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(12) - Food Handler certification was expired or incomplete for six staff members. 110-300-0106(3) - Initial training was incomplete for four teachers. 110-300-0106(8) - The Safe Sleep training was expired for the majority of staff. Risk WAC/RCW

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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.

110-300-0146(1) - The climbing playground structures were placed too close to the fence and to each other, failing to meet the six-foot fall zone requirement. 110-300-0146(1)(a)(b) - The chip ground cover measured near the slide exit was four inches deep. Risk WAC/RCW

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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;

110-300-0165(2)(c) - Electrical cords were observed on the floor in some classrooms, accessible to children. 110-300-0165(3)(d) - A small refrigerator in the Green classroom was placed on the floor without a safety lock. 110-300-0165(3)(f) - Freestanding lamps were not properly secured in the Teal classroom. 110-300-0165(3)(g) - A basketball with a torn cover was observed on the playground. Risk WAC/RCW

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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;

110-300-0165(2)(c) - Electrical cords were observed on the floor in some classrooms, accessible to children. 110-300-0165(3)(d) - A small refrigerator in the Green classroom was placed on the floor without a safety lock. 110-300-0165(3)(f) - Freestanding lamps were not properly secured in the Teal classroom. 110-300-0165(3)(g) - A basketball with a torn cover was observed on the playground. 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): Some medications were missing individual care plans and food preference forms. 110-300-0186(2): Several individual care plans listed the medication that was not provided to the program. Risk

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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): Some medications were missing individual care plans and food preference forms. 110-300-0186(2): Several individual care plans listed the medication that was not provided to the program. Risk WAC/RCW

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110-300-0197(3) · For all foods offered by the provider or given to an enrolled child by a parent or guardian, the provider must: (a) Provide appropriate refrigeration to preserve foods from spoiling. Foods that may be subject to spoiling include, but are not limited to, meats, cooked potatoes, cooked legumes, cooked rice, sprouts, cut melons, cut cantaloupes, milk, and cheese; and (b) Refrigerate foods requiring refrigeration at 41 degrees Fahrenheit or less and freeze foods required to be frozen at 10 degrees Fahrenheit or less.

110-300-0197(3) - The refrigerator in the Orange classroom displayed a temperature of 50°F. The licensor could not determine whether the thermometer was inaccurate due to the warm refrigerator walls. 110-300-0197(4) - Observed dry food lacked expiration dates and nutritional labeling. Risk WAC/RCW

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110-300-0215(3) · Medication administration. An early learning provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and using appropriate cleaned and sanitized medication measuring devices.

110-300-0215(3) - Some medications were not accompanied by authorization forms. 110-300-0215(3)(a)(i) - A few EpiPens lacked prescription labels. All medication for enrolled children was observed expired. 110-300-0215(3)(a)(ii) - Some medications were not labeled with the child's name. 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.

110-300-0215(3) - Some medications were not accompanied by authorization forms. 110-300-0215(3)(a)(i) - A few EpiPens lacked prescription labels. All medication for enrolled children was observed expired. 110-300-0215(3)(a)(ii) - Some medications were not labeled with the child's name. Risk WAC/RCW

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110-300-0215(3)(a)(ii) · 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.

110-300-0215(3) - Some medications were not accompanied by authorization forms. 110-300-0215(3)(a)(i) - A few EpiPens lacked prescription labels. All medication for enrolled children was observed expired. 110-300-0215(3)(a)(ii) - Some medications were not labeled with the child's name. 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) - Cleaning supplies and chemicals were stored in unlocked drawers under the sinks in the Teal, Red, and Orange classrooms, posing a safety concern. 110-300-0260(1)(c) - Cleaning solutions were stored in non-original containers without appropriate labeling.

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