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;

Kitchen area spray bottles were on the counter accessible to children. Hand sanitizer is accessible to children by the waddler room. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(4)(a) · An early learning provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

All staff files reviewed did not have documentation of reviewing the Disaster Plan yearly. 1 child file did not have documentation of reviewing handbooks. There were no drills documented for September 2023, November 2023, December 2023, January and February 2024. The drill log sheet was from 2023-2024. There was no lockdown drills noted for this year thus far. The drills noted on the sheet were 1/2023, 6/2023 and 11/2023 and 1/2024 Drills are to be conducted monthly for fire and quarterly for Disasters. WAC/RCW Correction Date Disputed Date Disputed 110-300-0470(4)(d) Short Term

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Open / not marked corrected.

110-300-0470(4)(d) · 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 practice and record emergency drills with staff and children as follows: (d) Drills must be recorded on a department form and include: (i) The date and time of the drill; (ii) The number of children and staff who participated; (iii) The length of the drill; and (iv) Notes about how the drill went and how it may be improved.

All staff files reviewed did not have documentation of reviewing the Disaster Plan yearly. 1 child file did not have documentation of reviewing handbooks. There were no drills documented for September 2023, November 2023, December 2023, January and February 2024. The drill log sheet was from 2023-2024. There was no lockdown drills noted for this year thus far. The drills noted on the sheet were 1/2023, 6/2023 and 11/2023 and 1/2024 Drills are to be conducted monthly for fire and quarterly for Disasters. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(1) Long Term

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Open / not marked corrected.

110-300-0106(1) · Early learning providers licensed, working, or volunteering in an early learning program before the date this section becomes effective must complete the applicable training requirements of this section within three months of the date this section becomes effective unless otherwise indicated. State or federal rules may require health and safety training described under this chapter to be renewed annually. Early learning providers hired after the date this section becomes effective must complete the training requirements of subsections (4) through (10) of this section within three months of the date of hire and prior to working in an unsupervised capacity with children.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(10) Short Term

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Open / not marked corrected.

110-300-0106(10) · 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 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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(11) Short Term

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Open / not marked corrected.

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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(3) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(4) · 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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(5) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS.

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(7) · 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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(9) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff files were missing documentation of CPR/First Aid: K.I, C.A.E., A.D. and C.W. All staff files were missing documenation of current BBP: C.W., A.D., I.B.A., C.A.E. and K.I. Staff files were missing documentation of approved Food Worker Card:A.D., C.A.E. and K.I. Staff: I.B.A and K.I is missing 110-300-0106 trainings (health and safety trainings via DCYF). Staff: I.B.A and A.D. are missing documentation of Initial/Basic STARS. WAC/RCW Correction Date Disputed Date Disputed

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;

Cording for equipment in rooms was dangling in the toddler and preschool room and/or accessible to children. Need to ensure that heavy items on shelving units are secure in rooms. In the toddler room a screw used to possibly secure shelving together was protruding out. Outlet in restroom was observed to not be GFCI and was by the sink. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0186(1) · 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 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's Individual Care Plan was missing doctor

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Open / not marked corrected.

110-300-0215(2) · Medication training. An early learning provider must not give medication to a child if the provider has not successfully completed: (a) An orientation about the early learning program's medication policies and procedures; (b) The department standardized training course in medication administration that includes a competency assessment pursuant to WAC 110-300-0106(10) or equivalent training; and (c) If applicable, a training from a child's parents or guardian (or an appointed designee) for special medical procedures that are part of a child's individual care plan. This training must be documented and signed by the provider and the child's parent or guardian (or designee).

Staff member, I.B.A does not have the medication managment training. Medication forms needed for ointments in Toddler Room and 1 child had a medication form that had an ende date but the ointment was still being used in the waddler room. In the toddler room the medications were stored all in one bin external and internal. There was also expired medication in the toddler room that expired in 2021. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff member, I.B.A does not have the medication managment training. Medication forms needed for ointments in Toddler Room and 1 child had a medication form that had an ende date but the ointment was still being used in the waddler room. In the toddler room the medications were stored all in one bin external and internal. There was also expired medication in the toddler room that expired in 2021. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff member, I.B.A does not have the medication managment training. Medication forms needed for ointments in Toddler Room and 1 child had a medication form that had an ende date but the ointment was still being used in the waddler room. In the toddler room the medications were stored all in one bin external and internal. There was also expired medication in the toddler room that expired in 2021. 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) · 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: (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.

Staff member, I.B.A does not have the medication managment training. Medication forms needed for ointments in Toddler Room and 1 child had a medication form that had an ende date but the ointment was still being used in the waddler room. In the toddler room the medications were stored all in one bin external and internal. There was also expired medication in the toddler room that expired in 2021. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff member, I.B.A does not have the medication managment training. Medication forms needed for ointments in Toddler Room and 1 child had a medication form that had an ende date but the ointment was still being used in the waddler room. In the toddler room the medications were stored all in one bin external and internal. There was also expired medication in the toddler room that expired in 2021. WAC/RCW Correction Date Disputed Date Disputed

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0241(1)(g) · An early learning provider must develop and follow a cleaning schedule that includes: (g) Toys, which must be cleaned and sanitized as follows: (i) Infant and toddler toys must be cleaned and sanitized at least daily or more often as needed; (ii) All other toys must be cleaned and sanitized weekly or more often as needed; and (iii) When a toy comes into contact with a child’s mouth or bodily fluids it must be removed from use until it can be cleaned and sanitized prior to reuse;

Toddler and preschool room only had 1 set of spray bottles for the diaper area.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff were missing medication training via DCYF. A child had a food allergy but was missing medication authorization forms and the medication was expired. Diaper ointment form filled out read to give to the child for 2 years. A child's diaper ointment (Desitin) was expired. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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 has an allergy but no Individual Care Plan on file. It is unclear if the child is only prescribed an Epipen or if the child has Benadryl and Epipen. The Epipen that was onsite was expired. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(2) Serious

Open Not marked corrected in the state record

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110-300-0186(2) · 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 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 has an allergy but no Individual Care Plan on file. It is unclear if the child is only prescribed an Epipen or if the child has Benadryl and Epipen. The Epipen that was onsite was expired. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Staff were missing medication training via DCYF.

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.

Staff were missing medication training via DCYF. A child had a food allergy but was missing medication authorization forms and the medication was expired. Diaper ointment form filled out read to give to the child for 2 years. A child's diaper ointment (Desitin) was expired. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0106(4) · 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.

Staff were missing documentation of 110-300-0106 trainings reflected in MERIT within the specified timeframe. Staff with educational exemptions are required to complete the 0106 health and safety trainings via the DCYF Portal.

Open Not marked corrected in the state record

Open / not marked corrected.