110-300-0106(11) · 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 be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable.

WAC 110-300-0106(10): At the time of the site visit there was no verification of current annual bodily fluid training for staff members C Heitzmen, J Scaffe, and B Flores Munoz, and L Eldredge. WAC 110-300-0106(11): At the time of the site visit there was no verification of current CPR/First aid training for staff member L Eldredge.

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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.

WAC 110-300-0106(10): At the time of the site visit there was no verification of current annual bodily fluid training for staff members C Heitzmen, J Scaffe, and B Flores Munoz, and L Eldredge. WAC 110-300-0106(11): At the time of the site visit there was no verification of current CPR/First aid training for staff member L Eldredge. WAC 110-300-0106(12): At the time of the site visit there was no verification of current food handlers card for staff member B Thorpe. WAC 110-300-0106(8): At the time of the site visit staff member J Scaffe did not have verification of current annual safe sleep training. Risk WAC/RCW

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110-300-0106(8) · 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.

WAC 110-300-0106(10): At the time of the site visit there was no verification of current annual bodily fluid training for staff members C Heitzmen, J Scaffe, and B Flores Munoz, and L Eldredge. WAC 110-300-0106(11): At the time of the site visit there was no verification of current CPR/First aid training for staff member L Eldredge. WAC 110-300-0106(12): At the time of the site visit there was no verification of current food handlers card for staff member B Thorpe. WAC 110-300-0106(8): At the time of the site visit staff member J Scaffe did not have verification of current annual safe sleep training. 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;

WAC 110-300-0165(2)(d): At the time of the site visit there were plastic garbage bags in a basket located in the diaper changing area in the toddler 2 room; under the bottom cabinet below the sink in the preschool room; in a cupboard in the infant room; and two garbage bags in the diaper changing area in the infant room which were all accessible to children. WAC 110-300-0165(3)(g): At the time of the site visit there was flaking paint on the border around the doorway of the early preschool room, on the window sills in the classrooms and on a food shelf in the kitchen pantry area. Risk WAC/RCW

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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.

WAC 110-300-0186(1): There are two children who attend the child care who have a special dietary requirement and they do not have an individual care plan from the child's health care provider. 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;

WAC 110-300-0260(2)(a)(b): At the time of the site visit there was shaving cream on a low shelf in a storage cabinet that partially open and accessible to the children; Febreze and hand sanitizer in the staff bathroom off from the pre-k rooms (with the door open and items on a low shelf); glass cleaner/bathroom cleaner spray; bleach water solution low enough to be accessible to the children in the pre-k room and the preschool room as well as the toddler room. WAC 110-300-0260(1)(b): At the time of the site visit there were a multiple storage rooms throughout the classrooms that were accessible to the children with one in the preschool room with an wide open bag of potting soil; others with stackable items that could be a falling hazard and items such as shaving cream; plastic garbage bags; etc.

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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;

WAC 110-300-0260(2)(a)(b): At the time of the site visit there was shaving cream on a low shelf in a storage cabinet that partially open and accessible to the children; Febreze and hand sanitizer in the staff bathroom off from the pre-k rooms (with the door open and items on a low shelf); glass cleaner/bathroom cleaner spray; bleach water solution low enough to be accessible to the children in the pre-k room and the preschool room as well as the toddler room. WAC 110-300-0260(1)(b): At the time of the site visit there were a multiple storage rooms throughout the classrooms that were accessible to the children with one in the preschool room with an wide open bag of potting soil; others with stackable items that could be a falling hazard and items such as shaving cream; plastic garbage bags; etc.

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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.

It was observed that the preschool playground has a large outdoor climber and does not have enough wood chips. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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110-300-0106(12) · 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. 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.

It was observed that staff had expired CPR cards and the licensor was unable to verify in MERIT. It was observed that staff had expired foodhandlers cards and the licensor was unable to verfiy in MERIT. It was observed that staff did not complete the Safe Sleep Training and the licensor was unable to verfiy in MERIT. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

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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.

It was observed by the licensor that the program had medication on hand, but did not have written and signed consent from the child's doctor or parent. It was observed that the program had the doctor's orders but did not have the medication on hand. 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.

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