110-300-0105(3) · Early learning providers, including volunteers and household members in a family home early learning program ages fourteen and over, must provide documentation signed within the last twelve months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of: (a) A negative TB symptom screen and negative TB risk assessment; (b) A previous positive FDA approved TB test and a current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program; or (c) A positive symptom screening or a positive risk assessment with documentation of a: (i) Current negative FDA approved TB test; (ii) Previous or current positive FDA approved TB test; and (iii) Current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program.

0105(3) Shweta Gupta's TB test was done over 12 months ago (2021). Risk WAC/RCW

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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.

Missing postings: No smoking/no vaping sign. License Liability insurance Phone numbers for poison control, CPS, DCYF Risk WAC/RCW

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110-300-0470(2) · The written emergency preparedness plan must cover at a minimum: (a) Disaster plans, including fires that may require evacuation: (i) An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, emergency exit doors, and emergency exit windows for family-home based programs as described in WAC 51-51-0326; (ii) Methods to be used for sounding an alarm and calling 911; (iii) Actions to be taken by a person discovering an emergency; (iv) How the early learning provider will evacuate children, especially those who cannot walk independently. This may include infant evacuation cribs (for center early learning programs), children with disabilities, functional needs requirements, or other special needs; (v) Where the alternate evacuation location is; (vi) What to take when evacuating children, including: (A) First-aid kit(s); (B) Copies of emergency contact information; (C) Child medication records; and (D) Individual children's medication, if applicable; (vii) How the provider will maintain the required staff-to-child ratio and account for all children; (viii) How parents or guardians will be able to contact the early learning program; and (ix) How children will be reunited with their parents or guardians after the event; (b) Earthquake procedures including: (i) What a provider will do during an earthquake; (ii) How a provider will account for all children; and (iii) How a provider will coordinate with local or state officials to determine if the licensed space is safe for children after an earthquake. (c) Public safety related lockdown scenarios where an individual at or near an early learning program is harming or attempting to harm others with or without a weapon. This plan must include lockdown of the early learning program or shelter-in-place steps including: (i) How doors and windows will be secured to prevent access, if needed; and (ii) Where children will safely stay inside the early learning program; (d) How parents or guardians will be contacted after the emergency ends.

0470(2) The emergency plan is missing: Methods for sounding the alarm, action to be taken by the person descovering the emergency, how the provider wil evacuate the children, where is the alernative evucation location is, how the provider will matain staff to child ratio and account for children, how parents or guardians will be able to contact the provider, how children will be reunited with parents. 0470(4)(b) Provider is missing fire drill for May and has not recorded any emergency drills this year.

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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;

0165(2)(d) Plastic bags found under several classroom and bathroom sinks. 0165(3)(f) A large metal shelf in the upstairs bathroom is not secured to the wall. 0165(4)(f) Outside gate (leading to playground) has slats that are wider than 3.5 inches. 0165(5)(a) Some of the electrical outlets are not tamper resistant. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0260(1)(a) Bleach found under several sinks. 0260(3) Upstairs utility room doesn't have a functional exhaust fan.

Open Not marked corrected in the state record

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