110-300-0291(1)(h) · 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: (h) Not allowing a blanket or any other item to cover or drape over an occupied crib, bassinet, or other equipment where infants commonly sleep;

110-300-0291(1)(h) When licensor arrived to the child care home, there was an infant sleeping on the baby bouncer seat with a blanket. Risk WAC/RCW

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110-300-0145(12) · Outdoor play areas must have two exits that must not be partially or entirely blocked. At least one of the two exits must not lead back into licensed indoor space.

110-300-0145(11) Outdoor emergency exit gate self-closing and self-latching did not perform at the time of the visit. 110-300-0145(12) At the time of visit emergency exit gate had a bottom hook making it entirely blocked from it opening. Risk WAC/RCW

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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.

110-300-0145(1)(a)(b) At the time of the visit there was an outdoor climbing red slide that was placed on grass and did not have appropriate ground cover. 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.

110-300-0170(2) At the time of the visit there was no up to date fire inspection.

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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).

110-300-0210(2)(a) at the time of the visit two child files reviewed by licensor did not have a filled out CIS form with immunization dates. 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;

110-300-0260(1)(a) At the time of visit there was a shark brand swiffer in the kitchen accessible. 110-300-0260(2)(a)(b) At the time of the visit there were two unlicensed rooms not locked nor inaccessible. Risk WAC/RCW

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

110-300-0260(1)(a) At the time of visit there was a shark brand swiffer in the kitchen accessible. 110-300-0260(2)(a)(b) At the time of the visit there were two unlicensed rooms not locked nor inaccessible. Risk WAC/RCW

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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.

110-300-0290(3)(d) At the time of the visit, both play pens used by toddlers did not have a fitted sheet. 110-300-0290(4) When licensor arrived to the child care home, there was an infant sleeping on the baby bouncer seat. Risk WAC/RCW

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110-300-0460(2) · Each child's enrollment record must include the following: (a) The child's birth date; (b) An enrolled child’s parent or guardian's phone numbers, address, and contact information for reaching the family while the child is in care; (c) Emergency contact information. If no emergency contact is available, a written and signed emergency contact plan may be accepted; (d) Names and phone numbers of persons authorized to pick up enrolled children; (e) A plan for special or individual needs of the child, if applicable, including parent or guardian signature, pursuant to WAC 110-300-0300; (f) Signed parent or guardian permissions, pursuant to WAC 110-300-0450 as applicable for: (i) Field trips; (ii) Transportation; (iii) Bathing; (iv) Water activities including swimming pools or other bodies of water; and (v) Photo, video, or surveillance activity. (g) The beginning and end enrollment date for children no longer in the early learning program’s care; (h) Physical restraint documentation pursuant to WAC 110-300-0335, if applicable; (i) Expulsion information, documentation, and steps taken to avoid expulsion, if applicable; (j) Termination of services documentation and communication, if applicable; and (k) Notification of child developmental screening information given to the child’s parent or guardian, if applicable.

110-300-0460(2)At the time of the visit one child file reviewed by licensor did not have date of birth on registration form. At the time of the visit providers child did not have a filled out regstration on site. 110-300-0460(4)(e) One child file reviewed by the licensor at the time of the visit did not have medical nor dental care provider names and contact information. Risk WAC/RCW

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110-300-0460(4)(e) · A health record must include: (e) Medical and dental care provider names and contact information or what facility parents or guardians would prefer for treatment;

110-300-0460(2)At the time of the visit one child file reviewed by licensor did not have date of birth on registration form. At the time of the visit providers child did not have a filled out regstration on site. 110-300-0460(4)(e) One child file reviewed by the licensor at the time of the visit did not have medical nor dental care provider names and contact information.

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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;

110-300-0165(5)(b) At the time of the visit there was an outlet near bathroom sink that was not GFCI and tamper resistant, only GFCI. Risk WAC/RCW

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110-300-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. An early learning provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

110-300-0215(3)(c)(i) At the time of the visit there was a medication soft gels accessible in the cabinet drawer in the entrance.

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