Prior to licensing, exiting mechanisms on gates from a licensed outdoor play area to unlicensed space must be equipped with a self-closing and self-latching mechanism (shuts automatically when released from an individual’s control). A gate that is not an emergency exit must be locked or self-closing and self-latching.

At the time of this inspection, licensor observed the gate in the outdoor play area was not self latching. 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.

At the time of this inspection, licensor observed a slide with stairs intended for climbing located in the outdoor play area placed on top of packed soil and grass. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0166(3)(a) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (a) Emergency exit doors must remain unlocked from the inside, but may be locked from the outside while the early learning program is open. The door handle must be of the type that can be opened from the inside without the use of a key, tools, or special knowledge, and must automatically unlock when the knob or handle is turned;

0166(2)(b) At the time of this inspection, licensor observed that the provider did not have sufficient back up power for a phone to function for at least 5 hours.

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.

At the time of this inspection, assistant teacher stated that 2 enrolled children in care have a dairy allergy. Provider does not have individual care plans on file for these children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records.

At the time of this inspection, licensor observed the provider had not entered and maintained the electronic workforce registry (MERIT) to include assistant teacher's high school education, and first aid, CPR, and safe sleep trainings. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0230(2)(f) · A first-aid kit must: (f) Have sufficient supplies for the number of enrolled children and staff consistent with the early learning program's licensed capacity, or sufficient supplies for each room in the licensed space.

At the time of this inspection, licensor observed the first aid kit was lacking in sufficient supplies for the children and staff consistent with the program's licensed capacity. Licensor observed the first aid kit was missing tweezers, ice packs, elastic wrapping bandage, sling or large triangular bandage, a current first-aid manual and hand sanitizer. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0230(3) · (3) A first-aid kit must include: (a) Disposable nonporous protective nonlatex gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use; (i) A sling, or a large triangular bandage; (j) Adhesive tape; (k) A CPR barrier with a one-way valve or both an adult and pediatric CPR mask with a one-way valve; (l) A current first-aid manual; and (m) Hand sanitizer (for adult use only).

At the time of this inspection, licensor observed the first aid kit was lacking in sufficient supplies for the children and staff consistent with the program's licensed capacity. Licensor observed the first aid kit was missing tweezers, ice packs, elastic wrapping bandage, sling or large triangular bandage, a current first-aid manual and hand sanitizer. Risk WAC/RCW

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) At the time of this inspection, licensor observed a bottle of hydrogen peroxide stored in a bathroom cabinet accessible to children. Provider

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

0260(1)(a) At the time of this inspection, licensor observed a bottle of hydrogen peroxide stored in a bathroom cabinet accessible to children. Provider

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0460(3) · Each child's health record and the information described in subsection (2)(a) through (e) of this section must be available to staff for medical administration or emergencies.

At the time of this inspection, licensor observed the child records were not avaiable to staff. Assistant teacher stated these records were not on site.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0460(4)(f) · A health record must include: (f) Dates of the child's last physical and dental exams, if available;

Children files were missing: Dr and Dental information and exam dates, health history, Agreements and Permission forms. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0150(2) · An early learning provider must ensure a sufficient quantity and variety of materials to engage children in the early learning program, such as arts and crafts supplies, various textured materials, construction materials, manipulative materials, music and sound devices, books, and social living equipment. Materials must: (a) Encourage both active physical play and quiet play activities; (b) Promote imagination and creativity; (c) Promote language development and literacy skills; (d) Encourage social skill development; (e) Promote numeracy (counting and numbers) and spatial ability; (f) Encourage discovery and exploration; and (g) Promote learning skills.

