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 slide and a rocking alligator were placed directly on turf, requiring appropriate safety surfacing. A 9-inch depth of wood chips was not maintained in the critical fall zones around the climbing equipment. Risk WAC/RCW

Open Not marked corrected in the state record

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110-300-0165(2)(a) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (a) Making inaccessible to infants and toddlers any equipment, material, or objects that may pose a risk of choking, aspiration, or ingestion. For the purposes of this section, equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less are considered items that may pose a risk of choking, aspiration, or ingestion. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion;

110-300-0165(2)(a): The elctrical circle plugs were observed in the outlet in the classroom with children ages 18 month+. 110-300-0165(2)(c): Cords forming the loop were observed accessible to children in some classrooms. 110-300-0165(2)(d): Plastic bags were observed accessible to children in classroom #120. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

110-300-0165(2)(a): The elctrical circle plugs were observed in the outlet in the classroom with children ages 18 month+. 110-300-0165(2)(c): Cords forming the loop were observed accessible to children in some classrooms. 110-300-0165(2)(d): Plastic bags were observed accessible to children in classroom #120. 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.

110-300-0186(1): Individual care plans for children with allergies were expired for multiple children on medication. 110-300-0186(2): Allergy medication was expired for multiple children. Risk WAC/RCW

Open Not marked corrected in the state record

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110-300-0186(2) · An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

110-300-0186(1): Individual care plans for children with allergies were expired for multiple children on medication. 110-300-0186(2): Allergy medication was expired for multiple children. Risk WAC/RCW

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.

The medication authorization forms were expired for some children.

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

1st Aid Kits accessible to children in the playground area.

Open Not marked corrected in the state record

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