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;

There were latex gloves outside on deck accessible to children that could pose suffocation hazards that were removed during inspection. Risk WAC/RCW

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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;

Sliding glass door was locked and emergency exit door in hallway had child resistant handle on door which required specialized knowledge to open. Risk WAC/RCW

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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.

Provider has administered prescription medication (controlled substance) without a signed parental authorization in child's health file. Medication was stored without accompanying authorization form. Risk WAC/RCW

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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.

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110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

A storage shed in yard did not have method to prevent child access. There was maintenance equipment in storage shed accessible to children. Risk WAC/RCW

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

A storage shed in yard did not have method to prevent child access. There was maintenance equipment in storage shed accessible to children.

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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.

Child with allergy had epi-pen and individual care plan did not inlcude specific treatment plan for allergic reaction or medication administration directions. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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110-300-0166(3)(a) · 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. 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;

Emergency exit door was locked during operating hours. WAC/RCW Correction Date Disputed Date Disputed 110-300-0175(1) Immediate

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110-300-0175(1) · To prevent injury or drowning and ensure the health and safety of children, an early learning provider must comply with the requirements described in this section. (1) The following bodies of water must be inaccessible to children in care by using a physical barrier with a locking mechanism in compliance with WAC 246-260-031(4): (a) Swimming pools when not being used as part of the early learning program; (b) Ponds, lakes, storm retention ponds, ditches, fountains, fish ponds, landscape pools or similar bodies of water; and (c) Uncovered wells, septic tanks, wastewater, wastewater tanks, below grade storage tanks, farm manure ponds, or other similar hazards.

There was a storage tank in yard filled with rain water that was accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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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;

There were products in shower, including personal hygeine items and razor, accessible to children. There was a toilet brush accessible to children.

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

There were products in shower, including personal hygeine items and razor, accessible to children. There was a toilet brush accessible to children.

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110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) · For family home early learning programs: (c) Any window used as an emergency exit window must: (ii) Be designed to open from the inside of the room without the use of keys, tools, or special knowledge; (iii) Be easy to open to the full position; (iv) Have at least five point seven square feet of open area, except emergency exit windows on the ground floor which must have at least five square feet of open area; (v) Be at least 20 inches wide and at least 24 inches tall when fully opened; (vi) Have an interior sill height no more than 44 inches above the interior floor; and (vii) Have a place to land outside that is no more than 48 inches below the exterior window sill.

The emergency exit window in a bedroom was 47 inches from the ground and needed a step to make the interior sill height meet the 44 inches from flor requirement.

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