110-300-0505(1)(2) · 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. (1) Postings listed in subsection (2) of this section that are part of an early learning program must be clearly visible to parents, guardians, and early learning program staff. (2) Postings on early learning premises must include: (a) The child care license, pursuant to WAC 110-300-0010; (b) Floor plan with emergency routes and exits identified in each child care area, pursuant to WAC 110-300-0400(1)(b)(i) and 110-300-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-300-0186(8); (d)Handwashing practices at each handwashing sink, pursuant to WAC 110-300-0200(1); (e) If applicable, diaper changing or stand-up diapering procedure at each diapering station, pursuant to WAC 110-300-0220 and 110-300-0221(1)(d); (f) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (g) Emergency numbers and information, including but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department’s toll-free number; (iv) Washington poison center toll-free number; and (v) The department’s child protective services; (h) The location of emergency medical information for children and staff; (i) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (j) A notice of safe sleep violation in the licensed space as required by WAC 110-300-0291(2), if applicable; (k) “No smoking” and “No vaping” signs, pursuant to WAC 110-300-0420(2)(f); (l) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (m) Insurance coverage, or a lapse or termination of such coverage if applicable, pursuant to RCW 43.216.700; and (n) Any other information listed in RCW 43.216.687.

There was no floor plan posted in the sleeping/napping bedroom. Was also cited during the 8/2/2023 visit. WAC/RCW Correction Date Disputed Date Disputed 110-300-0460(2) Long Term

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110-300-0460(2) · Each child's enrollment record must include the following: (a) The child's birth date; (b) An enrolled child’s parent or guardian's phone numbers, address, and contact information for reaching the family while the child is in care; (c) Emergency contact information. If no emergency contact is available, a written and signed emergency contact plan may be accepted; (d) Names and phone numbers of persons authorized to pick up enrolled children; (e) A plan for special or individual needs of the child, if applicable, including parent or guardian signature, pursuant to WAC 110-300-0300; (f) Signed parent or guardian permissions, pursuant to WAC 110-300-0450 as applicable for: (i) Field trips; (ii) Transportation; (iii) Bathing; (iv) Water activities including swimming pools or other bodies of water; and (v) Photo, video, or surveillance activity. (g) The beginning and end enrollment date for children no longer in the early learning program’s care; (h) Physical restraint documentation pursuant to WAC 110-300-0335, if applicable; (i) Expulsion information, documentation, and steps taken to avoid expulsion, if applicable; (j) Termination of services documentation and communication, if applicable; and (k) Notification of child developmental screening information given to the child’s parent or guardian, if applicable.

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110-300-0460(4)(g) · A health record must include: (g) Consent to seek medical care and treatment of the child in the event of injury or illness, signed by the child's parent or guardian;

4 children enrolled. 4 files reviewed: 1 child file was missing the 2nd page of the permissions form, 2 child files were missing the medical consent form/2nd page of enrollment registration form, 1 child file did not have immunizations and another one had an incomplete registration form. During the 8/2/2023 a complete regisration form missing medical consent was cited at this visit. WAC/RCW Correction Date Disputed Date Disputed 110-300-0115(1) Long Term

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110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records.

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110-300-0105(3) · Early learning providers, including volunteers and household members in a family home early learning program ages fourteen and over, must provide documentation signed within the last twelve months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of: (a) A negative TB symptom screen and negative TB risk assessment; (b) A previous positive FDA approved TB test and a current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program; or (c) A positive symptom screening or a positive risk assessment with documentation of a: (i) Current negative FDA approved TB test; (ii) Previous or current positive FDA approved TB test; and (iii) Current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program.

The assistant, UA did not have documentation of TB test results in her file. This was cited during the 8/2/2023 inspection. On 8/15/2023 via email a TB test appoinment sheet was sent to the licensor but not the results. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(3)(e) Short Term

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110-300-0165(3)(e) · 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: (e) Tripping. Tripping hazards must be eliminated. Uneven walkways, damaged flooring or carpeting, or other tripping hazards must be removed or repaired;

In the corner of the main space where the high chair is located a cell phone and IPAD were plugged up. The cording for the equipment posed hazards. The IPad was on plugged in and sitting on the seat part of the high chair and the phone was on a nearby table. We arrived to the home at 10:53a.m. and Asha started cleaning up and placing items on the stairs behind the gate. At 10:55a.m. Asha removed the items but the child according to Asha had arrived at the child care at 9a.m.

