110-300-0165(2)(b) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

Window blinds are in the office space and children come in the space to visit at times. Cording from roller shades in room 106 is loose and can form loops. Cording from air purifier, water dispenser and other equipment in room and in office is secure. Ensure that heavy items (play materials/equipment) on shelving units, book shelves in main space and in room 106 are secure. Equipment that is easily moveable and not secure on the floor needs to be stabilized to ensure there is no tipping over and falling.

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;

Window blinds are in the office space and children come in the space to visit at times. Cording from roller shades in room 106 is loose and can form loops. Cording from air purifier, water dispenser and other equipment in room and in office is secure. Ensure that heavy items (play materials/equipment) on shelving units, book shelves in main space and in room 106 are secure. Equipment that is easily moveable and not secure on the floor needs to be stabilized to ensure there is no tipping over and falling. Under Sensory Table and on loft was observed to have some chipping. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0186(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.

The child file reviewed had an Individual Health Care Plan but it was not current it was from 2022. Get updated Individual Plan and Medication Authorization for the child.

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.

Individual Plan and Medication Authorization for the child file reviewed was not updated. The forms were from 2022. Forms need to be updated yearly. Medications (hand sanitizers) are stored in cabinets and are accessible. Medications and other items are stored in a teacher area but this is also enroute to the restrooms. The space is accessible to children along with staff items because there is no barrier to enable and child from entering. There are medications and other items stored in the area. 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.

Individual Plan and Medication Authorization for the child file reviewed was not updated. The forms were from 2022. Forms need to be updated yearly.

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.

Individual Plan and Medication Authorization for the child file reviewed was not updated. The forms were from 2022. Forms need to be updated yearly. Medications (hand sanitizers) are stored in cabinets and are accessible. Medications and other items are stored in a teacher area but this is also enroute to the restrooms. The space is accessible to children along with staff items because there is no barrier to enable and child from entering. There are medications and other items stored in the area. 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.

110-300-0260(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;

Open Not marked corrected in the state record

Open / not marked corrected.