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.

The director, D.H and staff member, D.Z. both have an Initial Traning exemption and do not have documentation in MERIT of being trained in Medication Administrationvia the DCYF trainings. Child has an Asthma plan signed by parent and doctor that read the child is to have 2 puffs of albuterol every 4 hours. The child was present in care with no medications. According to the director, D.H they do not follow the plan but follow the directives of th parents regarding medication regimen. So on this day the parents stated the child did not need the medication and so they did not bring it. Licensor informed director they would need to get a note from a doctor stating to follow the parents medication regimen plan and not the asthma plan.

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110-300-0146(1) · Playground equipment and surfacing used by an early learning provider must comply with applicable CPSC guidelines including, but not limited to, installing, arranging, designing, constructing, and maintaining outdoor play equipment and surfacing.

Around the merry go round, swings and slides etc. there was not the 9 inches of wood chips required the licensor measured under the slide and there was only 1 inch of wood chips. The licensor followed up with the director, D.H and she stated that assigned staff D.C. is assigned to redistributing the wood chips by raking them weekly under the drop areas. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious

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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.

Around the merry go round, swings and slides etc. there was not the 9 inches of wood chips required the licensor measured under the slide and there was only 1 inch of wood chips. The licensor followed up with the director, D.H and she stated that assigned staff D.C. is assigned to redistributing the wood chips by raking them weekly under the drop areas. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) 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.

Licensor observed A.H in the East room conducting a music circle with the children. Licensor inquired about A.H. who he was an role. The director, D.H informed the licenosr he was the other founder of the program he was a music volunteer and had volunteered sicne the program opened (system reflects 1997). Licensor asked how often A.H. has come to the program and was informed weekly for 1 hour per class. D.H will do music inside with each class and the lesson expands to the outside play area as well. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

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110-300-0215(3) · 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. 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.

The director, D.H and staff member, D.Z. both have an Initial Traning exemption and do not have documentation in MERIT of being trained in Medication Administrationvia the DCYF trainings. Child has an Asthma plan signed by parent and doctor that read the child is to have 2 puffs of albuterol every 4 hours. The child was present in care with no medications. According to the director, D.H they do not follow the plan but follow the directives of th parents regarding medication regimen. So on this day the parents stated the child did not need the medication and so they did not bring it. Licensor informed director they would need to get a note from a doctor stating to follow the parents medication regimen plan and not the asthma plan. Several Medication forms were observed to lack start and stop dates and when to give. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(c) Short Term

Open Not marked corrected in the state record

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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;

In the West and East Preschool rooms cording for lamps were observed loose and can form loops. In the East Room there was laptop cording observed accessible to children and it was loose. Lunch Room was observed to have cording for equipment heater was observed to be loose and accessible to children. In West and East Room there were lamps on the shelving units that required securing. In the East Room there was a large jar in the science/living area that requires securing. Outside on the playground in a wood work area for the children there was pieces of wood observed. One piece of wood appeared to be from some structure or equipment ithad 2 rusty screws protruding through the piece of wood. The threads and point of the screw was accessible to children it was sticking up. The part of the wood that had the drive and head was placed down on the table surface so the thread and point were accessible. Licensor, Quiana gave the wood to staff, RBC and requestd that she put it away she commented that she did not know where it had come from.

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110-300-0165(3)(g) · 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: (g) Equipment in poor condition. Equipment in poor condition (loose parts, rusty parts, flaking paint, or other dangers) must be repaired, removed, or made inaccessible to children.

In the West and East Preschool rooms cording for lamps were observed loose and can form loops. In the East Room there was laptop cording observed accessible to children and it was loose. Lunch Room was observed to have cording for equipment heater was observed to be loose and accessible to children. In West and East Room there were lamps on the shelving units that required securing. In the East Room there was a large jar in the science/living area that requires securing. Outside on the playground in a wood work area for the children there was pieces of wood observed. One piece of wood appeared to be from some structure or equipment ithad 2 rusty screws protruding through the piece of wood. The threads and point of the screw was accessible to children it was sticking up. The part of the wood that had the drive and head was placed down on the table surface so the thread and point were accessible. Licensor, Quiana gave the wood to staff, RBC and requestd that she put it away she commented that she did not know where it had come from. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(10) Short Term

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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.

