110-300-0145(11) · Prior to licensing, exiting mechanisms on gates from a licensed outdoor play area to unlicensed space must be equipped with a self-closing and self-latching mechanism (shuts automatically when released from an individual’s control). A gate that is not an emergency exit must be locked or self-closing and self-latching.

It was observed that the emergency exit gate on the playground was not fully self-closing. A second exterior exit gate just off of the back door was not self-closing. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(b) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

Owlets Room- It was observed that window blind chains had not been securely fastened to the wall. A large rug also was curling on the end, posing a tripping hazard. Seahawks Room- A loose charging cable was laying on the floor, accessible to children. Playground- A hose was laid accross the playground, posing a tripping hazard. A toddler bike had a handle broken off which caused a sharp edge. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0186(1) · An early learning provider must obtain written instructions (the individual care plan) from the child's health care provider and parent or guardian when caring for a child with a known food allergy or special dietary requirement due to a health condition. The individual care plan pursuant to WAC 110-300-0300 must: (a) Identify foods that must not be consumed by the child and steps to take in the case of an unintended allergic reaction; (b) Identify foods that can substitute for allergenic foods; and (c) Provide a specific treatment plan for the early learning provider to follow in response to an allergic reaction. The specific treatment plan must include the: (i) Names of all medication to be administered; (ii) Directions for how to administer the medication; (iii) Directions related to medication dosage amounts; and (iv) Description of allergic reactions and symptoms associated with the child's particular allergies.

Robins- A child had a food allergy, but no allergy plan on site. Ohter allergy plans were dated over 12 months ago. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0197(3) · For all foods offered by the provider or given to an enrolled child by a parent or guardian, the provider must: (a) Provide appropriate refrigeration to preserve foods from spoiling. Foods that may be subject to spoiling include, but are not limited to, meats, cooked potatoes, cooked legumes, cooked rice, sprouts, cut melons, cut cantaloupes, milk, and cheese; and (b) Refrigerate foods requiring refrigeration at 41 degrees Fahrenheit or less and freeze foods required to be frozen at 10 degrees Fahrenheit or less.

The seahawks fridge was tested at a temperature of 60* Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0198(4) · Center early learning programs licensed after the date this chapter becomes effective must have: (a) A handwashing sink separate from dishwashing facilities; (b) A food preparation sink located in the food preparation area; and (c) A method to clean and sanitize dishes, pans, kitchen utensils, and equipment in the food preparation area using: (i) A two-compartment sink and an automatic dishwasher that sanitizes with heat or chemicals; or (ii) A three-compartment sink method (sink one is used to wash, sink two is used to rinse, sink three contains a sanitizer, and the dishes are allowed to air dry).

The kitchen sink had it's barrier removed, effectively losing the food prep sink and modifying the sinks to a handwashing sink and a 3-compartment sink. Risk WAC/RCW

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.

Many diaper creams and lotions did not have authorizaion forms with the item. Many of these creams were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(i) · An early learning provider must administer medication to children in care as follows: (i) Prescription medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. Prescription medication must be accompanied with medication authorization form that has the medical need and the possible side effects of medication. Prescription medication must be labeled with: (A) A child's first and last name; (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and (E) Instructions for the administration and storage.

Many diaper creams and lotions did not have authorizaion forms with the item. Many of these creams were accessible to children. One EpiPen was not stored with the prescription label. Children's Tylenol was authorized for a child under 2 years old, but did not have a doctor's note. The authorization was written for "whenever they need it." Risk WAC/RCW

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.

Many diaper creams and lotions did not have authorizaion forms with the item. Many of these creams were accessible to children. One EpiPen was not stored with the prescription label. Children's Tylenol was authorized for a child under 2 years old, but did not have a doctor's note. The authorization was written for "whenever they need it." 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.

Many diaper creams and lotions did not have authorizaion forms with the item. Many of these creams were accessible to children. One EpiPen was not stored with the prescription label. Children's Tylenol was authorized for a child under 2 years old, but did not have a doctor's note. The authorization was written for "whenever they need it."

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0220(1)(f) · An early learning provider must provide at least one indoor bathroom in the licensed space that has the following: (f) An easily cleanable floor. (i) Floors must have a washable surface; (ii) Be resistant to moisture; and (iii) Cleaned and disinfected daily, or more often as needed.

In the Bluejay room, gaps in the laminate floor were observed where the planks have seperated. Slight water damage was also observed in a different area of the bathroom floor. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0221(1)(a) · Center early learning providers must have a designated diaper changing area, including stand-up diapering, for each classroom or for every age grouping of children who require diapering. Only one diaper changing area is required for family home early learning programs. (a) Diaper changing area must: (i) Be separate from areas where food is stored, prepared, or served; (ii) Have a sink with hot and cold running water, not used for food preparation and clean up; (iii) Have a sturdy surface or mat that: (A) Is not torn or repaired with tape; (B) Is washable; (C) Has a moisture resistant surface that is cleanable; and (D) Is large enough to prevent the area underneath the diaper changing area from being contaminated with bodily fluids. (iv) Be on moisture resistant, washable material that horizontally or vertically surrounds and extends at least two feet from the diaper changing station and handwashing area; and (v) Be uncluttered and not used for storage of any items not used in diapering a child.

