110-300-0460(4)(a) · A health record must include: (a) An immunization record, pursuant to WAC 110-300-0210(1);

Not all files had immunization information on the CIS form. One file was missing a dental provider. WAC/RCW Correction Date Disputed Date Disputed 110-300-0460(4)(e) Short Term

Open Not marked corrected in the state record

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110-300-0140(5) · An early learning provider must supply individual storage space for each child's belongings while in attendance. At a minimum, the space must be: (a) Accessible to the child; and (b) Large enough and spaced sufficiently apart from other storage space to: (i) Store the child's personal articles and clothing; and (ii) Promote or encourage children to organize their possessions.

It was observed that children's items were stored so they were touching each other. WAC/RCW Correction Date Disputed Date Disputed 110-300-0221(4)(a) Short Term

Open Not marked corrected in the state record

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110-300-0221(4)(a) · The diaper disposal container must be: (a) Hands-free and covered with a lid to prevent cross contamination;

The diapering pad had tears in the vinyl surface.

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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.

It was observed that a floor plan was not posted. WAC/RCW Correction Date Disputed Date Disputed 110-300-0115(1) Long Term

Open Not marked corrected in the state record

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110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records. 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.

TE did not have all trainings entered into MERIT. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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110-300-0166(3)(a) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (a) Emergency exit doors must remain unlocked from the inside, but may be locked from the outside while the early learning program is open. The door handle must be of the type that can be opened from the inside without the use of a key, tools, or special knowledge, and must automatically unlock when the knob or handle is turned;

The entrance door had a deadbolt that self-engaged after a few minutes. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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;

Under the bathroom sink, cleaning chemicals were accessible to children sink the lock had broken. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

Open Not marked corrected in the state record

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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.

BD's food handler's card expired in 03/2024. BD was observed to prepare meals for the children.

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110-300-0450(1) · An early learning provider must supply to each parent or guardian written policies regarding the early learning program. Each enrolled child’s record must have signed documentation stating the parent or guardian reviewed the handbook and early learning program policies.

Not all parents have signed that the have read and agree to the program's policies. WAC/RCW Correction Date Disputed Date Disputed 110-300-0460(4)(a) Short Term

Open Not marked corrected in the state record

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110-300-0460(4)(e) · A health record must include: (e) Medical and dental care provider names and contact information or what facility parents or guardians would prefer for treatment;

Not all files had immunization information on the CIS form. One file was missing a dental provider. WAC/RCW Correction Date Disputed Date Disputed 110-300-0210(1)(2) Long Term

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(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).

Not all files had immunization information on the CIS form. Some files were missing immunization information. At least one CIS form was showing "not complete". A plan was not made with the parent to bring the immunization to "complete" status.

Open Not marked corrected in the state record

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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.

It was observed that the provider was administering diaper cream without an authorization form. Toothpaste and other body care products were observed to be accessible to children in the bathroom vanity. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

Open Not marked corrected in the state record

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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.

It was observed that the provider was administering diaper cream without an authorization form. Toothpaste and other body care products were observed to be accessible to children in the bathroom vanity.

Open Not marked corrected in the state record

Open / not marked corrected.