D.H did not have documentation of current CPR/First Aid certification in her file.

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110-300-0106(5) · Early learning providers must complete the emergency preparedness training as approved or offered by the department (applicable to the early learning program where they work or volunteer) according to subsection (1) of this section.

D.H did not have documentation of current CPR/First Aid certification in her file. D.H. and D.Z were cited during last fiscal year monitor visit conducted on 4/25/23 for not having the Mandatory Reporting training. During the monitor visit conducted on 5/8/2024 this training was still not completed upon review of MERIT. D.H sent an email in July of 2023 informing the licensor that trainings will be completed in summer of 2023. D.H Self Entered Mandated Reporter Training for herself reflective of a completion date of 10/28/2013. D.Z had a confirmed date for Mandatory Reporting reflective of 10/28/2013. D.H, J.P, and C.Z files reviewed were missing documentation of current BBP training. D.H. and D.Z were missing documentation of the required DCYF 110-300-0106 training as specified in the WAC and listed above both D.H and D.Z have Initial Training exemptions. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(7) Short Term

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110-300-0106(7) · 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. Early learning providers must complete the serving children experiencing homelessness training as approved or offered by the department according to subsection (1) of this section.

D.H did not have documentation of current CPR/First Aid certification in her file. D.H. and D.Z were cited during last fiscal year monitor visit conducted on 4/25/23 for not having the Mandatory Reporting training. During the monitor visit conducted on 5/8/2024 this training was still not completed upon review of MERIT. D.H sent an email in July of 2023 informing the licensor that trainings will be completed in summer of 2023. D.H Self Entered Mandated Reporter Training for herself reflective of a completion date of 10/28/2013. D.Z had a confirmed date for Mandatory Reporting reflective of 10/28/2013. D.H, J.P, and C.Z files reviewed were missing documentation of current BBP training. D.H. and D.Z were missing documentation of the required DCYF 110-300-0106 training as specified in the WAC and listed above both D.H and D.Z have Initial Training exemptions. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(9) Short Term

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110-300-0106(9) · Family home licensees, center directors, assistant directors, program supervisors, and lead teachers must complete the medication management and administration training as approved or offered by the department prior to giving medication to an enrolled child, or as indicated in subsecton (1) of this section.

D.H did not have documentation of current CPR/First Aid certification in her file. D.H. and D.Z were cited during last fiscal year monitor visit conducted on 4/25/23 for not having the Mandatory Reporting training. During the monitor visit conducted on 5/8/2024 this training was still not completed upon review of MERIT. D.H sent an email in July of 2023 informing the licensor that trainings will be completed in summer of 2023. D.H Self Entered Mandated Reporter Training for herself reflective of a completion date of 10/28/2013. D.Z had a confirmed date for Mandatory Reporting reflective of 10/28/2013. D.H, J.P, and C.Z files reviewed were missing documentation of current BBP training. D.H. and D.Z were missing documentation of the required DCYF 110-300-0106 training as specified in the WAC and listed above both D.H and D.Z have Initial Training exemptions.

Open Not marked corrected in the state record

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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.

Staff did not have documentation of reviewing the Disaster Plan yearly. WAC/RCW Correction Date Disputed Date Disputed 110-300-0105(2) Serious

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Early learning providers must complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030.

D.H did not have documentation of current CPR/First Aid certification in her file. D.H. and D.Z were cited during last fiscal year monitor visit conducted on 4/25/23 for not having the Mandatory Reporting training. During the monitor visit conducted on 5/8/2024 this training was still not completed upon review of MERIT. D.H sent an email in July of 2023 informing the licensor that trainings will be completed in summer of 2023. D.H Self Entered Mandated Reporter Training for herself reflective of a completion date of 10/28/2013. D.Z had a confirmed date for Mandatory Reporting reflective of 10/28/2013. D.H, J.P, and C.Z files reviewed were missing documentation of current BBP training. D.H. and D.Z were missing documentation of the required DCYF 110-300-0106 training as specified in the WAC and listed above both D.H and D.Z have Initial Training exemptions.