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110-300-0165(3)(g) · 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: (g) Equipment in poor condition. Equipment in poor condition (loose parts, rusty parts, flaking paint, or other dangers) must be repaired, removed, or made inaccessible to children.

In the corner of the main space where the high chair is located a cell phone and IPAD were plugged up. The cording for the equipment posed hazards. The IPad was on plugged in and sitting on the seat part of the high chair and the phone was on a nearby table. We arrived to the home at 10:53a.m. and Asha started cleaning up and placing items on the stairs behind the gate. At 10:55a.m. Asha removed the items but the child according to Asha had arrived at the child care at 9a.m. The mutiple rugs stacked on top of each other forms a tripping hazard. In there is visible chipping paint on the wall. It appears the paper towel holder may have been placed in that space and then moved over. Several times during the visit Asha's voice was escalated when communicating with licensors. WAC/RCW Correction Date Disputed Date Disputed 110-300-0166(3)(a) Serious

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110-300-0166(3)(a) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (a) Emergency exit doors must remain unlocked from the inside, but may be locked from the outside while the early learning program is open. The door handle must be of the type that can be opened from the inside without the use of a key, tools, or special knowledge, and must automatically unlock when the knob or handle is turned;

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110-300-0180(1) · An early learning provider must serve meals and snacks to children in care as follows: (a) Meals and snacks must be served not less than two hours and not more than three hours apart unless the child is asleep. (b) Children in care for five to nine hours: (i) At least one meal and two snacks; or (ii) Two meals and one snack. (c) Children in care for more than nine hours: (i) Two meals and two snacks; or (ii) Three snacks and one meal. (d) After school snack, dinner, evening snack, and breakfast: (i) A snack or meal must be provided to a child that arrives to the early learning program after school; (ii) Dinner must be provided to children in nighttime care if a child is at an early learning program after his or her dinnertime, or has not had dinner; (iii) An evening snack must be provided to children in nighttime care; (iv) Breakfast must be provided to children in nighttime care if a child remains in care after the child's usual breakfast time; and (v) A breakfast or morning snack must be available to children in care.

When checking the refrigerator and freezer of the space provider, Asha told licensor, Faiza to inform this licensor that the families bring their own food. The licensor then inquired on where the child's food was after looking around in the space. According to Asha the parent is going to drop it off. The child had arrived at 9 and we left the home a little after 12:00p.m. no food was observed. What was observed when we arrived was a bottle sitting on a shelf. The child in care is 2 years old. WAC/RCW Correction Date Disputed Date Disputed 110-300-0280(1) Short Term

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110-300-0280(1) · An early learning provider may allow parents to bring from home filled bottles clearly labeled with the date and infant's first and last name for daily use. Bottles must be immediately refrigerated.

Bottle was sitting on shelf when we arrived and was not labeled with first and last name. WAC/RCW Correction Date Disputed Date Disputed 110-300-0290(3)(c) Short Term

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110-300-0290(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. Sleep equipment not covered in WAC 110-300-0265 must: (c) Have a clean, firm, and snug-fitting mattress designed specifically for the particular equipment;

The provider, Asha has added a thicker mattress to the Pack N Plays. One is in the bedroom and one in the main space. The added mattress is not snug fitting cited (8/2). The mattresses are also not moisture resistant and the one in the main room was observed with stains. Licensor inquired to the provider,Asha via licensor, Faiza on where the sheet and moisture resistant barrier was for the foam feeling mattress she replied they were in the wash. The licensor checked the other Pack N Play which was in the Bedroom and it did not have a moisture resistant covering on it only a sheet. The mattresses that the provider also wants to propose to use for Overnight Care did not have a moisture resistant covering on them.

