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.

(10) Staff members Basheera, Janel, Jenny H, Jessica, Johanna, Marcus, Eva and Linda will need to take/renew/record Blood Borne Pathogens trainings and make sure it iis Uploaded into the MERIT system. (11) CPR and 1st Aid will need to be taken/renewed/recorded into the MERIT System for staff members Basheera, Janel, Jessica, Janea, Jenny, Eva, Yasmine, Brophi , and Ethan (3) Staff members Basheera, Janel, Natali, Jessica, Eva, Linda, Johanna will need to take/renew/record evidence of completing Initial Training (School Age Staff Training) and recorded into MERIT; Staff members Marcus, Brophi and Jenny are in their 1st 3 months anmd will need to have this completed by the end of their 3rd month of Employment.

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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.

(10) Staff members Basheera, Janel, Jenny H, Jessica, Johanna, Marcus, Eva and Linda will need to take/renew/record Blood Borne Pathogens trainings and make sure it iis Uploaded into the MERIT system. (11) CPR and 1st Aid will need to be taken/renewed/recorded into the MERIT System for staff members Basheera, Janel, Jessica, Janea, Jenny, Eva, Yasmine, Brophi , and Ethan (3) Staff members Basheera, Janel, Natali, Jessica, Eva, Linda, Johanna will need to take/renew/record evidence of completing Initial Training (School Age Staff Training) and recorded into MERIT; Staff members Marcus, Brophi and Jenny are in their 1st 3 months anmd will need to have this completed by the end of their 3rd month of Employment. Risk WAC/RCW

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110-300-0210(1)(2) · (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).

(1)(2) and (3) Two of the three child files looked at do not have a CIS form (or copy) and do not have written notice or written proof of immunization information

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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;

Laundry detergent and bleach viewed accessible to children in a laundry room with the door propped open. Children were observed walking in the passage way between the open kitchen and laundry room. Storage room/laundry room door was viewed propped open making it accessible to children. Janitorial equipment viewed accessible to children as the door to the utility/laundry room closet was viewed propped open. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(2)(a)(b) Serious

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110-300-0165(2)(a) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (a) Making inaccessible to infants and toddlers any equipment, material, or objects that may pose a risk of choking, aspiration, or ingestion. For the purposes of this section, equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less are considered items that may pose a risk of choking, aspiration, or ingestion. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion;

An unlocked drawer in preschool classroom 1, is child accessible and full of art supplies that include small round white Styrofoam collage type pieces that poses a choking or ingestion hazard. In preschool classroom 2, loose and peeled back wallpaper in about a 5 inch wide section, poses a choking hazard to children. Cords to power an electrical device observed accessible to children in Preschool 1 Classroom (plugged into a wall) that are capable of forming a loop around a child's neck poses a safety risk to children. A large kitchen knife observed left in kitchen sink, is viewed accessible to children as they have open access to the kitchen as the half door gate was opened. Adult scissors viewed in the classrooms are kid accessible. Both the knife and the scissors, pose a cutting hazard to children.

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110-300-0165(3)(b) · 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: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;

An unlocked drawer in preschool classroom 1, is child accessible and full of art supplies that include small round white Styrofoam collage type pieces that poses a choking or ingestion hazard. In preschool classroom 2, loose and peeled back wallpaper in about a 5 inch wide section, poses a choking hazard to children. Cords to power an electrical device observed accessible to children in Preschool 1 Classroom (plugged into a wall) that are capable of forming a loop around a child's neck poses a safety risk to children. A large kitchen knife observed left in kitchen sink, is viewed accessible to children as they have open access to the kitchen as the half door gate was opened. Adult scissors viewed in the classrooms are kid accessible. Both the knife and the scissors, pose a cutting hazard to children. A glass coffee pot accessible to children in the kitchen area, was observed full of hot coffee and it was turned on. Hot coffee poses a burn hazard. The kitchen door was propped open and the children have access to the kitchen and to the coffee pot. WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(2)(b) Serious

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

First aid kits observed accessible to children. Backpacks with first aid kits observed on the floor in the classroom. The provider stated that they don't have hooks for the first aid/grab and go backpacks and they are stored on the floor. First aid kit missing: scissors, tweezers, and first aid manual.

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110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

Laundry detergent and bleach viewed accessible to children in a laundry room with the door propped open. Children were observed walking in the passage way between the open kitchen and laundry room. Storage room/laundry room door was viewed propped open making it accessible to children. Janitorial equipment viewed accessible to children as the door to the utility/laundry room closet was viewed propped open. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

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

Laundry detergent and bleach viewed accessible to children in a laundry room with the door propped open. Children were observed walking in the passage way between the open kitchen and laundry room. Storage room/laundry room door was viewed propped open making it accessible to children. Janitorial equipment viewed accessible to children as the door to the utility/laundry room closet was viewed propped open. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

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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.

Out of 5 child files were gone through, only 2 were complete with clear substitutions for food allergies. Provider does not have records for all staff that they have been trained for medication management. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious

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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.

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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.

Not all new staff files were onsite or sent by HR to the Director. No record was available to know who currently has been trained for medication policies and procedures. The Director was unsure who had and didn't have medication management training. Not all children with medications, had written consent from their parent or guardian. Not all files were complete or up to date for the new school year. One child had medication with a permission form from the previous year. One child had was missing prescription box for an epi pen and box and directions for Benadryl. The epi pen had no expiration date. Benadryl not in the original packaging, but loose in a zippy bag. Only one dosage observed in a metal wrapper. Children's medication in backpacks stored on the floor, viewed accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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110-300-0215(3)(a)(i) · 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 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.

Not all new staff files were onsite or sent by HR to the Director. No record was available to know who currently has been trained for medication policies and procedures. The Director was unsure who had and didn't have medication management training. Not all children with medications, had written consent from their parent or guardian. Not all files were complete or up to date for the new school year. One child had medication with a permission form from the previous year. One child had was missing prescription box for an epi pen and box and directions for Benadryl. The epi pen had no expiration date. Benadryl not in the original packaging, but loose in a zippy bag. Only one dosage observed in a metal wrapper. Children's medication in backpacks stored on the floor, viewed accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

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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.

Not all new staff files were onsite or sent by HR to the Director. No record was available to know who currently has been trained for medication policies and procedures. The Director was unsure who had and didn't have medication management training.

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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.

Not all new staff files were onsite or sent by HR to the Director. No record was available to know who currently has been trained for medication policies and procedures. The Director was unsure who had and didn't have medication management training. Not all children with medications, had written consent from their parent or guardian. Not all files were complete or up to date for the new school year. One child had medication with a permission form from the previous year. One child had was missing prescription box for an epi pen and box and directions for Benadryl. The epi pen had no expiration date. Benadryl not in the original packaging, but loose in a zippy bag. Only one dosage observed in a metal wrapper. Children's medication in backpacks stored on the floor, viewed accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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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.

5 files viewed, not all staff are current with BBP training and new staff could not be verified they have had the training as their files were not onsite to review. 5 files viewed, not all staff had had food handers training and are not up to date. New staff had no files to view what was added to their merit account as completed, was able to be verified with documents for the department to review. Director does not have a list of staff who has had medication management and who has not had it. Director does not had records/files for new staff to verify which trainings new staff have had.

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