Open Not marked corrected in the state record

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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.

There were items in the East Classroom for the fish tank that was stored in the cabinet under the fish tank that was accessible to children. There were items in the Women's Restroom stored in the bin drawers that were used for cleaning, sanitizing/disinfectant that was accessible to children. The rake and the broom adult sized used on the playground was accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) 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.

Child had Individual Health Care Plan that was completed 5/24/2021. Child needs an updated Individual Health Care Plan and medication. The medication-(Epipen)was expired as of 5/2022. The child did not have a medication authorization form, WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

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110-300-0215(3) · 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. 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.

Child had an outdated Individual Health Care Plan and no Medication Authorization Form for the medication. Staff member had her purse hanging behind the classroom door in West Room. The purse was open and lotion could be observed inside and was accessible to children when they returned to the classroom. In the Women's Restroom there are items stored in the drawers/bin behind the closet that were accesible 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) · 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.

Child had an outdated Individual Health Care Plan and no Medication Authorization Form for the medication. Staff member had her purse hanging behind the classroom door in West Room. The purse was open and lotion could be observed inside and was accessible to children when they returned to the classroom. In the Women's Restroom there are items stored in the drawers/bin behind the closet that were accesible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

Open Not marked corrected in the state record

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110-300-0215(3)(c) · 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. 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.

Child had an outdated Individual Health Care Plan and no Medication Authorization Form for the medication. Staff member had her purse hanging behind the classroom door in West Room. The purse was open and lotion could be observed inside and was accessible to children when they returned to the classroom. In the Women's Restroom there are items stored in the drawers/bin behind the closet that were accesible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious

Open Not marked corrected in the state record

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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.

Basketball hoop is not secure on the playground/yard area. Wood chips were observed to not be adequate under swings and other equipment. Program has 2 bays of swings with 4 swings on each bay. Swings were observed to not have adequate spacing between them. The wood structure outside there was areas where chunks of wood was gone. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

Open Not marked corrected in the state record

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110-300-0165(2)(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 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;

Shelving units, plants and other heavy items stored on top of shelves were observed to not be secured. Cording from air purifier was observed to have excess cording that formed loops in the the West Classroom. In the East Classroom Several cordings were plugged into the outlet and the cording left dangling from the outlet. The cording can form loops. In the restroom there was plastic bags stored on the changing table and in the bin drawer behind the curtain there was plastic bags accessible to children. Gardening Rack and broom was accesssible to children. Wall in restroom by changing table was observed to be tearing. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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110-300-0165(2)(d) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (d) Making inaccessible to children plastic bags and other suffocation hazards;

Shelving units, plants and other heavy items stored on top of shelves were observed to not be secured. Cording from air purifier was observed to have excess cording that formed loops in the the West Classroom. In the East Classroom Several cordings were plugged into the outlet and the cording left dangling from the outlet. The cording can form loops. In the restroom there was plastic bags stored on the changing table and in the bin drawer behind the curtain there was plastic bags accessible to children. Gardening Rack and broom was accesssible to children. Wall in restroom by changing table was observed to be tearing.

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;

There were items in the East Classroom for the fish tank that was stored in the cabinet under the fish tank that was accessible to children. There were items in the Women's Restroom stored in the bin drawers that were used for cleaning, sanitizing/disinfectant that was accessible to children. The rake and the broom adult sized used on the playground was accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(5) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(4) · 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. Early learning providers must complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030.

Director and Staff with Exemptions for Initial/Basic STARS did not have documentation of completing DCYF Health and Safety Trainings as specified above. Staff were missing documentation of professional BBP training yearly. Once training is completed it needs to be updated in MERIT. 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.

Child had Individual Health Care Plan that was completed 5/24/2021. Child needs an updated Individual Health Care Plan and medication. The medication-(Epipen)was expired as of 5/2022. The child did not have a medication authorization form,

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Open / not marked corrected.