110-300-0356(5) · In each classroom or well-defined space, the maximum group size and ratio of center staff members to children, including children related to staff or the licensee, must be: (a) Infants (birth through eleven months of age) with a: (i) Maximum group size of eight with a ratio of one staff to four children (1:4); (ii) Maximum group size of nine with a ratio of 1:3; (b) Toddlers (twelve through twenty-nine months of age) with a: (i) Maximum group size of fourteen with a ratio of 1:7; (ii) Maximum group size of fifteen with a ratio of 1:5; (c) Preschoolers (thirty months through six years of age who are not attending kindergarten or elementary school) with a maximum group size of twenty with a ratio of 1:10; and (d) School-age children (5 years through twelve years of age who are enrolled in or attending kindergarten or elementary school) with a maximum group size of thirty with a ratio of 1:15.

Per the interview with the parent, it was reported that the teacher was alone with nine children present. Per WAC requirements, toddler classrooms must maintain a staff-to-child ratio of 1:7.

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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.

Some staff are missing trainings. Status says in progress for some teachers who have been employed for years. 10 hour annual training was not completed in 2023, however provider needs to ensure that 10 hour annual training for 24 is completed by the end of the year. Provider needs to update Merit when trainings are completed.

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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.

Prior to going to the site for a monitor visit the licensor checked MERIT on 10/24/2023. Staff were noted in the MERIT system to have withdrawn background checks. On 11/30/2023 this licensor reviewed the sytem and staff still did not have a clearance. On 12/4/2023 the licensor reviewed the MERIT system and staff member: J.B (D.O.H.-11/9/2023); C.M (D.O.H.9/26/23) still did not have a background check clearance. The status read withdrawn. There was a new hire K.C. that also had an withdrawn PBC. The licensor also followed up with the owner, Kyla regarding her background check which was expired and she was not attached to the site MERIT page. On 12/7/2023 this licensor followed up with owner, Kyla regarding background checks. Some staff that were discussed earlier in conversations have now been cleared. However, the following are still not in complaince: J.B's Background Check is withdrawn, C.M's Background Check is withdrawn and owner, Kyla's reads expired but was resubmitted on 12/5/2023.

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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.

Staff members: R.J, G.K., and C.M all have Withdrawn PBC's according to the MERIT system reviewed on (10/23, 10/24 and 10/25). Staff member I.W. have an Expired PBC as of 11/8/2022. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

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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. 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.

Staff Member: A.F hired (1/27/2023) has not documentation in MERIT of having Initial Basic STARS hours. A.F. is also missing documenation of 110-300-0106 trainings-Recognizing and Reporting Suspected Abuse, Emergency Prepardness, Shaken Baby Syndrome/Abuse Head Trauma, Children Experiencing Homelessness, and Medication Management. If A.F.Completes the Initial Basic STARS she is not required to also complete the listed DCYF trainings. D.E. hired (2/7/23) does not have documentation in MERIT of having Initial Basic STARS hours. A.S. hired (3/19/23) does not have documenation in MERIT of having Initial Basic STARS hours. A.S is also missing also documenation of 110-300-0106 trainings-Recognizing and Reporting Suspected Abuse, Emergency Prepardness, Shaken Baby Syndrome/Abuse Head Trauma, Children Experiencing Homelessness, and Medication Management. If A.S .Completes the Initial Basic STARS she is not required to also complete the listed DCYF trainings. A.S. hired (2/24/23) does not have documenation in MERIT of having Initial Basic STARS hours. A.S is also missing also documenation of 110-300-0106 trainings-Recognizing and Reporting Suspected Abuse, Emergency Prepardness, Shaken Baby Syndrome/Abuse Head Trauma, Children Experiencing Homelessness, and Medication Management. If A.S. completes the Initial Basic STARS she is not required to also complete the listed DCYF trainings. C.V. hired (9/12/22) does not have documenation in MERIT of having Initial Basic STARS hours. C.V. is also missing also documenation of 110-300-0106 trainings-Recognizing and Reporting Suspected Abuse, Emergency Prepardness, Shaken Baby Syndrome/Abuse Head Trauma, Children Experiencing Homelessness, and Medication Management. If C.V completes the Initial Basic STARS she is not required to also complete the listed DCYF trainings. J.L. hired (6/28/21) is missing a current Safe Sleep Training. K.O hired (12/2/20) is missing a current Safe Sleep Training. F.P hired (11/14/22) is missing Safe Sleep Training. E.S. hired (12/2/20) is missing a current Safe Sleep Training. I.W hired (7/6/23) is missing Safe Sleep Training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(a) Serious

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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.

