with the epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious

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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.

There is not enough wood chips on the playground around the climbing equipment. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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110-300-0165(2)(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. 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;

There are plastic bags accessible to children in the classroom. The slide outside has a platform higher than 18 inches without any guardrails. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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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;

There is bleach being stored in the classrooms not in the original containers labeled for what it is and with keep out of reach of children. 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.

Staff are missing initial training requirement: Shital Hiran, Rylee Kyllonen and Liying Li. Staff are missing BBP training: Shital Hiran and Rylee Kyllonen. Staff are missing food handlers cards documented in Merit. Gina Andrew, Mehreen Hussain, Ruoyun Zhen, Shital Hiran. WAC/RCW Correction Date Disputed Date Disputed

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110-300-0106(12) · Early learning providers who prepare or serve food to children at an early learning program must obtain a current food worker card prior to preparing or serving food. Food worker cards must: (a) Be obtained through the local health jurisdiction, in person or online; and (b) Be renewed prior to expiring.

Staff are missing initial training requirement: Shital Hiran, Rylee Kyllonen and Liying Li. Staff are missing BBP training: Shital Hiran and Rylee Kyllonen. Staff are missing food handlers cards documented in Merit. Gina Andrew, Mehreen Hussain, Ruoyun Zhen, Shital Hiran.

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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.

The child with the epi-pen but doesn't have the individual plan of care for the child. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious 06/12/2023

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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.

Sunscreens need the child's full names on the containers. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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110-300-0106(12) · Early learning providers who prepare or serve food to children at an early learning program must obtain a current food worker card prior to preparing or serving food. Food worker cards must: (a) Be obtained through the local health jurisdiction, in person or online; and (b) Be renewed prior to expiring.

Lying Li, Ratnamal Chakrovrty, Mehreen Jussain, Haeseong Park and Stephanie Sherppard do not have thier BBP training. Lying LI and Stephanie Sheppard do not have their CPR and first aid training. Stephanie Sheppard and Bin Zhao do not have their food handler's cards.

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