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.

3) One medication authorization did not have the parent

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;

2)c) There are several strings accessible to children that are long enough to form a loop and pose a hazard of strangulation. There are long laces in a bin with lacing cards, toys with long strings attached, and plastic drawing pads with the stylus attached by a long string that are accessible to children in care. These items were removed by the provider during the inspection. 2)c) There is an electrical cord from a lamp accessible to children next to the recliner in the play room. There is also a cord from the recliner controls laying on the recliner where it is accessible to children. 2)d) There were plastic bags accessible to children in the kitchen area. 3)a) There are cut open aluminum cans in a bucket in the outdoor play area that have sharp edges that could cut a child.

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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;

2)c) There are several strings accessible to children that are long enough to form a loop and pose a hazard of strangulation. There are long laces in a bin with lacing cards, toys with long strings attached, and plastic drawing pads with the stylus attached by a long string that are accessible to children in care. These items were removed by the provider during the inspection. 2)c) There is an electrical cord from a lamp accessible to children next to the recliner in the play room. There is also a cord from the recliner controls laying on the recliner where it is accessible to children. 2)d) There were plastic bags accessible to children in the kitchen area. 3)a) There are cut open aluminum cans in a bucket in the outdoor play area that have sharp edges that could cut a child. 3)a) There are fingernail clippers accessible to children on the table next to the recliner in the play room. Risk WAC/RCW

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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;

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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.

1)a)b)c) There is a food allergy identified in one child's file. There is no individual care plan in place with a) steps to take in case of unintended allergic reaction, b) identify foods that can substitute for allergenic foods, c) provide the specific treatment plan for the early learning provider to take in response to an allergic reaction, including names of medication, how to administer, dosage amounts, and description of allergic reactions and symptoms associated with the child's particular allergies. Risk WAC/RCW

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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) One medication authorization did not have the parent

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.

3) One medication authorization did not have the parent

Open Not marked corrected in the state record

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110-300-0241(10) · Floors must be cleaned by either sweeping or vacuuming at least once per day or more often as needed. Moisture resistant flooring must be cleaned and sanitized at least once per day or more often as needed.

Open Not marked corrected in the state record

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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;

1)a) Several potentially poisonous or dangerous items were accessible to children today as follows: essential oil, covid-19 test kit, and sunscreen were on the counter in the restroom, within reach of children in care. The provider removed them during the inspection. nasal saline spray and hair detangler spray were in a caddy hanging on the safety gate in the play room accessible to children in care. They have warning labels to keep out of reach of children. The provider removed them during the inspection. disinfecting strength bleach water spray and soapy water spray bottles were hanging from the shower curtain rail in the restroom, within reach of at least one child in care today. Risk WAC/RCW

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110-300-0505(1)(2) · (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.

2)m) Provider does not have child care liability insurance coverage, but the posting indicates she will have it when licensed. This just needs to be updated so it is clear that provider does not carry child care liability insurance.

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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;

2)c) There were several cords around the licensed space indoors and outdoors that were capable of forming a loop around a child's neck and would be accessible to children. This included the cord to the electric recliner chair and several other cords plugged in near that chair; a power strip cord hanging behind open metal shelves in the dining area; the cord to the toaster, which was in a cabinet that would be accessible to children in the dining area; the cord to a cooking appliance on the counter in the kitchen/dining area; a cord to a white noise device in the play room infant area; cords from the lamps adjacent to the television in the play room, which were not well secured and could be pulled down; a cord to a shredder machine in the hallway; and an unsecured extension cord hanging down from the covered patio where children could access it. 2)d) There were several plastic bags and plastic items that could pose a risk of suffocation in the licensed space where they would be accessible to children. This included disposable plastic diaper mats and plastic bags in the unsecured bathroom drawers; plastic bags and plastic wrap in the kitchen drawers; and a couple plastic bags used for storage of various things in the playroom.

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110-300-0165(5)(g) · To ensure a safe environment for children in care, an early learning provider must comply with the following electrical requirements: (g) Electrical devices accessible to children must not be plugged into an electrical outlet near a water source such as sink, tub, water table, or swimming pool.

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110-300-0166(3)(b) · To ensure a safe exit from the premises during an emergency, early learning providers must comply with the following requirements: (b) Exit doors that are not designated as an emergency exit door may be locked during operating hours. Locking interior doors in early learning program space must be designed to be unlocked from either side. An unlocking device must be readily available; and

3)b) The interior doors in early learning program space are designed to be unlocked from either side, but an unlocking device was not available. Risk WAC/RCW

Open Not marked corrected in the state record

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110-300-0170(3)(a) · To ensure a safe environment for children in care, an early learning provider must comply with the following fire safety requirements: (a) Combustible materials. (i) Combustible materials must be properly discarded pursuant to local jurisdictions, removed from the premises, or properly stored in closed metal containers specifically designed to hold such combustible materials. (ii) Combustible materials stored in a closed metal container must not be stored in the premises licensed space or any place that may be accessible to children in care. (iii) Combustible materials include, but are not limited to, lint, gasoline, natural gas, diesel, fuel, propane, rags soaked in combustible materials, oils, chemicals, or solvents.

3)a)ii)iii) There were two propane tanks on the patio in the outdoor play area where they would be accessible to children. 3)g)ii) The combo smoke and CO detector was chirping after being tested, which indicates that it may require maintenance. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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;

1)a) There were some toxic and hygiene products in the restroom and kitchen where they would be accessible to children. This included shampoos and other hygiene products, some of which were labeled with language to keep out of reach of children, in the tub area in the restroom; disinfecting wipes on a towel rack above the toilet in the restroom; and dish soap in the kitchen near the sink. 2)a)b) One of the storage sheds in the outdoor play area did not have a lock to prevent child access. The latch on the outside of the shed is the type that could not be opened from the inside if a child were to go into the shed and someone latched it closed. 5) There were loppers (a tool for trimming branches/trees) sitting on the table on the patio in the area that will be used for outdoor play. Risk WAC/RCW

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;

1)a) There were some toxic and hygiene products in the restroom and kitchen where they would be accessible to children. This included shampoos and other hygiene products, some of which were labeled with language to keep out of reach of children, in the tub area in the restroom; disinfecting wipes on a towel rack above the toilet in the restroom; and dish soap in the kitchen near the sink. 2)a)b) One of the storage sheds in the outdoor play area did not have a lock to prevent child access. The latch on the outside of the shed is the type that could not be opened from the inside if a child were to go into the shed and someone latched it closed. 5) There were loppers (a tool for trimming branches/trees) sitting on the table on the patio in the area that will be used for outdoor play. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

1)a) There were some toxic and hygiene products in the restroom and kitchen where they would be accessible to children. This included shampoos and other hygiene products, some of which were labeled with language to keep out of reach of children, in the tub area in the restroom; disinfecting wipes on a towel rack above the toilet in the restroom; and dish soap in the kitchen near the sink. 2)a)b) One of the storage sheds in the outdoor play area did not have a lock to prevent child access. The latch on the outside of the shed is the type that could not be opened from the inside if a child were to go into the shed and someone latched it closed. 5) There were loppers (a tool for trimming branches/trees) sitting on the table on the patio in the area that will be used for outdoor play.

Open Not marked corrected in the state record

Open / not marked corrected.