Add more play materials to the environment. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0241(1)(a) · An early learning provider must develop and follow a cleaning schedule that includes: (a) Food preparation areas, tables and chairs, high chairs, and food service counters, which must be cleaned and sanitized before and after each meal and snack with single use paper towels or one-time use wiping cloths;

Need 3 step spray bottles for the classroom shelving units, tables etc. is located in main space for eating and other activities. Area rugs were observed to need cleaning they were stained. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Children files were missing: Dr and Dental information and exam dates, health history, Agreements and Permission forms. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0200(1) · Early learning providers must comply with the following handwashing procedures or those defined by the United States Center for Disease Control and Prevention, and children should strongly be encouraged to: (a) Wet hands with warm water; (b) Apply soap to the hands; (c) Rub hands together to wash for at least twenty seconds; (d) Thoroughly rinse hands with water; (e) Dry hands with a paper towel, single-use cloth towel, or air hand dryer; (f) Turn water faucet off using a paper towel or single-use cloth towel unless it turns off automatically; and (g) Properly discard paper single-use cloth towels after each use.

There was no soap in the restroom for handwashing. There was no paper towels in the restroom for the children when the licensor returned to the home for observations on 8/21/2024. There were 4 children present. Children played outside for a short while then came inside but but then went back outside During their transition from inside to outside and outside again there was no handwashing in between the transitions from outside to inside play. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Secure the cubbies by the kitchen. Outlet in the restroom is GFCI but does not appear to be tamper resistant. Provider showed the licensor the blank cover that she plans to have her maintenance person who was present later during the inspection to install it into the restroom on 8/12/2024. The kitchen was not licensed space and has gates up on both ends. However, the gates were open during the last visit and children were observed going into the kitchen freely so the licensor inspected the space so that it can be included as licensed space but was not measured or additional square footage because it will not be used as such. The space is only used to allow children to go get items like paper towels when needed. The kitchen was inspected for health and safety and within the kitchen there is a washer and dryer in the closet and the closet was not latched nor the washer and dryer. This was discussed that either the closet can have a latch or the washer and dryer will need one. There is also a outlet by the stove in the kitchen that was observed to not be tamper resistant. Risk WAC/RCW

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;

Secure the cubbies by the kitchen. Outlet in the restroom is GFCI but does not appear to be tamper resistant. Provider showed the licensor the blank cover that she plans to have her maintenance person who was present later during the inspection to install it into the restroom on 8/12/2024.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0166(2)(a) · Early learning providers must have the following in case of an emergency: (a) A working flashlight or other emergency lighting device must be available for use as an emergency light source. Battery powered flashlights must have an extra set of batteries easily available; and

Flashlight and extra batteries was not found during the inspection. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children

F.S. does not have a current CPR/First Aid card. First Aid kit box only had bandaids and thermometer. There was no other supplies found. Other first aid kits were not located during inspection. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(10) · Early learning providers who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

F.S did not have documentation on file of BBP. Below is the link for class to be completed. https://wisha-training.lni.wa.gov/Training/articulate/BBPathogens/story.html F.S attempted to contact a company to schedule her CPR/First Aid when the licensor was at the family home completing the inspection but the company no longer does individual training. Licensor informed F.S. she cannot be in charge of a group of children alone since she is not currently trained in CPR/First Aid. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0110(2) · (2) Early learning program staff policies must include, but are not limited to: (a) All of the information in the parent or guardian handbook except fees; (b) Job descriptions, pay dates, and benefits; (c) Professional development expectations and plans; (d) Expectations for attendance and conduct; (e) Early learning program staff responsibilities for: (i) Child supervision requirements, including preventing children's access to unlicensed space; (ii) Child growth and development; (iii) Developmentally appropriate curriculum; (iv) Teacher-child interaction; (v) Child protection, guidance, and discipline techniques; (vi) Safe sleep practices, if applicable; (vii) Food service practices; (viii) Off-site field trips, if applicable; (ix) Transporting children, if applicable; (x) Health, safety, and sanitization procedures; (xi) Medication management procedures; (xii) Medical emergencies, fire, disaster evacuation and emergency preparedness plans; (xiii) Mandatory reporting of suspected child abuse, neglect, and exploitation, per RCW 26.44.020 and 26.44.030 and all other reporting requirements; (xiv) Implementation of child's individual health care or special needs plan; (xv) Following nonsmoking, vaping, alcohol and drug regulations; (xvi) Overnight care, if applicable; (xvii) Religious, equity and cultural responsiveness; (xviii) Nondiscrimination; (xviv) Planned daily activities and routines. (f) Staff responsibilities if the family home licensee, center director, assistant director, or program supervisor is absent from the early learning program; (g) A plan that includes how both administrative and child caretaking duties are met when a job requires such dual responsibilities; and (h) Observation, evaluation, and feedback policies.