Two classrooms had diaper changing pads that were ripped. The provider had these on order and scheduled to be delivered 9/12 Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children

In the Seahawks room, a first aid kit was accessible to children on a low shelf in the bathroom. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0240(2)(a) · (a) A cleanable surface must be: (i) Designed to be cleaned frequently and made of sealed wood, linoleum, tile, plastic, or other solid surface materials; (ii) Moisture resistant; and (iii) Free of chips, cracks, and tears.

Seahawks- The bathrooms were observed to have a fabric rug located under the sink. Chickadee- An aerosol freshener was observed in the bathroom area. A chip in the baseboard was observed. Owlet- A chip in the paint on the wall was observed Sparrows- a gouge in the floor by the exterior door was observed Throughout the center, Clorox wipes were observed. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0240(2)(d) · (d) Aerosol sprays and air fresheners must not be used during child care hours.

Seahawks- The bathrooms were observed to have a fabric rug located under the sink. Chickadee- An aerosol freshener was observed in the bathroom area. A chip in the baseboard was observed.

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;

The laundry room door was proped open. Inside were janitorial supplies and cleaning chemicals. In many classrooms, mops and mop buckets were observed to be accessible to children. A toilet plunger was observed in a bathroom. In the Owlet room, Fabuloso was observed to be kept under an unlocked bathroom sink. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

The laundry room door was proped open. Inside were janitorial supplies and cleaning chemicals. In many classrooms, mops and mop buckets were observed to be accessible to children. A toilet plunger was observed in a bathroom. In the Owlet room, Fabuloso was observed to be kept under an unlocked bathroom sink.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0300(1)(a) · An early learning provider must develop an individual care plan for each child with special needs and must notify the department when a child with special needs is enrolled or identified in the early learning program. Plans and documentation required under this section must: (a) Meet the requirements of this section;

One child enrolled did not have an allergy plan or asthma plan. A second child's allergy plan was dated from over 12 months ago. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0300(1)(b) · Plans and documentation required under this section must: (b) Be available for department review;

One child enrolled did not have an allergy plan or asthma plan. A second child's allergy plan was dated from over 12 months ago. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0300(1)(d) · Plans and documentation required under this section must: (d) Have verification that early learning program staff involved with a particular child has been trained on implementing the individual care plan for that child, if applicable;

One child enrolled did not have an allergy plan or asthma plan. A second child's allergy plan was dated from over 12 months ago.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0300(1)(e) · Plans and documentation required under this section must: (e) Be updated annually or when there is a change in the child's special needs; and

One child enrolled did not have an allergy plan or asthma plan. A second child's allergy plan was dated from over 12 months ago. 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.

A no smoking / vaping sign was not posted.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0145(11) · Prior to licensing, exiting mechanisms on gates from a licensed outdoor play area to unlicensed space must be equipped with a self-closing and self-latching mechanism (shuts automatically when released from an individual’s control). A gate that is not an emergency exit must be locked or self-closing and self-latching.

It was observed that the emergency exit gate only swung all the way shut if the gate was opened all the way. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(b) · 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. An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

It was observed in the Seahawks room, the paint on the classroom door was chipping, and the toilet paper dispenser had a large crack on it. A window blind in this room also was not secured by a tensioner. On the preschool playground, a cubby/cabinet was observed to have water damange and the laminate was peeling away from the wood. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(i) · An early learning provider must administer medication to children in care as follows: (i) Prescription medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. Prescription medication must be accompanied with medication authorization form that has the medical need and the possible side effects of medication. Prescription medication must be labeled with: (A) A child's first and last name; (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and (E) Instructions for the administration and storage.

An inhaler does not have the prescribing doctor information, expiration date, length of time to adminster medicine, and instructions for storage. WAC/RCW Correction Date Disputed Date Disputed 110-300-0356(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0356(3) · 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. A center licensee must not exceed the total capacity or age range stated on the child care license at any time except as provided in this section. All children on the premises, signed in to child care, on an off-site trip from the early learning program, or being transported by the early learning program staff are counted in capacity including the children of staff. (a) A center licensee must receive department approval to care for a child with special needs, pursuant to WAC 110-300-0300, if the child is older than the maximum age identified on the license. A child with documented special needs may be in care up to age nineteen and must be counted in capacity and staff-to-child ratio. (b) A child with special needs who requires individualized supervision pursuant WAC 110-300-0300 does not count in the staff-to-child ratio. (c) A child who turns thirteen years old permitted by chapter 110-290 WAC must be counted in both capacity and staff-to-child ratio.

One child above the age of 7 was in care.

Open Not marked corrected in the state record

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