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;

Current front door has a lock on the handle door knob and a deadbolt on the door. Provider was informed that the door has to remain unlocked during child care hours as well as the back sliding door. PreLicensing Specialist sent a video of an approved door knob the program can use. Risk WAC/RCW

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110-300-0450(2) · An early learning provider must have and follow formal written policies in either paper or electronic format, including: (a) A nondiscrimination statement; (b) A family engagement and partnership communication plan; (c) A parent or guardian’s permission for photography, videotaping, or surveillance of his or her child; (d) Alcohol, tobacco, cannabis use and prohibition of illegal drugs; (e) Curriculum philosophy on how children learn and develop, and how this philosophy is implemented; (f) Child guidance plan, which includes restraint policies and forbidding corporal punishment; (g) Expulsion policy; (h) Early learning program staff-to-child ratios and classroom types offered, if applicable; (i) If the early learning program offers any of the following, they must include a policy for each that applies to their program: (i) Care for children with specific or special needs; (ii) Infant and toddler care, covering: (A) Diapering; (B) Feeding; (C) Toilet training; (D) Child sleep pattern; and (E) Safe sleep requirements; (iii) Dual language learning; (iv) Religious and cultural activities, including how holidays will be celebrated; (v) Transportation and off site field trips; (vi) Water activities; (vii) Overnight care; and (viii) How weapons on the premises are secured; (j) Program days and hours of operation, including closure dates and observed holidays; (k) Enrollment and disenrollment requirements; (l) Fees and payment plans; (m) Sign-in and sign-out requirements; (n) Information required for the child’s record, including: (i) The importance and plan for keeping the information current; (ii) A plan to keep the child’s information confidential; and (iii) Who may legally access the child’s information; (o) A kindergarten transition plan, if applicable; (p) What parents or guardians must supply for their child (for example: Extra clothing or diapers); (q) Permission for a parent or guardian’s access to areas of the early learning program during business hours; (r) Termination of services policy; (s) Emergency preparedness plan; (t) The early learning provider and program staff’s duty to report incidents including reporting suspected child abuse, neglect, sexual abuse, or maltreatment; (u) Policies regarding mixed age groups, if applicable (including when children may be in a mixed age group); (v) Description of where the parent or guardian may find and review the early learning program’s: (i) Health policy; (ii) Staff policies, if applicable; (iii) Consistent care policy; (iv) Menus; (v) Liability insurance (vi) Inspection reports and notices of enforcement actions, if applicable; and (vii) Other relevant program policies.

Parent Handbook was reviewed and lacked some policies: (c) A parent or guardian's permission for photography, videotaping, or surveillance of their child; the handbook talks about the form that will be provided during enrollment but does not specify if this program will be doing any photography, videotaping or surveillance of children while in care and if so what it will be used for. (B) Feeding; policy on talks about the handling of breast milk but not about formula. (D) Child sleep pattern; was unable to find policy regarding sleep patterns. (iii) Dual language learning; There was no policy observed for Dual Language learning. (iv) Cultural Activities, including how holidays will be celebrated; There was no policy observed for Cultural Activities and if there be any focusd activities for the holidays. vi) Water activities; will there be any water activities. This would include playing in water table/sensory table and sprinkler or water hose play. If no water activities this can be stated in the handbook. (m) Sign-in and sign-out requirements read: With accepting subsidy payments (DSHS) I am required to use an electronic attendance system. Parents sign in and out daily on a table that we, Hibo have chosen to use. This is mainly for my subsidy children. I can still use paper form for sign in and out for some people and when the table does not work. It is you the parent responsibility to sign your children in and out. It is your responsibility to provide a written or electronic

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110-300-0500(2) · An early learning program's health policy must meet the requirements of this chapter including, but not limited to: (a) A prevention of exposure to blood and body fluids plan; (b) Meals, snacks, and food services including guidelines for food allergies and food brought from home; (c) Handwashing and hand sanitizer use; (d) Observing children for signs of illness daily; (e) Exclusion and return of ill children, staff, or any other person in the program space; (f) Contagious disease notification; (g) Medical emergencies, injury treatment and reporting; (h) Immunization tracking, (i) Medication management, storage, administration and documentation; (j) Care for pets and animals that have access to licensed space and the health risks of interacting with pets and animals; (k) How general cleaning will be provided and how areas such as food contact surfaces, kitchen equipment, toys, toileting equipment, and laundry will be cleaned, sanitized and disinfected; (l) Pest control policies; (m) Caring for children with special needs or health need, including allergies, as listed in the child's record; and (n) Dental hygiene and education.

The current Health Care Policy is not approved after review. The following was oberved and requires updating in the Health Care Policy. Changes/Updates needed were discussed during the visit: Health Care Policy: On page 6 of Health Care Policy in the Immunization section it reads…Child/ren cannot be accepted into care unless that exemption is due to an illness and a form given to you by DCYF is signed by a doctor. **Can you provide clarity regarding illness exemption? Also who at DCYF will provide the form and what form is it?** On page 9 of the Health Care Policy it reads… Everyone who works at a child care either home or a center has to complete a state depart- ment of health training on the prevention and transmission of HIV/AIDS (human immunodefi-ciency virus/acquired immunodeficiency syndrome - prevention of exposure to blood and body fluids). This is a class taken every three years when we do our CPR & First Aid class. **This information is not accurate. BBP is required yearly and CPR/First Aid is done every 2 years. Pg 8 of the Health Care Policy: diaper changing station” which is done in the bathroom on an easily cleanable mat with a nonabsorbent surface large enough to prevent the surface underneath from becoming contaminated with bodily fluids on the floor. Here at Anfac Early Learning Childcare, we have posted the easily viewable diaper chang-ing procedure. Hands can be washed in the sink in the bathroom. There are disposable gloves when needed. Diapers are put directly into a waste container used only for this that has a tight cover, and is lined with a disposable plastic trash bag, and is within arm reach of the diaper changing area. We check diapers at least every two hours and change diaper when necessary, or whenever the child indicates discomfort.

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