Childtime #906

“Food related concerns: Report that management is not ordering fresh food; there is a minimal variety of milk, and no fresh fruits or fresh vegetables. Report that there were moldy tortillas in the kitchen. and staff have observed mold on food being served to children. Report that children are served canned beans and rice daily. Report that many children remain hungry and fussy because they do not like the food that is served. Report that children were served pizza that had been unrefrigerated on the counter all day. Report that the posted menu is not being followed.,Report that new toddler teacher (and possibly others) are supervising children with no cleared background check and no TB test. Report that staff under the age of 18 are left alone with children.,Report that program combines classes which results in mixing age groups. Groups are sometimes mixed for the whole day. Report that children are moved to classrooms that do not have developmentally appropriate equipment or toys for their age group.,Report that staff who are washing the dishes are not aware of, and are not following, the 3 step procedures.,Report that children are left alone with unqualified staff”

The state’s description of the complaint

Preservice requirements

WAC 110-300-0105(2) · Serious

A staff member without completed PBC has been providing care in a lead teacher role for two months.

“program is out of ratio,the drills have not been practiced”

The state’s description of the complaint

Emergency preparation and exiting

WAC 110-300-0166(3)(c) · Serious

The emergency exit gate had a double lock. The self-latching mechanism was not functioning properly. The exit gate had sunk down and was not opening due to a cement block obstruction caused by weather-related wood deterioration. Risk

Food allergies and special dietary needs

WAC 110-300-0186(2) · Serious

Benadryl was not obtained from the family, despite being listed on the child's individual care plan.

Safety requirements

WAC 110-300-0165(3)(g) / 110-300-0165(5)(a) · Short Term

110-300-0165(3)(a) - The fence in the toddler playground had rotting wood in some areas, presenting potential splinter hazards. 110-300-0165(3)(g) - The fence in the toddler playground had peeling paint. The window opening handles in the toddler classroom also had peeling paint. 110-300-0165(4)(a) - The temperature in both the toddler and pre-K classrooms was below 68°F. The director stated that the AC unit was not functioning properly. 110-300-0165(5)(a) - An electrical outlet near the classroom entry was not tamper-resistant (TR) and was located at children's eye level. The outlet was previously blocked by a little furniture piece.

Medication

WAC 110-300-0215(3) · Serious

A medication authorization form was not observed for a child with a documented allergy and medication present on site.

Safety requirements

WAC 110-300-0165(2)(a) · Serious

No observation text was recorded under this citation in the source inspection report.

Safety requirements

WAC 110-300-0165(2)(c) · Short Term

No observation text was recorded under this citation in the source inspection report.

Child records

WAC 110-300-0460(2) · Long Term

(g) The beginning enrollment date was not recorded in every file.

Training requirements

WAC 110-300-0106(3) · Short Term

Three teachers who have been working at the center for over three months have not completed the initial child care basics training.

Equipment and surfaces in outdoor early learning space

WAC 110-300-0146(1)(a)(b) · Serious

The climbing play structure in the toddler playground was installed on turf with the required 6-foot fall zone not met. The ground cover did not meet safety requirements for climbing equipment. When requested, the director was unable to provide documentation verifying the ground cover's safety requiremens for the specific structure in use.

Cleaning schedules

WAC 110-300-0241(8) · Short Term

Green mold was observed on the lids and at the bottom of two tall beige garbage containers. One container was located in the toddlers' classroom, and the second was located in the pre-school classroom.

License and program location

WAC 110-300-0410(4) · Serious

A black, gooey substance suspected to be black mold was observed around the window frames throughout the facility. There was also a mold odor emanating from the AC units in both the toddlers' and pre-school classrooms. Additionally, a mixture of green and black mold was observed on the windows in the infants' room.

Training requirements

WAC 110-300-0106(12) · Serious

MERIT was reviewed prior to the visit and again after visit. The licensor received an updated list of staff for the site. Several Staff were missing trainings and certifications for CPR/First Aid and Food Handlers class. Files Reviewed: J.M.was missing CPR/First Aid certificate, BBP, Basic STARS (not reflected in MERIT). Missing DCYF trainings: Safe Sleep, Emergency Prepardeness Training, Shaken Baby Syndrome, Medication Management, Children Experiencing Homelessness from their file and/or MERIT. K.H. was missing BBP from their file. A.M. was missing: Safe Sleep, CPR/First Aid, BBP, and Food Handlers from their file and/or MERIT. Y.C. was missing Basic STARS, Medication Training, Safe Sleep, Food Handlers, CPR/First Aid from their file and/or MERIT. C.C. was missing was missing Basic STARS, Medication Training, Safe Sleep, CPR/First Aid and Food Handlers from their file and/or MERIT. There are also several other staff in MERIT that are missing Safe Sleep Training, Basic STARS Training and 110-300- 0106 trainings.

Safety requirements

WAC 110-300-0165(2)(a) / 110-300-0165(2)(d) / 110-300-0165(5)(b) · Serious

Program was observed to have clear outlet plugs in the sockets. Cording in rooms throughout was observed dangling. It appeared in some rooms the cording had been affixed to the wall and in compliance but had broke. One room also had a light table with cording. Ensure that plastic bags in restrooms are not accessible to children. Some shelving units, kitchenette sets, and CD players in rooms were not secure. Shelving units on wheels need to have locked wheels. Room walls throughout were observed to have chipping paint and/or small holes from what appears to be where items/decor was previously hung from. The item is no longer there but the holes are. In one room the children coat hooks appeared not to be anchored and studded so the hoook has torn out of the wall leaving large holes and chipping paint around the holes. Water in some rooms: Infant 130.6 (diaper area) ,Toddler 1-131.7, Toddler 2 -130.6 restroom and 130.8. Diaper area was being occupied and the entire time we were in there and again during another pass through of the space so the water at the diaper sink was not checked. Outlets were tamper resistant but need to be repaired throughout the site. On some outlets it was observed that the top outlet was still intact but the bottom the shutters were not longer observed. There were some outlets that could not be checked because the covers were pressed in there and some were hard to get out. The outlet in the Pre-K room restroom was GFCI but not Tamper Resistant. It read WR-Weather Resistant.

Food allergies and special dietary needs

WAC 110-300-0186(2) / 110-300-0186(1) · Serious

Child had Prescription Medical Treatment docs but no plan that documents actions that need to be taken at the different stages of the allergic reaction. There was no Individual Health Care Plan. Guidance was provided to director of where to find a plan on the King County Public Health website as well as the Medication Authorization form and log sheet. Child has an Individual Health Care Plan but did not have all the medication on site for the child. The child was missing the oral medication noted on her plan.

Medication

WAC 110-300-0215(3)(a)(i) / 110-300-0215(3)(a)(ii) · Serious

Ointments were not labeled with first and last name of the child and need to ensure that all areas of the paperwork is filled out. Prescription medication was missing the required paperwork for the Epipen and Oral-Cetrizine.

Equipment and surfaces in outdoor early learning space

WAC 110-300-0146(1)(a)(b) · Serious

Add more drop areas under the slides on Preschool-Pre-K playground.