To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (b) Exit doors that are not designated as an emergency exit door may be locked during operating hours. Locking interior doors in early learning program space must be designed to be unlocked from either side. An unlocking device must be readily available; and

a key is not available to unlock the bathroom door Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-300-0166(3)(c) Serious

110-300-0166(3)(b) · Correction status not published

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's registration paperwork states an allergy to peanuts. An individual care plan is not on file. The required information is not available in written format. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-300-0197(4) Term

Bouncing equipment including, but not limited to, trampolines, rebounders, and inflatable equipment must be inaccessible and locked. This requirement does not apply to bounce balls designed to be used by individual children.

0146(4) Trampoline was unlocked at the time of inspection. Provider locked the trampoline at the time of inspection. Risk WAC/RCW

110-300-0146(4) · Correction status not published

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) One of the kitchen cupboards that had items that are labeled "keep out of reach of children" was accessible to children.

110-300-0260(1)(a) · Correction status not published

(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).

Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

Provider had dangerous substances stored under the bathroom and kitchen sink that were accessible to children. Playground storage area where power tools are stored was unlocked and accessible to children. Unlicensed space (office) left open and accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

110-300-0260(2)(a)(b) · Correction status not published

Pets or other animals that have contact with children must: (a) Have all required vaccinations, pursuant to local and county regulations; (b) Show no signs of illness, disease, worms, or parasites. If these symptoms appear, the pet or animal must be removed from the licensed space until appropriately treated for the condition; and (c) Be nonaggressive. If the pet or animal exhibits aggressive behavior, the pet or animal must be removed from the licensed space.

Provider has a kitten and fish in the home. There is no pet policy. The cat needs a proof of vaccination. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

110-300-0225(3) · Correction status not published

Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

Provider had dangerous substances stored under the bathroom and kitchen sink that were accessible to children. Playground storage area where power tools are stored was unlocked and accessible to children. Unlicensed space (office) left open and accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious