110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC.

One provider, Jhardan did not have background clearance and has been working with children. It shows as "withdrawn" in MERIT. She was asked to leave the premises when the providers learned of this. Risk WAC/RCW

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110-300-0106(10) · Early learning providers who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

The providers did not realize BBP was an annual training requirement. Therefore, all providers who did not complete First Aid/CPR/BBP in the last year do not have current BBP training. The following providers have expired Food Handler's Permits: Sangita, Janessa, Sindy and Jacqueline. Child Care Basics has not been completed by Jharman and she has been employed for more than three months. The following providers do not have current Safe Sleep training: Sucharita, Julia, Marisa, Fikrije, Jharman, Keturah, and Jacqueline. Risk WAC/RCW

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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.

The providers did not realize BBP was an annual training requirement. Therefore, all providers who did not complete First Aid/CPR/BBP in the last year do not have current BBP training. The following providers have expired Food Handler's Permits: Sangita, Janessa, Sindy and Jacqueline. Child Care Basics has not been completed by Jharman and she has been employed for more than three months. The following providers do not have current Safe Sleep training: Sucharita, Julia, Marisa, Fikrije, Jharman, Keturah, and Jacqueline. Risk WAC/RCW

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License applicants and early learning providers licensed to care for infants must complete the safe sleep training as approved or offered by the department. This training must be completed annually and: (a) Prior to being licensed; (b) Prior to caring for infants; or (c) According to subsection (1) of this section.

The providers did not realize BBP was an annual training requirement. Therefore, all providers who did not complete First Aid/CPR/BBP in the last year do not have current BBP training. The following providers have expired Food Handler's Permits: Sangita, Janessa, Sindy and Jacqueline. Child Care Basics has not been completed by Jharman and she has been employed for more than three months. The following providers do not have current Safe Sleep training: Sucharita, Julia, Marisa, Fikrije, Jharman, Keturah, and Jacqueline. Risk WAC/RCW

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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;

A dangling cord for a CD player was observed in Preschool A. It was made inaccessible immediately. The kitchen was unlocked and stoves were accessible to children as a result. Plastic gloves and bags were accessible to children in DP "B" room. Sharp corners are accessible to children on corners of A.C. units in multiple classrooms. Rust is visible on faucets in Pre-K, Preschool, Discovery Preschool bathroom. Corners of windowsills in infant and toddler rooms have sharp edges. Risk

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110-300-0215(3)(d) · An early learning provider must return a child's unused medication to that child's parent or guardian. If this is not possible, a provider must follow the Food and Drug Administration (FDA) recommendations for medication disposal.

Diaper creams/ointments do not have medication authorization forms with them. They do not have first and last name. One did not have a name at all. Expired and un-used medication has not been returned to parents for multiple children. Risk WAC/RCW

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110-300-0165(3)(b) · 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: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

A dangling cord for a CD player was observed in Preschool A. It was made inaccessible immediately. The kitchen was unlocked and stoves were accessible to children as a result. Plastic gloves and bags were accessible to children in DP "B" room. Sharp corners are accessible to children on corners of A.C. units in multiple classrooms. Rust is visible on faucets in Pre-K, Preschool, Discovery Preschool bathroom. Corners of windowsills in infant and toddler rooms have sharp edges. Risk WAC/RCW

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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.

The provider has not requested an annual fire inspection. The fans above the stoves are dusty and do not appear to be cleaned regularly. Risk WAC/RCW

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110-300-0197(4) · Food must be stored as follows: (a) In original containers or in clean, labeled, dated, and airtight food grade containers, if appropriate. (b) Food not required to be refrigerated or frozen must not be stored directly on the floor; (c) In a manner that prevents contamination; (d) Food and food service items (such as utensils, napkins, and dishes) must not be stored in an area with toxic materials (such as cleaning supplies, paint, or pesticides); (e) Food that is past the manufacturer's expiration or “best served by” date must not be served to enrolled children; and (f) Raw meat must be stored in the refrigerator or freezer below cooked or ready to eat foods.

This licensor could not locate thermometers in two of three refrigerator and freezer combinations. Expired carrots were in fridge. They were thrown out immeidiately. A number of food items in the freezer are not labeled and dated. Some crackers, taken out of original packaging, do not have expiration dates. Leftover soup dated 09.11.2024 was observed in a refrigerator. 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).

