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;

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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;

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110-300-0290(3)(a)(b) · Sleep equipment not covered in WAC 110-300-0265 must: (a) Be approved by CPSC or ASTM International safety standards for use by infants and toddlers;(b) Cribs must have a certificate of compliance, sticker, or documentation from the manufacturer or importer stating the crib meets 16 C.F.R. 1219 and 1220;

The documentation from the manufacturer was not available during the monitoring visit. WAC/RCW Correction Date Disputed Date Disputed 110-300-0291(1)(h) Immediate 04/15/2024

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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; 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.

A thick fleece blanket was observed in a crib where a baby under 12 months old was sleeping. The provider removed the blanket from the crib after the licensor addressed the concern. WAC/RCW Correction Date Disputed Date Disputed 110-300-0210(1)(2) Long Term

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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).

Several children's files were observed to be missing updated immunization records. Dispute Description: After the visit I looked in the files and there are no missing Immunizations, Rivers chart was flagged, however in the back of his file is the print out from the state website After the visit I looked in the files and there are no missing Immunizations, Rivers chart was flagged, however in the back of his file is the print out from the state website WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(c) Short Term

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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;

Several children's files were missing dental and physician contact information. WAC/RCW Correction Date Disputed Date Disputed 110-300-0470(4)(d) Short Term 04/18/2024

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110-300-0470(4)(d) · 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 practice and record emergency drills with staff and children as follows: (d) Drills must be recorded on a department form and include: (i) The date and time of the drill; (ii) The number of children and staff who participated; (iii) The length of the drill; and (iv) Notes about how the drill went and how it may be improved.

The provider reported conducting fire drills but forgot to record them. WAC/RCW Correction Date Disputed Date Disputed 110-300-0505(1)(2) Long Term 04/18/2024

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110-300-0505(1)(2) · (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.

The provider did not have the following forms listed in WAC-0505 posted WAC/RCW Correction Date Disputed Date Disputed 110-300-0465(5) Long Term

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110-300-0465(5) · 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 keep the following records available for department review: (5) (a) The parent or guardian handbook; (b) Furniture, sleep, and play equipment forms and specifications; (c) Chromated copper arsenate test results, if applicable; (d) Annual fire inspection by qualified fire professional, if applicable; (e) Annual inspection of chimney, wood stove, and fireplace, if applicable; (f) Monthly inspection to identify fire hazards and elimination of such hazards; (g) Monthly testing of smoke and carbon monoxide detectors; (h) Monthly fire extinguisher inspection and annual maintenance; (i) Food temperature logs, pursuant to CACFP, if applicable; (j) Child incident and illness logs; (k) Vaccination records for pets or animals housed at the early learning provider program; (l) Lead and copper testing results; (m) Private well and septic systems inspection and testing results, if applicable; (n) Cleaning log for large area rugs or carpets; (o) Pesticide use (seven years); (p)Car insurance policy, if applicable; (q) Monthly site visit from child care health consultant, if applicable.; (r)Tacoma smelter inspection results; (s) Curriculum planning schedule; (t) Strengthening families program self-assessment or an equivalent assessment; (u) Documents from department visits (inspections, monitoring, compliance agreements, and safety plans); and (v) Waivers or variances from department rules, if applicable.

The dogs' vaccinations were not accessible for review during the monitoring visit.

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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;

There were a couple of buckets of small toys that posed a chocking hazard for an infant in the downstairs play area. A cord from a speaker hanging next to the crib. Plastic zip lock bags accessible to children in the kitchen. Two large shelves need to be secured in the downstairs area of the home. One outlet in the dining room and one in the TV room were not tamper-resistant. Dispute Description:

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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;

There were a couple of buckets of small toys that posed a chocking hazard for an infant in the downstairs play area. A cord from a speaker hanging next to the crib. Plastic zip lock bags accessible to children in the kitchen. Two large shelves need to be secured in the downstairs area of the home. One outlet in the dining room and one in the TV room were not tamper-resistant. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(5)(a) Short Term 12/08/2023

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110-300-0165(5)(a) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (a) In areas accessible to children, electrical outlets must have automatic shutters that only allow electrical plugs to be inserted (tamper-resistant) or that are covered by blank plates or other tamper-resistant covers appropriate to the electrical outlet;

There were a couple of buckets of small toys that posed a chocking hazard for an infant in the downstairs play area. A cord from a speaker hanging next to the crib. Plastic zip lock bags accessible to children in the kitchen. Two large shelves need to be secured in the downstairs area of the home. One outlet in the dining room and one in the TV room were not tamper-resistant. WAC/RCW Correction Date Disputed Date Disputed

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110-300-0170(3)(i) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (i) Extinguishers. An early learning provider must have and maintain working fire extinguishers that are marked with a minimum rating of 2A:10 BC. (i) Fire extinguishers must be located pursuant to the State Building Code chapter 51-54A WAC, as now and hereafter amended, and must be readily available for use in case of an emergency; (ii) Fire extinguishers must be located on each level of the early learning program space used by children and mounted within seventy-five feet of an exit next to the path of the exit; and (iii) If a fire extinguisher is mounted in a closet, there must be a sign indicating the location of the extinguisher and obstructions must not block access to the closet.

Fire extinguishers not mounted to the wall. Portable heater used in the downstairs play area. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious 12/08/2023

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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.

Aids do not have required health and safety trainings including child abuse and neglect reporting, emergency preparedness training, shaken baby syndrome, children experiencing homelessness, and safe sleep. WAC/RCW Correction Date Disputed Date Disputed 110-300-0480(2) Serious 12/08/2023

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110-300-0480(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. During travel to an off-site activity, an early learning provider must: (a) Have the health history, appropriate medication (if applicable), emergency information, and emergency medical authorization forms accessible for each child being transported; (b) Have a phone to call for emergency help; (c) Have a complete first-aid kit; (d) Maintain the staff-to-child ratio, mixed groupings, and active supervision requirements; (e) Have a current first aid and CPR certification pursuant to WAC 110-300-0106 (11); (f) Take attendance using a roll call or other method that assures all children are accounted for each time children begin and end travel to an off-site activity, and every time children enter and exit a vehicle; and (g) Never leave children unattended in the vehicle.

Provider not taking children's health history and emergency information on off-site activities. Provider not taking 1st Aid Kit on off-site activities.

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110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

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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;

Sliding glass door did not have stickers. One of the cribs had peeling paint. Electrical outlets are not temper-resistant. Bathroom outlet is not GFCI. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(c) Serious

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