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.

110-300-0106(10) - Four staff member did not complete the BBP class, and three other staff members did not repeat the class as required by Washington State Department of Labor and Industries regulations. 110-300-0106(11) - Five staff members did not complete the CPR and First Aid class. 110-300-0106(12) - Four staff member did not obtain a food worker card. 110-300-0106(3) - Four staff member did not complete the initial child care basics training. Risk WAC/RCW

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110-300-0240(2)(f) · (f) If an early learning provider uses a product other than bleach, including wipes, to sanitize or disinfect, the product must be: (i) Approved by the department prior to use; (ii) Used by trained staff only; (iii) Registered with the EPA and have safety data sheets (SDS) available; (iv) Used in accordance with the manufacturer's label, which must include: (A) Directions for use; (B) A description of the safety precautions, procedures, and equipment that must be used for mixing the substitute product concentration, if applicable; (C) A description of the safety precautions and procedures if the substitute product contacts skin or is inhaled, if applicable; and (D) A description of the procedures and safety precautions for rinsing cleaned areas and cleaning equipment, if applicable. (v) Labeled as safe to use on food surfaces if the product will be used to sanitize: (A) Food contact surfaces; or (B) Items such as eating utensils or toys used by the child or put into the child's mouth; and (vi) Fragrance-free.

110-300-01240(2)(c) - This licensor did not observe the three-step cleaning process being followed. Water Step: This step/bottle was not observed in any classroom. Soap Step: The soapy water bottle was observed, and staff reported that this bottle was their combined "water and soap" step. Sanitizing Step: This licensor did not observe any bottle labeled for sanitation. Disinfectant Step: The bottles with disinfectant were nearly empty or not used, as reported by the staff. 110-300-0240(2)(f): The bottle used for cleaning, as reported by the staff, was used on every surface, including bathrooms, diaper-changing areas, and classrooms. These areas were cleaned with QSR glass and multi-surface cleaner. No information regarding the cleaner, nor a waiver to use it, was observed in the facility. 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.

110-300-0186(1): The individual care plan observed with the medication was expired and did not contain all the necessary information listed in this WAC. 110-300-0186(2): Benadryl was listed in the medication authorization form, but the program did not obtain it from the parents. Risk WAC/RCW

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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.

110-300-0186(1): The individual care plan observed with the medication was expired and did not contain all the necessary information listed in this WAC. 110-300-0186(2): Benadryl was listed in the medication authorization form, but the program did not obtain it from the parents. 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) / (a)(b) - The sanitizing products were stored on a lower shelf within reach of children, in an open storage area in both the school age and Pre-K classrooms. The storage areas had a locking mechanism on top, which was left open. Risk WAC/RCW

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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;

110-300-0260(1)(a) / (a)(b) - The sanitizing products were stored on a lower shelf within reach of children, in an open storage area in both the school age and Pre-K classrooms. The storage areas had a locking mechanism on top, which was left open. 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;

The rolls of plastic bags were stored on a lower shelf within reach of children, in an open storage area in both the school age and Pre-K classrooms. The storage areas had a locking mechanism on top, which was left open. Risk WAC/RCW

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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.

The medication authorization form observed was expired. Risk WAC/RCW

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110-300-0345(3) · An early learning provider must supervise children in care by: (a) Scanning the environment looking and listening for both verbal and nonverbal cues to anticipate problems and plan accordingly; (b) Visibly checking children on many occasions with little time in between; (c) Positioning him or herself to supervise all areas accessible to children; (d) Attending to children and being aware of what children are doing at all times; (e) Being available and able to promptly assist or redirect a child as necessary; and (f) Considering the following when deciding whether increased supervision is needed: (i) Ages of children; (ii) Individual differences and abilities of children; (iii) Layout of the indoor and outdoor licensed space and play area; (iv) The risk associated with the activities children are engaged in; and (v) Any nearby hazards including those in the licensed or unlicensed space.

One staff member was observed talking on the phone with a personal conversation unrelated to daycare needs while children were playing outside. When the licensor approached the staff member and asked how many children were in her care, the staff initially said 9, but a count of the children showed only 7. The staff then corrected herself by counting the children together with the licensor. No children had been picked up since the staff member went outside.

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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.

There is an epi-pen in the preschool room without any paperwork with it. There is no documentation that the staff have been trained on the epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious 03/14/2024

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110-300-0186(1) · 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 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.

There is an epi-pen in the preschool room without any paperwork with it. There is no documentation that the staff have been trained on the epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 03/14/2024

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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.

There is medication for a child with asthma but there is no medication authorization form with it. Diaper creams in several classrooms do not have the child's full name on them. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious 03/14/2024

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110-300-0215(3)(a)(ii) · 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: (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.

There is medication for a child with asthma but there is no medication authorization form with it. Diaper creams in several classrooms do not have the child's full name on them. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious 03/14/2024

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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.

Rebekah Andersen and Hawk Potter do not have their initial training completed in Merit. Loan Le's food handlers card is expired in Merit.

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