110-300-0290(3)(d) · Sleep equipment not covered in WAC 110-300-0265 must: (d) Have a tight-fitted sheet that is designed for the sleep equipment;

One of the two cribs was missing a fitted sheet.

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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.

The individual care plan form was not observed or was expired. Risk WAC/RCW

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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;

Aerosol spray and plastic bags were observed in a drawer in the entry room, with no safety locks in place. Another sanitizing solution was observed in the storage room placed on the floor. Provider removed the items during the visit. Risk WAC/RCW

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110-300-0165(4)(e) · To ensure a safe environment for children in care, an early learning provider must comply with the following requirements: (e) Safe water temperature. All water accessible to enrolled children must not be hotter than 120 degrees Fahrenheit.

2g) The crib has been moved to under a window. 12/6/23- the crib was moved to a wall without a window-immediately. 4e) the water temperature at the bathroom sink tested at 126 degrees F. 12/22/23- a video showing the water temperture lowered was sent WAC/RCW Correction Date Disputed Date Disputed 110-300-0505(1)(2) Long Term

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110-300-0505(1)(2) · 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. (1) Postings listed in subsection (2) of this section that are part of an early learning program must be clearly visible to parents, guardians, and early learning program staff. (2) Postings on early learning premises must include: (a) The child care license, pursuant to WAC 110-300-0010; (b) Floor plan with emergency routes and exits identified in each child care area, pursuant to WAC 110-300-0400(1)(b)(i) and 110-300-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-300-0186(8); (d)Handwashing practices at each handwashing sink, pursuant to WAC 110-300-0200(1); (e) If applicable, diaper changing or stand-up diapering procedure at each diapering station, pursuant to WAC 110-300-0220 and 110-300-0221(1)(d); (f) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (g) Emergency numbers and information, including but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department’s toll-free number; (iv) Washington poison center toll-free number; and (v) The department’s child protective services; (h) The location of emergency medical information for children and staff; (i) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (j) A notice of safe sleep violation in the licensed space as required by WAC 110-300-0291(2), if applicable; (k) “No smoking” and “No vaping” signs, pursuant to WAC 110-300-0420(2)(f); (l) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (m) Insurance coverage, or a lapse or termination of such coverage if applicable, pursuant to RCW 43.216.700; and (n) Any other information listed in RCW 43.216.687.

HAnd washing procedure is not posted at the kitchen sink where hands were washed. The location of emergency medical information is not posted (where can child files and staff files be found). A statement addressing RCW 43.216.687 is not available ("Additional licensing information is available upon request")

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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.

A child is said to be allergic to milk. An ICP is not on file. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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110-300-0166(3)(a) · 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. To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (a) Emergency exit doors must remain unlocked from the inside, but may be locked from the outside while the early learning program is open. The door handle must be of the type that can be opened from the inside without the use of a key, tools, or special knowledge, and must automatically unlock when the knob or handle is turned;

The front door was locked after licensor entered the home. Licensor unlocked the door and explained it needed to be unlocked. It remained unlocked during the visit. WAC/RCW Correction Date Disputed Date Disputed 110-300-0345(5)(b) Short Term

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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;

The back door was not heard when opened. The device that sounds was unplugged slightly. It was plugged back in and sounded when the back door was open. WAC/RCW Correction Date Disputed Date Disputed 110-300-0110(2) Long Term

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110-300-0110(2) · 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. (2) Early learning program staff policies must include, but are not limited to: (a) All of the information in the parent or guardian handbook except fees; (b) Job descriptions, pay dates, and benefits; (c) Professional development expectations and plans; (d) Expectations for attendance and conduct; (e) Early learning program staff responsibilities for: (i) Child supervision requirements, including preventing children's access to unlicensed space; (ii) Child growth and development; (iii) Developmentally appropriate curriculum; (iv) Teacher-child interaction; (v) Child protection, guidance, and discipline techniques; (vi) Safe sleep practices, if applicable; (vii) Food service practices; (viii) Off-site field trips, if applicable; (ix) Transporting children, if applicable; (x) Health, safety, and sanitization procedures; (xi) Medication management procedures; (xii) Medical emergencies, fire, disaster evacuation and emergency preparedness plans; (xiii) Mandatory reporting of suspected child abuse, neglect, and exploitation, per RCW 26.44.020 and 26.44.030 and all other reporting requirements; (xiv) Implementation of child's individual health care or special needs plan; (xv) Following nonsmoking, vaping, alcohol and drug regulations; (xvi) Overnight care, if applicable; (xvii) Religious, equity and cultural responsiveness; (xviii) Nondiscrimination; (xviv) Planned daily activities and routines. (f) Staff responsibilities if the family home licensee, center director, assistant director, or program supervisor is absent from the early learning program; (g) A plan that includes how both administrative and child caretaking duties are met when a job requires such dual responsibilities; and (h) Observation, evaluation, and feedback policies.

Staff training has not been documented. The staff policy does not appear to cover: Religious, equity and cultural responsiveness; (xviii) Nondiscrimination; A plan that includes how both administrative and child caretaking duties are met when a job requires such dual responsibilities; and (h) Observation, evaluation, and feedback policies, Professional development expectations and plans, Following nonsmoking, vaping, alcohol and drug regulations;

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