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.

Prescription medication in the preschool classroom was observed to be unacommpanied with a medication authorization form at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

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110-300-0260(1)(a) · 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 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;

Disinfecting wipes were observed to be accessible to children in one of the classrooms at the time of inspection. Janitorial equipment was observed to be accessible to children in multiple classrooms at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

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

Disinfecting wipes were observed to be accessible to children in one of the classrooms at the time of inspection. Janitorial equipment was observed to be accessible to children in multiple classrooms at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0105(2) Serious

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110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC.

MERIT reflected a staff member's background to be expired and another staff member's background application to be "withdrawn" at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(10) Short Term

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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.

MERIT reflected that multiple staff member's bloodborne pathogen training was expired/incomplete at the time of inspection. MERIT reflected that multiple staff members' CPR/first-aid training were incomplete at the time of inspection. MERIT reflected that multiple staff members' food worker card was expired/incomplete at the time of inspection. MERIT reflected that multiple staff member's child care basics training was expired/incomplete at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(11) Short Term

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110-300-0106(11) · Family home licensees, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; (ii) Include child and adult first-aid and CPR; and (iii) Infant first-aid and CPR, if applicable.

MERIT reflected that multiple staff member's bloodborne pathogen training was expired/incomplete at the time of inspection. MERIT reflected that multiple staff members' CPR/first-aid training were incomplete at the time of inspection. MERIT reflected that multiple staff members' food worker card was expired/incomplete at the time of inspection.

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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.

MERIT reflected that multiple staff member's bloodborne pathogen training was expired/incomplete at the time of inspection. MERIT reflected that multiple staff members' CPR/first-aid training were incomplete at the time of inspection. MERIT reflected that multiple staff members' food worker card was expired/incomplete at the time of inspection. MERIT reflected that multiple staff member's child care basics training was expired/incomplete at the time of inspection. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(3) Short Term

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110-300-0106(3) · License applicants, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and aides must complete the child care basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

MERIT reflected that multiple staff member's bloodborne pathogen training was expired/incomplete at the time of inspection.

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