Staff were observed via MERIT missing Medication Training. Medications were observed to not be labeled with chidren's first and last names. Need to also ensure that parent/guardian fills out forms in accordance to WAC and Health Care Policy. Medications was observed in room 202 for a child to have Motrin but the forms for the medication could not be found. Staff stated the child had not been given the meds in months. Informed to return to the parent. In Room 202 Aveeno lotion was observed in a cabinet accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious

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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;

All rooms were observed to have chipping paint, peeled paint, and peeling paint on walls and/or in window sills. Rooms throughout the entire site have unsecured home center/kitchenette equipment that is not secured. There is also shelving units that have wheels on them in the rooms throughout the site and they are not sturdy/secure. Room 201 had a cracked/broken on the side kitchenette sink. Teacher work stations (shelving units) throughout all rooms observed to not be secured. Room 303 had plastic bags in the cabinet which was accessible to the children. The restroom also had plastic bags which were accessible to children. Room 304 had a floor lamp that was not secure. Several rooms with blind cording hardware that is no longer attached to the wall to enable loop access is no longer affixed to the wall and forms a hazard for children. Room 301 had glass items and little speakers stored on a wall on shelves by the restroom that was not secured. 301 also had Glade Spray in the unlocked teacher small cabinet/work station. Several Room observed with cording from equipment/chargers/speakers that were observed hanging and dangling in rooms and accessible to children. Mop/Floor Steamers are observed stored in diaper areas that are currently not being used for children and the area is freely accessible to children. Cording for the mops can be accessed by the children. In room 202 the water is slow flow so an adequate read was not able to be obtained for the hot water. The cold water had a steady stream but the hot did not. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(b) Serious

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110-300-0165(2)(b) · 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: (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;

All rooms were observed to have chipping paint, peeled paint, and peeling paint on walls and/or in window sills. Rooms throughout the entire site have unsecured home center/kitchenette equipment that is not secured. There is also shelving units that have wheels on them in the rooms throughout the site and they are not sturdy/secure. Room 201 had a cracked/broken on the side kitchenette sink. Teacher work stations (shelving units) throughout all rooms observed to not be secured. Room 303 had plastic bags in the cabinet which was accessible to the children. The restroom also had plastic bags which were accessible to children. Room 304 had a floor lamp that was not secure. Several rooms with blind cording hardware that is no longer attached to the wall to enable loop access is no longer affixed to the wall and forms a hazard for children. Room 301 had glass items and little speakers stored on a wall on shelves by the restroom that was not secured. 301 also had Glade Spray in the unlocked teacher small cabinet/work station. Several Room observed with cording from equipment/chargers/speakers that were observed hanging and dangling in rooms and accessible to children. Mop/Floor Steamers are observed stored in diaper areas that are currently not being used for children and the area is freely accessible to children. Cording for the mops can be accessed by the children. In room 202 the water is slow flow so an adequate read was not able to be obtained for the hot water. The cold water had a steady stream but the hot did not. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious

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

All rooms were observed to have chipping paint, peeled paint, and peeling paint on walls and/or in window sills. Rooms throughout the entire site have unsecured home center/kitchenette equipment that is not secured. There is also shelving units that have wheels on them in the rooms throughout the site and they are not sturdy/secure. Room 201 had a cracked/broken on the side kitchenette sink. Teacher work stations (shelving units) throughout all rooms observed to not be secured. Room 303 had plastic bags in the cabinet which was accessible to the children. The restroom also had plastic bags which were accessible to children. Room 304 had a floor lamp that was not secure. Several rooms with blind cording hardware that is no longer attached to the wall to enable loop access is no longer affixed to the wall and forms a hazard for children. Room 301 had glass items and little speakers stored on a wall on shelves by the restroom that was not secured. 301 also had Glade Spray in the unlocked teacher small cabinet/work station. Several Room observed with cording from equipment/chargers/speakers that were observed hanging and dangling in rooms and accessible to children. Mop/Floor Steamers are observed stored in diaper areas that are currently not being used for children and the area is freely accessible to children. Cording for the mops can be accessed by the children. In room 202 the water is slow flow so an adequate read was not able to be obtained for the hot water. The cold water had a steady stream but the hot did not. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(c) Serious

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110-300-0166(3)(c) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (c) Exit doors must not be partially or entirely blocked.

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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 Care Plan and Medication Authorizations but they were expired. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

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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 observed via MERIT missing Medication Training. Medications were observed to not be labeled with chidren's first and last names. Need to also ensure that parent/guardian fills out forms in accordance to WAC and Health Care Policy. Medications was observed in room 202 for a child to have Motrin but the forms for the medication could not be found. Staff stated the child had not been given the meds in months. Informed to return to the parent. In Room 202 Aveeno lotion was observed in a cabinet accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

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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.

Staff were observed via MERIT missing Medication Training. Medications were observed to not be labeled with chidren's first and last names. Need to also ensure that parent/guardian fills out forms in accordance to WAC and Health Care Policy. Medications was observed in room 202 for a child to have Motrin but the forms for the medication could not be found. Staff stated the child had not been given the meds in months. Informed to return to the parent.

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