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.

1 child file was missing the 2nd page of the medication form for Zyrtec/Cetirizine. The child also did not have this medication onsite. Need to ensure that medication forms are reflective for application amount on the diaper forms. One child record for diaper ointment was observed to have an end date in January 2024 for diaper ointment but it was still being applied. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

1 child file was missing the 2nd page of the medication form for Zyrtec/Cetirizine. The child also did not have this medication onsite. Need to ensure that medication forms are reflective for application amount on the diaper forms. One child record for diaper ointment was observed to have an end date in January 2024 for diaper ointment but it was still being applied. WAC/RCW Correction Date Disputed Date Disputed

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Under slides., balancing beams, tires to walk and/or balance need to ensure adequate woodchips are present (added and/or redistributed under the drop fall areas. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(f) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0165(3)(f) · 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;

Ensure that heavy items are secure on shelves throughout rooms (bins, CD players, vases etc). WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(8) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(8) · License applicants and early learning providers licensed to care for infants must complete the safe sleep training as approved or offered by the department. This training must be completed annually and: (a) Prior to being licensed; (b) Prior to caring for infants; or (c) According to subsection (1) of this section.

Assistant Director, J.I is missing Safe Sleep Training. Training in MERIT expired in March of 2024.

Open Not marked corrected in the state record

Open / not marked corrected.