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.

0146(4) There was a trampoline outside. The licensor gave TA and the provider quickly removed the trampoline from the licensed outdoor area. 0146(1)(a) There was a slide outside in licensed space without ground. The licensor gave TA and the provider quickly removed the slide from the licensed outdoor area.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0146(4) · Bouncing equipment including, but not limited to, trampolines, rebounders, and inflatable equipment must be inaccessible and locked. This requirement does not apply to bounce balls designed to be used by individual children.

0146(4) There was a trampoline outside. The licensor gave TA and the provider quickly removed the trampoline from the licensed outdoor area. 0146(1)(a) There was a slide outside in licensed space without ground. The licensor gave TA and the provider quickly removed the slide from the licensed outdoor area. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

0165(2)(d) There was some plastic on the kitchen counter and in the restroom. The licensor gave TA and the provider quickly removed the plastics from the kitchen counters. 0165(2)(c) There were some phone charger cords on the kitchen counter. The licensor gave TA and the provider quickly removed the cords from the kitchen counters. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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) There was some plastic on the kitchen counter and in the restroom. The licensor gave TA and the provider quickly removed the plastics from the kitchen counters. 0165(2)(c) There were some phone charger cords on the kitchen counter. The licensor gave TA and the provider quickly removed the cords from the kitchen counters. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0210(1)(2) · (1) On or before their children's first day of attending an early learning program, the parents or guardians of enrolled children must give to early learning providers proof of vaccination or acquired immunity for the vaccine-preventable disease, required under RCW 43.216.690 and chapter 246-105 WAC. Early learning providers may accept children without proof of vaccinations or immunity as otherwise indicated in this section. (2) Early learning providers must receive for each enrolled child upon enrollment and annually thereafter, as required by RCW 43.216.690 and WAC 246-105-050: (a) A current, complete, and medically verified certificate of immunization status (CIS) form; (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunization information system (WA IIS).

0210 There was one child that was missing immunization in the chart file during the monitor visit. Risk WAC/RCW

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.

0215(3)(a)(c) The pantry closet in the kitchen that had the family’s medications was unlocked during the monitor visit. There were some vitamins on the top shelf of the kitchen. The licensor gave TA and the provider quickly locked the pantry door during the monitor visit. Risk WAC/RCW

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;

0260(1) The drawer under the kitchen sink was accessible to children. The drawer had some soap and plastics. The licensor gave TA and the provider quickly locked the drawers. 0260(2) The outdoor garage door in the playground licensed area was unlocked during the monitor visit. The licensor gave TA and the provider quickly locked the garage door outside. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

0260(1) The drawer under the kitchen sink was accessible to children. The drawer had some soap and plastics. The licensor gave TA and the provider quickly locked the drawers. 0260(2) The outdoor garage door in the playground licensed area was unlocked during the monitor visit. The licensor gave TA and the provider quickly locked the garage door outside. 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;

0345(5)(b) The doors had the ringer off, and the doors could not be heard when they opened. The licensor gave TA and the provider quickly turned on the door ringers.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0225(3) · Pets or other animals that have contact with children must: (a) Have all required vaccinations, pursuant to local and county regulations; (b) Show no signs of illness, disease, worms, or parasites. If these symptoms appear, the pet or animal must be removed from the licensed space until appropriately treated for the condition; and (c) Be nonaggressive. If the pet or animal exhibits aggressive behavior, the pet or animal must be removed from the licensed space.

0225(3)(a) The was a dog on license space without required vaccination on file during monitor visit.

Open Not marked corrected in the state record

Open / not marked corrected.