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.

Licensor observed staff member Z.A. serve food and does not yet have a food worker card. Risk WAC/RCW

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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).

Child file FW CIS is not medically verified, child file RG missing immunization records, child file EM missing immunization records.

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110-300-0235(2) · An early learning provider must use a Washington state certified water laboratory accredited by the department of ecology to test the program water supply for lead and copper.' (a) All fixtures used to obtain water for preparing food or infant formula, drinking, or cooking must be tested prior to licensing approval and at least once every six years;' (b) Testing must be done pursuant to current environmental protection agency standards; and' (c) A copy of the water testing results must be kept on the licensed premises or in the program's administrative office.'

Lead and copper water test was expired. Last one was done on 11/9/2017. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(d) Short Term

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110-300-0165(3)(d) · 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 measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (d) Entrapment. Washers, dryers, large compost bins, spare or secondary freezers and refrigerators, and other entrapment dangers must be inaccessible to children unless being actively supervised;

0165(3)(d) Latches on the refrigerator and big freezer were worn out. Observed a child easily opened the refrigerator without staff noticing. 0165(3)(g) Observed chipping paint on walls in toddler room. Observed the "ship" sandbox mesh cover torn and broken plastic cover on the bottom of sandbox accessible to children. One gutter downspout opens to the preschool playground at child height. It needs to be redirected so dirty water and sharp edges are not accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(g) Short Term

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110-300-0165(3)(g) · An early learning provider must take measures intended to prevent other hazards to children in care in early learning program space including, but not limited to: (g) Equipment in poor condition. Equipment in poor condition (loose parts, rusty parts, flaking paint, or other dangers) must be repaired, removed, or made inaccessible to children.

0165(3)(d) Latches on the refrigerator and big freezer were worn out. Observed a child easily opened the refrigerator without staff noticing. 0165(3)(g) Observed chipping paint on walls in toddler room. Observed the "ship" sandbox mesh cover torn and broken plastic cover on the bottom of sandbox accessible to children. One gutter downspout opens to the preschool playground at child height. It needs to be redirected so dirty water and sharp edges are not accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0170(2) Short Term

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110-300-0170(2) · An early learning provider must arrange for a fire safety inspection annually. A provider must arrange a fire safety inspection with a local government agency. If a local government agency is not available to conduct a fire safety inspection, a provider must inspect for fire safety using the state fire marshal form.

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110-300-0460(3) · Each child's health record and the information described in subsection (2)(a) through (e) of this section must be available to staff for medical administration or emergencies.

All sampled child files were missing child's health history and child's doctor and dentist contact information.

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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.

One child was reported to have an egg allergy. There is no documentation for the child's allergy onsite. Another child is reported to have bring food from home. There is no documentation of allergy or food plan onsite. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 06/12/2023

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110-300-0215(3)(a)(i) · 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 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.

Medication was observed onsite, medication authorization was incomplete and not stored with the medication. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(5)(b) Serious 06/12/2023

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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;

Chipping paint/exposed wood was observed indoors during visit. The outlet in the girls bathroom was not observed to be GFCI. The climbing dome was observed to have chipping paint and rust in areas accessible to children. The kitchen gate was observed open, making the area accessible to children. The toddler playground has a large storage box that was open, the fridge and freezer child safet latches were not in use, resulting in potential entrapment hazards. Shed door was not locked. Sand box was observed to have a broken cover with sharp wood. Garbage was observed throughout the grassy areas of the playground and in the sandbox. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious 06/15/2023

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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.

One staff member was observed to have an expired food handlers card. Director reports they will correct today.

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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.

Woodchips were observed to be less then 9 inches. The castle slide and climber, and the blue slide with stairs were observed to be on the grass and not on proper ground cover. ground cover in toddler playground is not 9 inches.

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