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;

One outlet by the sink in the bathroom was not GFCI and tamper-resistant. Licensor showed an example of the approved outlet to provider on site. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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).

1 out of 4 sampled child files did not have immunization record. 2 out of 4 files did not have current record on CIS. 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.

Ointment was used for an infant's skin condition without the medication authorization form. Risk WAC/RCW

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;

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0290(4) · An early learning provider must immediately remove sleeping children from car seats, swings, or similar equipment not designed for sleep unless doing so would put another enrolled child at risk.

Observed an infant being put to sleep in an infant swing and there was no playpen or crib available for this infant. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0291(1)(d) · An early learning provider must follow safe infant sleep practices when infants are napping or sleeping by following the current standard of American Academy of Pediatrics concerning safe sleep practices including SIDS/SUIDS risk reduction, including: (d) Sufficiently lighting the room in which the infant is sleeping to observe skin color;

The room where 3 infants were sleeping was too dark to observe infant skin color. Provider immediately opened the curtain to let light in as licensor requested on the day of inspection.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Storage closet in the nap/play room is accessible to children because the latch on the door was worn out.

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.

A small plastic climber was added to the playground without sufficient ground cover. WAC/RCW Correction Date Disputed Date Disputed 110-300-0145(6) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0145(6) · 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. Licensed outdoor play areas must be enclosed with a fence or barrier that is intended to prevent children from exiting and discourages climbing. If the outdoor play area is enclosed by a barrier that is not a fence, the barrier may be a wall constructed with brick, stone, or a similar material.

There is a small opening on the fence extension which posed a risk of children climbing out of playground. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0145(6) · Licensed outdoor play areas must be enclosed with a fence or barrier that is intended to prevent children from exiting and discourages climbing. If the outdoor play area is enclosed by a barrier that is not a fence, the barrier may be a wall constructed with brick, stone, or a similar material.

It was determined that the whole backyard will be licensed outdoor play area. There are two spots where it was elevated and a big rock next to fence making the fence height to be shorter than 4 feet on part of the fence. 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;

Observed window blinds with cords on the bathroom window.

Open Not marked corrected in the state record

Open / not marked corrected.