Licensor requested updated copies of the handbook for review. During Initial the licensor cited items in the handbooks that needed to be corrected. Program will not be moved to a full until the handbooks are reviewed and in compliance of the WAC.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records.

Need to ensure that updated trainings and certifications are entered and maintained in MERIT as well as education and verification of education. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0450(1) · An early learning provider must supply to each parent or guardian written policies regarding the early learning program. Each enrolled child’s record must have signed documentation stating the parent or guardian reviewed the handbook and early learning program policies.

The children files 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.

Children files were missing: Dr and Dental information and exam dates, health history, Agreements and Permission forms. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0460(3) · Each child's health record and the information described in subsection (2)(a) through (e) of this section must be available to staff for medical administration or emergencies.

Children files were missing: Dr and Dental information and exam dates, health history, Agreements and Permission forms. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0460(4) · A health record is required for every child who is enrolled and counted in an early learning program's capacity.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(1) · An early learning provider must have and follow a written emergency preparedness plan. The plan must be reviewed and approved by the department prior to when changes are made. Emergency preparedness plans must: (a) Be designed to respond to fire, natural disasters, and other emergencies that might affect the early learning program; (b) Be specific to the early learning program and able to be implemented during hours of operation; (c) Address what the provider would do if the provider has an emergency and children may be left unsupervised; (d) Address what the early learning program must do if parents are not able to get to their children for up to three days; (e) Must follow requirements in chapter 212-12 WAC , Fire marshal standards, as now or hereafter amended and the state fire marshal's office requirements if a center early learning program; (f) Be reviewed at program orientation, annually with all early learning program staff with documented signatures, and when the plan is updated; (g) Be reviewed with parents or guardians when a child is enrolled and when the plan is updated.

Parent/Guardian did not have documentation of reviewing the handbook. Licensor needs to re-review the handbook and ensure required updates cited have been made. There was no documentation of Disaster Drills being conduted since opened. Licensor discussed the requirement for monthly fire drills because they were conducted in April or May. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0480(2) · 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.

First Aid kit, Children's file information as noted in the WAC, carseats and booster seats, adn emergency reflective triangles or other devices were not present in the vehicle(s) used to transport children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

License was not posted. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. An early learning provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0145(1) · An early learning provider must visually inspect outdoor program space and equipment daily to ensure outdoor areas and equipment are free of hazards.

Need to cut grass and weeds (vegetation). There is also a collection on growth on the side of the stairs by the window. This was observed during the 1st visit but was not cited because children were not present. During the visit on 8/21/2024 the licensor observed the grass to still not be cut and the vegetation by the window to have expanded. Risk WAC/RCW

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;

During the visit with children present on 8/21/2024 children had access to the cleaning products (3 step spray bottles) in the restroom and the kitchen. The kitchen is gated off but the gate was left open on both sides of the kitchen and the children present were observed going into the kitchen The licensor discussed with provider that since the children go into the the kitchen it will be counted as licensed space but will not be measured. The children's materials are observed outside of the kitchen. The children were observed going into the kitchen to access paper towels to clean up spilled paint. The kitchen has spray bottles (3 step) on the counter that are accessible to the children. The cabinets in the kitchen and the restroom have latches but several of the latches are broken and require repair.

Open Not marked corrected in the state record

Open / not marked corrected.