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.

Staff do not have their first aid/cpr training documented in Merit: Goddess Lourdess, Corinthian Caparas, Jordan Boehlke, Natasha Nay, Taylor Mccuen and Thanaa Alhaou. Staff do not have their initial training: Corinthian Caparas, Jordan Boehlke, Taylor Mccuen and Thanaa Alhaou. Staff are missing their safe sleep training: Ruaa Elkhadir, Meenakshi Tyagi, Dixie Quinn and Thanaa Alhaou. Risk

Open Not marked corrected in the state record

Open / not marked corrected.

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;

There are window blinds in several of the classrooms and the inner string forms a loop. Risk WAC/RCW

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.

There was an epi-pen in room 118 without the paperwork. There were sunscreens without the full name of the children on them. The diaper creams in the infant room were stored all together in one basket. Risk WAC/RCW

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.

There was an epi-pen in room 118 without the paperwork. There were sunscreens without the full name of the children on them. The diaper creams in the infant room were stored all together in one basket. Risk WAC/RCW

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.

There was an epi-pen in room 118 without the paperwork. There were sunscreens without the full name of the children on them. The diaper creams in the infant room were stored all together in one basket. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0280(3)(c) · To prepare bottles, an early learning provider must: (c) Obtain water from a sink used for bottle or food preparation only, or from another approved source, such as bottled water. Water from a handwashing or diaper changing sink may not be used for bottle preparation;

Not all the bottles were labeled with full names and dates. The program is getting water from the handwashing sink to make the bottles in the infant room.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

No documentation that staff have been trainied on the epi-pen. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious 02/13/2024

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(i) · 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: (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 child's epi-pen did not have the prescription label with it. The child in the three's classroom did not have the proper medication authorization paperwork or allergy plan with it. Not all the diaper creams had the child's full name on them in various classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious 02/13/2024

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.

The child's epi-pen did not have the prescription label with it. The child in the three's classroom did not have the proper medication authorization paperwork or allergy plan with it. Not all the diaper creams had the child's full name on them in various classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(ii) Serious 02/13/2024

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.

The child's epi-pen did not have the prescription label with it. The child in the three's classroom did not have the proper medication authorization paperwork or allergy plan with it. Not all the diaper creams had the child's full name on them in various classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious 02/13/2024

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.

Celeste Tucek does not have her BBP training in Merit. Gabriela does not have her food handler's card. Gertosha's safe sleep is expired.

Open Not marked corrected in the state record

Open / not marked corrected.