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110-300-0241(1)(a) · An early learning provider must develop and follow a cleaning schedule that includes: (a) Food preparation areas, tables and chairs, high chairs, and food service counters, which must be cleaned and sanitized before and after each meal and snack with single use paper towels or one-time use wiping cloths;

The program has a cleaning schedule but does not appear to be following it. The kitchen had an unpleasant smell. Later during the visit the garbage that was taken about 20-30 minutes after we arrived. The garbage was full located under the kitchen sink in the cabinet was full. There were pots and items on the stove and by the stove including packaging close to the stove and a little piece of paper on the stove eye which the licensor removed. The pots had substance/food items inside of them but it did not appear to be the food that was to served today for the children's lunch. The table used for eating was observed to have a plate of food on it that was not being eaten. It was removed and the table was never 3 stepped washed rinsed and sanitized afterwards despite there was visible debris on the table. Later the assistant, Umulkheyr announced it was snack time and the table had debris which was observed and noted. The high chair nor the table was observed to be washed rinsed and sanitized prior to eating. Possible smell may have been from the garbage can but not sure. The garbage can was really full and did not appear to have been emptied from day prior.

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110-300-0105(3) · Early learning providers, including volunteers and household members in a family home early learning program ages fourteen and over, must provide documentation signed within the last twelve months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of: (a) A negative TB symptom screen and negative TB risk assessment; (b) A previous positive FDA approved TB test and a current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program; or (c) A positive symptom screening or a positive risk assessment with documentation of a: (i) Current negative FDA approved TB test; (ii) Previous or current positive FDA approved TB test; and (iii) Current negative chest radiograph and documentation of clearance to safely work or reside in an early learning program.

The assistant stated she had prior work history when asked but when reviewing MERIT there is no work history listed. The TB/X-Ray provided was from 5/21/2018. According to the provider and the assistant she recently started working at this location and has not been working for a week. WAC/RCW Correction Date Disputed Date Disputed 110-300-0115(1) Long Term

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110-300-0115(1) · An early learning provider must establish a records system for themselves, household members, staff, and volunteers that complies with the requirements of this chapter. Early learning program staff records must be: (a) Verified by the licensee, center director, assistant director, or program supervisor; (b) Entered and maintained in the electronic workforce registry, if applicable. Paper records may be discarded once entered into the electronic workforce registry and confirmed by the department; (c) Updated to delete staff names from the electronic workforce registry when no longer employed at the early learning program; and (d) Kept on-site or in the program's administrative office in a manner that allows the department to review the records.

Assistant was hired and not reflected in MERIT. Assistant did not have a complete file. There was not first date of employment noted. Assistant did not have a resume/application nor emergency contact. WAC/RCW Correction Date Disputed Date Disputed 110-300-0505(1)(2) Long Term

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110-300-0505(1)(2) · 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. (1) Postings listed in subsection (2) of this section that are part of an early learning program must be clearly visible to parents, guardians, and early learning program staff. (2) Postings on early learning premises must include: (a) The child care license, pursuant to WAC 110-300-0010; (b) Floor plan with emergency routes and exits identified in each child care area, pursuant to WAC 110-300-0400(1)(b)(i) and 110-300-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-300-0186(8); (d)Handwashing practices at each handwashing sink, pursuant to WAC 110-300-0200(1); (e) If applicable, diaper changing or stand-up diapering procedure at each diapering station, pursuant to WAC 110-300-0220 and 110-300-0221(1)(d); (f) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (g) Emergency numbers and information, including but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department’s toll-free number; (iv) Washington poison center toll-free number; and (v) The department’s child protective services; (h) The location of emergency medical information for children and staff; (i) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (j) A notice of safe sleep violation in the licensed space as required by WAC 110-300-0291(2), if applicable; (k) “No smoking” and “No vaping” signs, pursuant to WAC 110-300-0420(2)(f); (l) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (m) Insurance coverage, or a lapse or termination of such coverage if applicable, pursuant to RCW 43.216.700; and (n) Any other information listed in RCW 43.216.687.

Add floor plan to the bedroom. Post notice of location of medical information for provider and staff. this can be added to the sign for the children.

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