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.

there was an individual care plan that had not been updated for the current year and it was missing some information and no doctor

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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.

there was an individual care plan that had not been updated for the current year and it was missing some information and no doctor

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 were several medications on site that were expired Risk WAC/RCW

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110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

- there were two classrooms that did have a cord that was hanging - Panda and Owls - there were plastic bags and latex gloves that were accessible to children by the changing tables in several classrooms - there was a fan in the Owls room that could be a safety hazard if a child's finger could fit into the cover - it was accessible to the children Risk WAC/RCW

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110-300-0165(2)(d) · 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;

- there were two classrooms that did have a cord that was hanging - Panda and Owls - there were plastic bags and latex gloves that were accessible to children by the changing tables in several classrooms - there was a fan in the Owls room that could be a safety hazard if a child's finger could fit into the cover - it was accessible to the children Risk WAC/RCW

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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;

- there were cleaners in several diaper changing areas that were accessible to the children if the childrne are on the changing table Risk

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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.

- there were two staff without food handler permits - R. Rauthe and S. Tweedy - there were three staff that don't have child care basics - C Ross; S. Stoll; S. Tweedy Risk WAC/RCW

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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.

- there were two staff without food handler permits - R. Rauthe and S. Tweedy - there were three staff that don't have child care basics - C Ross; S. Stoll; S. Tweedy

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 individual care plan for a child with an allergy was outdated - expired on 4/2023 WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious 10/26/2023

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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.

- there were diaper creams on site without medication permission forms, and diaper creams that were on-site beyond the stop dates WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(c) Short Term 10/20/2023

Open Not marked corrected in the state record

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110-300-0165(2)(c) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (c) Making inaccessible to children straps, strings, cords, wires, or similar items capable of forming a loop around a child’s neck that are not used during supervised early learning program activities;

- there were plastic bags and gloves that were accessible to the children in the Panda Classroom - there were hanging cords that could pose a choking risk in the Koalas, Owls and by the stairs in the activity center WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(d) Serious 10/20/2023

Open Not marked corrected in the state record

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110-300-0165(2)(d) · 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;

- there were plastic bags and gloves that were accessible to the children in the Panda Classroom - there were hanging cords that could pose a choking risk in the Koalas, Owls and by the stairs in the activity center WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 10/24/2023

Open Not marked corrected in the state record

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110-300-0260(1)(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 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;

- clorox wipes that were accessible in the Panda room on the counter by the diaper changing station - 2 storage room doors were unlocked - making the rooms accessible to the children WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious 11/01/2023

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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.

- there were three staff (AMD, BS, SW) that were missing current first aid/CPR - there were three staff (AMD, BS, SW) that were missing current food handler cards - there were three staff (AMD, KS, SW) that were missing completed child care basics training - there were five staff (LF, IS, CS, MS SW) that were missing current safe sleep training WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(8) Short Term 11/01/2023

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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.

- there were three staff (AMD, BS, SW) that were missing current first aid/CPR

Open Not marked corrected in the state record

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110-300-0260(2)(a)(b) · Storage areas and storage rooms must: (a) Be inaccessible to children; (b) Have locking doors or other methods to prevent child access;

- clorox wipes that were accessible in the Panda room on the counter by the diaper changing station - 2 storage room doors were unlocked - making the rooms accessible to the children

Open Not marked corrected in the state record

Open / not marked corrected.