110-300-0280(2)(c) · A bottle preparation area must: (c) Be physically separated from the diaper changing area by means of a barrier to prevent cross contamination. If a barrier is used, it must be: (i) Smooth and easily cleanable; (ii) Sealed, if made of wood; (iii) Moisture resistant; (iv) Extend at least twenty-four inches in height from the counter or changing surface; and (v) Solid without cracks, breaks or separation.

In the unlicensed/unapproved Infant Room (Trailer) bottles were observed to be missing last name of the child. Diaper area is not 8 feet away from the food prep area and there is no barrier between the areas to prevent cross contamination. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3) · Medication administration. An early learning provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and using appropriate cleaned and sanitized medication measuring devices. 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.

Some diaper ointment consents are missing information from the medication authorization form (amount, when to apply expiration date, child's DOB, end date). A child had a Tylenol medication authorization form that was missing information which includes why the Tylenol is being give to the child. Medication/Diaper Ointments were missing last name. In the Preschool Room there was sunscreen under the bathroom sink and the cabinet was not latched which allows children access. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(ii) · 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.

Some diaper ointment consents are missing information from the medication authorization form (amount, when to apply expiration date, child's DOB, end date). A child had a Tylenol medication authorization form that was missing information which includes why the Tylenol is being give to the child. Medication/Diaper Ointments were missing last name. In the Preschool Room there was sunscreen under the bathroom sink and the cabinet was not latched which allows children access. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(c) · 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. 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.

Some diaper ointment consents are missing information from the medication authorization form (amount, when to apply expiration date, child's DOB, end date). A child had a Tylenol medication authorization form that was missing information which includes why the Tylenol is being give to the child. Medication/Diaper Ointments were missing last name. In the Preschool Room there was sunscreen under the bathroom sink and the cabinet was not latched which allows children access. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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 was equipment that requires proper spacing. Program has swings and the required spacing is not between the infant/toddler and older children swings. Swings will need to be used 1 at a time. There was a play structure/climber and slide (Kangaroo Climber) that was on grass and not in the wood chip area. When and if the equipment is moved a 6 feet minimum spacing is required between the equipment. The Kangaroo Climber also had an area when facing the equipment the right wall was not in the joints. Wood chips needed to be added under swings and other drop areas on the playgrounds.

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;

3 step spray bottles (wash, rinse, sanitize) were accessible to children in the classrooms and in the restrooms.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0415(2) · Early learning program space must comply with the Washington state building code or local building code as enacted at the time of licensure. Facility modifications must comply with WAC 110-300-0402.

During the unannounced monitor visit on 8/23/2023 the licensor was notified that the program had moved Infants due to planned construction out of the licensed building to a unapproved licensed Trailer on the premises. The trailer has not been approved by the Department nor the State Fire Marshal. The space did not have a Occupancy Permit for the Trailer when visits were conducted by the previous licensor, Diane and supervisor, Natasha and the fire marshal, Cozetta. WAC/RCW Correction Date Disputed Date Disputed 110-300-0280(2)(b) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0280(2)(b) · A bottle preparation area must: (b) Be located at least eight feet from any diaper changing tables or counters and sinks used for diaper changing; or 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.

During the unannounced monitor visit on 8/21/2023 the licensor was notified that the program had moved Infants due to planned construction out of the licensed building to a unapproved licensed Trailer on the premises. The trailer has not been approved by the Department nor the State Fire Marshal. The space did not have a Occupancy Permit for the Trailer when visits were conducted by the previous licensor, Diane and supervisor, Natasha and the fire marshal, Cozetta. WAC/RCW Correction Date Disputed Date Disputed 110-300-0280(2)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0280(2)(c) · A bottle preparation area must: (c) Be physically separated from the diaper changing area by means of a barrier to prevent cross contamination. If a barrier is used, it must be: (i) Smooth and easily cleanable; (ii) Sealed, if made of wood; (iii) Moisture resistant; (iv) Extend at least twenty-four inches in height from the counter or changing surface; and (v) Solid without cracks, breaks or separation.

During the unannounced monitor visit on 8/21/2023 the licensor was notified that the program had moved Infants due to planned construction out of the licensed building to a unapproved licensed Trailer on the premises. The trailer has not been approved by the Department nor the State Fire Marshal. The space did not have a Occupancy Permit for the Trailer when visits were conducted by the previous licensor, Diane and supervisor, Natasha and the fire marshal, Cozetta.

Open Not marked corrected in the state record

Open / not marked corrected.