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.

(3)(a)(ii)The Tylenol did not have the 8-year-old child's name in care nor was accompanied with a medication authorization form. (3)(c) Personal medications in the unlocked bathroom cabinet were accessible as children used the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious 09/13/2023

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110-300-0215(3)(c) · 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 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.

(3)(a)(ii)The Tylenol did not have the 8-year-old child's name in care nor was accompanied with a medication authorization form. (3)(c) Personal medications in the unlocked bathroom cabinet were accessible as children used the bathroom. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(a) Short Term 09/13/2023

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110-300-0165(3)(a) · 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: (a) Cuts, abrasions, and punctures. Equipment, materials, and other objects on the premises that have splintered edges, sharp edges, points, protruding nails, bolts, or other dangers must be repaired, removed, or made inaccessible to children;

(3)(a) There was two cutting knives on the counter (knife block storage) and one left in the sink accessible to children. (3)(f) The metal umbrella outside and the large water gallon was set on a stool posing a tipping hazard. WAC/RCW Correction Date Disputed Date Disputed 110-300-0260(1)(a) Serious 09/13/2023

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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;

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