110-300-0290(3)(c) · Sleep equipment not covered in WAC 110-300-0265 must: (c) Have a clean, firm, and snug-fitting mattress designed specifically for the particular equipment;

0290 (3)(c) Licensor observed the pack and play mats were not fully laid out and securely fastened to fit snugly within the pack and play having no extra gaps or folds. 0290(3)(f) Licensor observed signs of dried bodily fluids or liquid spill on a pack and play fitted sheet. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0145(1) · An early learning provider must visually inspect outdoor program space and equipment daily to ensure outdoor areas and equipment are free of hazards.

0145(1) Licensor observed outdoor pathway lights were stored near the aircon unit accessible to children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

0165(2)(a) Licensor observed a 2- 12mm (bead size) duck game pieces in the pack and play. (immediate correction: removal of duck game pieces) Licensor observed a small piece of doritto chip underneath the pack and play mat. (immediate correction: removal of food crumb). 0165(2)(d) Licensor observed plastic bags stored under the bathroom sink was accessible to children. (immediate correction: Child safety lock was secured and fastened). 0165(2)(f) Licensor observed the sliding glass door did not have stickers/art work to prevent children from walking into or through a glass door. 0165(2)(g) Licensor observed 2 pack and play equipment was placed near a window. (immediate correction: moved pack and play away from windows). 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)(a) Licensor observed a 2- 12mm (bead size) duck game pieces in the pack and play. (immediate correction: removal of duck game pieces) Licensor observed a small piece of doritto chip underneath the pack and play mat. (immediate correction: removal of food crumb). 0165(2)(d) Licensor observed plastic bags stored under the bathroom sink was accessible to children. (immediate correction: Child safety lock was secured and fastened). 0165(2)(f) Licensor observed the sliding glass door did not have stickers/art work to prevent children from walking into or through a glass door.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(f) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (f) Preventing children from walking into or through a glass door, window, or other glass barrier, by placing stickers or art work at the children’s eye level on the glass; and

0165(2)(a) Licensor observed a 2- 12mm (bead size) duck game pieces in the pack and play. (immediate correction: removal of duck game pieces) Licensor observed a small piece of doritto chip underneath the pack and play mat. (immediate correction: removal of food crumb). 0165(2)(d) Licensor observed plastic bags stored under the bathroom sink was accessible to children. (immediate correction: Child safety lock was secured and fastened). 0165(2)(f) Licensor observed the sliding glass door did not have stickers/art work to prevent children from walking into or through a glass door. 0165(2)(g) Licensor observed 2 pack and play equipment was placed near a window. (immediate correction: moved pack and play away from windows). Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0230(3) · (3) A first-aid kit must include: (a) Disposable nonporous protective nonlatex gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use; (i) A sling, or a large triangular bandage; (j) Adhesive tape; (k) A CPR barrier with a one-way valve or both an adult and pediatric CPR mask with a one-way valve; (l) A current first-aid manual; and (m) Hand sanitizer (for adult use only).

0230(2)(3) Licensor observed the First aid kit had (1) missing component (Elastic Ace Wrap Bandage).

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0241(10) · Floors must be cleaned by either sweeping or vacuuming at least once per day or more often as needed. Moisture resistant flooring must be cleaned and sanitized at least once per day or more often as needed.

0241(10) Licensor observed 2 pieces of popcorn on the floor. (immediate corrections: disposal of popcorn pieces.) 0241(3) Licensor observed food crumbs and other items (doritto chip, 12mm size duck game pieces) underneath the infant's pack and play mats were not cleaned and sanitized weekly or often as needed. (immediate correction: removal of 12mm duck game pieces). 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)(a) Licensor observed bathroom sink had child locks that were not securely fastened making personal hygiene and cleaning products accessible to children. (immediate correction: secured and fastened child locks on bathroom cabinets). Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

0505 (1)(2) Licensor observed the Family home floor plan of licensed and unlicensed space were not posted indicating the exit routes of the home.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0280(3)(g) · To prepare bottles, an early learning provider must: (g) Not heat a bottle in a microwave;

0280 (3g) Licensor inquired steps for bottle preparation; Ms. Ceebla mentioned warming a bottle/milk in the microwave. (immediate correction TA was provided to Ms. Ceebla on using warm water in a cup for bottle warming). Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

0165 (4f) Licensor observed the stairway leading to the unlicensed space (2nd floor) was not secured with a safety gate making the unlicensed space accessible to children in care. (immediate corrections: safety gate was placed at the bottom of the stairway). 0165 (5a) Licensor observed 2 outlets in the child care space was not tamper-resistant or covered with a blank plate. 0165(5b) Licensor obsered the outlet near the kitchen sink was not GFCI outlet type. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0170(3)(a) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (a) Combustible materials. (i) Combustible materials must be properly discarded pursuant to local jurisdictions, removed from the premises, or properly stored in closed metal containers specifically designed to hold such combustible materials. (ii) Combustible materials stored in a closed metal container must not be stored in the premises licensed space or any place that may be accessible to children in care. (iii) Combustible materials include, but are not limited to, lint, gasoline, natural gas, diesel, fuel, propane, rags soaked in combustible materials, oils, chemicals, or solvents.

0170(2) Licensor did not observe the state fire marshall form to conduct a fire safety inspection. 0170 (3a) Licensor observed 2 propane tanks connected to a BBQ grill and an outdoor propane fire pit accessible to children. (immediate corrections: removal of propane tanks in the outdoor childcare space). Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

0505 (1,2) Licensor observed the Emergency information and numbers were not posted that included cross street directions to the Family Home.

Open Not marked corrected in the state record

Open / not marked corrected.