110-300-0106(3) · License applicants, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and aides must complete the child care basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

Three teachers who have been working at the center for over three months have not completed the initial child care basics training. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

The climbing play structure in the toddler playground was installed on turf with the required 6-foot fall zone not met. The ground cover did not meet safety requirements for climbing equipment. When requested, the director was unable to provide documentation verifying the ground cover's safety requiremens for the specific structure in use. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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): a tamper-resistant (TR) round cap was observed inserted into a bathroom outlet that had a TR cover installed. 110-300-0165(2)(c): a phone charger cord was observed plugged into an outlet at a level accessible to children in the preschool classroom. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

110-300-0165(2)(a): a tamper-resistant (TR) round cap was observed inserted into a bathroom outlet that had a TR cover installed. 110-300-0165(2)(c): a phone charger cord was observed plugged into an outlet at a level accessible to children in the preschool classroom. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

(g) The beginning enrollment date was not recorded in every file.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

MERIT was reviewed prior to the visit and again after visit. The licensor received an updated list of staff for the site. Several Staff were missing trainings and certifications for CPR/First Aid and Food Handlers class. Files Reviewed: J.M.was missing CPR/First Aid certificate, BBP, Basic STARS (not reflected in MERIT). Missing DCYF trainings: Safe Sleep, Emergency Prepardeness Training, Shaken Baby Syndrome, Medication Management, Children Experiencing Homelessness from their file and/or MERIT. K.H. was missing BBP from their file. A.M. was missing: Safe Sleep, CPR/First Aid, BBP, and Food Handlers from their file and/or MERIT. Y.C. was missing Basic STARS, Medication Training, Safe Sleep, Food Handlers, CPR/First Aid from their file and/or MERIT.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Add more drop areas under the slides on Preschool-Pre-K playground. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Program was observed to have clear outlet plugs in the sockets. Cording in rooms throughout was observed dangling. It appeared in some rooms the cording had been affixed to the wall and in compliance but had broke. One room also had a light table with cording. Ensure that plastic bags in restrooms are not accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Program was observed to have clear outlet plugs in the sockets. Cording in rooms throughout was observed dangling. It appeared in some rooms the cording had been affixed to the wall and in compliance but had broke. One room also had a light table with cording. Ensure that plastic bags in restrooms are not accessible to children. Some shelving units, kitchenette sets, and CD players in rooms were not secure. Shelving units on wheels need to have locked wheels. Room walls throughout were observed to have chipping paint and/or small holes from what appears to be where items/decor was previously hung from. The item is no longer there but the holes are. In one room the children coat hooks appeared not to be anchored and studded so the hoook has torn out of the wall leaving large holes and chipping paint around the holes. Water in some rooms: Infant 130.6 (diaper area) ,Toddler 1-131.7, Toddler 2 -130.6 restroom and 130.8. Diaper area was being occupied and the entire time we were in there and again during another pass through of the space so the water at the diaper sink was not checked.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Program was observed to have clear outlet plugs in the sockets. Cording in rooms throughout was observed dangling. It appeared in some rooms the cording had been affixed to the wall and in compliance but had broke. One room also had a light table with cording. Ensure that plastic bags in restrooms are not accessible to children. Some shelving units, kitchenette sets, and CD players in rooms were not secure. Shelving units on wheels need to have locked wheels. Room walls throughout were observed to have chipping paint and/or small holes from what appears to be where items/decor was previously hung from. The item is no longer there but the holes are. In one room the children coat hooks appeared not to be anchored and studded so the hoook has torn out of the wall leaving large holes and chipping paint around the holes. Water in some rooms: Infant 130.6 (diaper area) ,Toddler 1-131.7, Toddler 2 -130.6 restroom and 130.8. Diaper area was being occupied and the entire time we were in there and again during another pass through of the space so the water at the diaper sink was not checked. Outlets were tamper resistant but need to be repaired throughout the site. On some outlets it was observed that the top outlet was still intact but the bottom the shutters were not longer observed. There were some outlets that could not be checked because the covers were pressed in there and some were hard to get out. The outlet in the Pre-K room restroom was GFCI but not Tamper Resistant. It read WR-Weather Resistant. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0186(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. 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.

Child had Prescription Medical Treatment docs but no plan that documents actions that need to be taken at the different stages of the allergic reaction. There was no Individual Health Care Plan. Guidance was provided to director of where to find a plan on the King County Public Health website as well as the Medication Authorization form and log sheet. Child has an Individual Health Care Plan but did not have all the medication on site for the child. The child was missing the oral medication noted on her plan. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

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.

Child had Prescription Medical Treatment docs but no plan that documents actions that need to be taken at the different stages of the allergic reaction. There was no Individual Health Care Plan. Guidance was provided to director of where to find a plan on the King County Public Health website as well as the Medication Authorization form and log sheet. Child has an Individual Health Care Plan but did not have all the medication on site for the child. The child was missing the oral medication noted on her plan. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(i) · 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. 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.

Ointments were not labeled with first and last name of the child and need to ensure that all areas of the paperwork is filled out. Prescription medication was missing the required paperwork for the Epipen and Oral-Cetrizine. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Ointments were not labeled with first and last name of the child and need to ensure that all areas of the paperwork is filled out. Prescription medication was missing the required paperwork for the Epipen and Oral-Cetrizine.

Open Not marked corrected in the state record

Open / not marked corrected.