Three of five child files reviewed do not have current immunization records or records at all. Risk

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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.

Diaper creams/ointments do not have medication authorization forms with them. They do not have first and last name. One did not have a name at all. Expired and un-used medication has not been returned to parents for multiple children. Risk WAC/RCW

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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.

Diaper creams/ointments do not have medication authorization forms with them. They do not have first and last name. One did not have a name at all. Expired and un-used medication has not been returned to parents for multiple children. Risk WAC/RCW

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110-300-0230(1) · Family home licensees, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must have a current pediatric and adult first-aid and CPR certificate, pursuant to WAC 110-300-0106 (11).

The providers recall that provider Marisa was at First Aid/CPR training but could not locate verification of training for her. Risk WAC/RCW

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110-300-0241(6) · Toileting and diaper changing areas including, but not limited to, toilets, counters, sinks, and floors must be cleaned and disinfected daily or more often as needed.

Stoves and microwave oven in kitchen are not cleaned and sanitized between uses. Toilets, counters, sinks and floors in several bathrooms are not cleaned and disenfected daily or more often as needed. Large soft turtle chair in Preschool A is not cleaned and sanized weekly. Diaper changing areas are not cleaned entirely in several classrooms, the pad only has changed. Risk WAC/RCW

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110-300-0241(7) · Diaper changing tables and changing pads must be cleaned and disinfected between children, even if using a nonabsorbent covering that is discarded after each use.

Stoves and microwave oven in kitchen are not cleaned and sanitized between uses. Toilets, counters, sinks and floors in several bathrooms are not cleaned and disenfected daily or more often as needed. Large soft turtle chair in Preschool A is not cleaned and sanized weekly. Diaper changing areas are not cleaned entirely in several classrooms, the pad only has changed. Risk WAC/RCW

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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;

Cleaning supplies were accessible to children in the Infant room because the cabinet was unlatched. The supply closet in the halllway was unlatched and unlocked and contained paint. A supply cabinet in the hallway is unlatched/unlocked contained paint. The paint in the supply cabinet has been made inaccessible. DP "B" had bleach accessible in bathroom. It was made inaccessible immediately. Risk WAC/RCW

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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;

Cleaning supplies were accessible to children in the Infant room because the cabinet was unlatched. The supply closet in the halllway was unlatched and unlocked and contained paint. A supply cabinet in the hallway is unlatched/unlocked contained paint. The paint in the supply cabinet has been made inaccessible. DP "B" had bleach accessible in bathroom. It was made inaccessible immediately. Risk WAC/RCW

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110-300-0345(5)(b) · An early learning provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

Most interior doors that lead to other classrooms do not have chimes or alarms to sound when noticed. Alarms on some doors have chimes that were turned off on doors to the hallway.

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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;

Janitor's closet was unlcocked today.

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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.

1 year old child's Individual Care Plan is missing substitutions for allergen food (peanuts). The ICP is not signed by a health care provider. Two year old child with life threatening food allergy does not have ICP in place at all. Both of these children's epi pens on site are expired. The one year old on site has a cup vs. a syringe to adminster the Benadryl which is one of their rescue medications.

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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.

1 year old child's Individual Care Plan is missing substitutions for allergen food (peanuts). The ICP is not signed by a health care provider. Two year old child with life threatening food allergy does not have ICP in place at all. Both of these children's epi pens on site are expired. The one year old on site has a cup vs. a syringe to adminster the Benadryl which is one of their rescue medications. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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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.

Not all children's prescription medication was accompanied with a medication authorization form. Two epi-pens were on site today for children who no longer attend care at the Center. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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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; 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.

One Preschool-B had gloves and garbage bags accessible to children in care. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(c) Serious

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110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

Several classroom fire exit doors were blocked by sleeping children on cots or empty cots. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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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.

Sucharita Lead Safe Sleep expired 09.12.2023 April Assistant No First Aid No CPR No EQEL Training, Year One due by 12.31.2021, Year Two by 12.31.2022

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110-300-0106(4) · Early learning providers must complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030.

Sucharita Lead Safe Sleep expired 09.12.2023

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110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC. 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.

Cook Ma'ayan Williams does not have a portable background check in process and has been employed since September 2023. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

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