110-300-0115(3) · A licensee, center director, assistant director, or program supervisor must maintain the following records for each early learning provider and program staff in a confidential manner. These records must be reviewable by the department and must include at a minimum: (a) A copy of current government issued photo identification; (b) Emergency contact information; (c) Completed employment application or resume; (d) Annual observation, evaluation, and feedback information; (e) The licensee’s Social Security Number, Federal EIN, or a written document stating the licensee does not possess either; and (f) Immunization records including exemption documents (center early learning programs only.)

(3) 4 staff files that were reviewed were missing emergency contacts. Two staff files that were reviewed were missing MMRs. One staff file that was reviewed was missing a TB test result and had a document stating that this employee was supposed to go back to the clinic to have their result read and their food handlers card expired on 7/25/24. One staff file that was reviewed had a BBP training that expired on 2/11/24.

Open Not marked corrected in the state record

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110-300-0165(3)(f) · 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: (f) Falling objects. Large objects that pose a risk of falling or tipping must be securely anchored. Large objects include, but are not limited to, televisions, dressers, bookshelves, wall cabinets, sideboards or hutches, and wall units;

(2)(c) There were multiple cords that were connected to a power strip that were accessible to children in the Bears/Kindergarten classroom. (3)(f) Bookshelves in the Toddler classroom, the Otters/Preschool classroom, and in the Bears/Kindergarten room need to be anchored to the wall to avoid them from falling over. The bookshelf in the Otters/Preschool classroom needs to be fastened because it is loose. The bookshelf in the Bears/Kindergarten room that needs to be anchored has a fish tank on top. 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.

(1) A child who has an egg allergy was missing an individual care plan in their file. Risk WAC/RCW

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(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.

(1)(2) There was no statement of where staff and child files can be found in case of an emergency. There was no document stating if the center has liability insurance or not. Two bathrooms in the Otter/Preschool and Pre-K/Eagles classrooms were missing stand-up diapering procedures.

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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;

0165(2)(a) Magnets with small pieces that can become detached accessible to toddlers. 0165(2)(d) Plastic bags accessible to children in the bathroom.

Open Not marked corrected in the state record

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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.

0186(1) The Individual care plan for a child with food allergy does not have information about which food the child is allergic to, appropriate substitute foods, and description of syptoms and allergic reactions of child's specific allergies. 0186(2) Parents have not trained staff on the use of medication. Medical provider has not signed the form. Risk WAC/RCW

Open Not marked corrected in the state record

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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.

0186(1) The Individual care plan for a child with food allergy does not have information about which food the child is allergic to, appropriate substitute foods, and description of syptoms and allergic reactions of child's specific allergies. 0186(2) Parents have not trained staff on the use of medication. Medical provider has not signed the form. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0165(2)(a) Magnets with small pieces that can become detached accessible to toddlers. 0165(2)(d) Plastic bags accessible to children in the bathroom. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0260(1)(a) A large soap container marked "keep out of reach of children" stored next to the toilet. 0260(2)(a)(b) A key was left in the door handle of the storage room. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0260(1)(a) A large soap container marked "keep out of reach of children" stored next to the toilet. 0260(2)(a)(b) A key was left in the door handle of the storage room. 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.

0106(12) Staff missing food worker's permits. 0106(4) Staff working alone in an infant room did not have child abuse and neglect training. Risk

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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.

0106(12) Staff missing food worker's permits. 0106(4) Staff working alone in an infant room did not have child abuse and neglect training.

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.

0186(1) The Individual care plan for a child with food allergy does not have information about which food the child is allergic to, appropriate substitute foods, and description of syptoms and allergic reactions of child's specific allergies. 0186(2) Parents have not trained staff on the use of medication. Medical provider has not signed the form.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

0186(1) The Individual care plan for a child with food allergy does not have information about which food the child is allergic to, appropriate substitute foods, and description of syptoms and allergic reactions of child's specific allergies. 0186(2) Parents have not trained staff on the use of medication. Medical provider has not signed the form. 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.

Playground climbing structure not intended for comercial use. Shock absorbing material doesn't have installation instructions and paperwork does not specify the thickness of the rubber flooring. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0165(2)(a) Magnets with small pieces that can become detached accessible to toddlers. 0165(2)(d) Plastic bags accessible to children in the bathroom. 0165(2)(f) Glass french doors in the playroom are missing stickers at children's eye level. 0165(3)(f) Upper cabinets had large unsecured heavy objects placed on top of them. Risk WAC/RCW

Open Not marked corrected in the state record

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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;

0165(2)(a) Magnets with small pieces that can become detached accessible to toddlers. 0165(2)(d) Plastic bags accessible to children in the bathroom. 0165(2)(f) Glass french doors in the playroom are missing stickers at children's eye level. 0165(3)(f) Upper cabinets had large unsecured heavy objects placed on top of them.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

0260(1)(a) A large soap container marked "keep out of reach of children" stored next to the toilet. 0260(2)(a)(b) A key was left in the door handle of the storage room. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

0260(1)(a) A large soap container marked "keep out of reach of children" stored next to the toilet. 0260(2)(a)(b) A key was left in the door handle of the storage room. Risk WAC/RCW

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.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

0106(3) 0106(4) 0106(5) 0106(6) 0106(7) 0106(8) 0106(11) 0106(12) Staff working alone in an infant room did not have any of the required trainings in order to work alone. She did not have safe sleep traning. There was no proof that she has been trained on emergency preparedness plan. 0106(1) Several staff missing Basic training after 3 months of employment. 0106(11) Several staff have expired CPR/1st Aid Trainings. 0106(10) Staff missing BBP training. 0106(12) Staff missing food worker's permits.

Open Not marked corrected in the state record

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