MOONLIGHT CHILDCARE LLC

Outdoor early learning program space · WAC 110-300-0145(8) · Short Term

During the inspection, Licnensor observed that the fence had 2 broken panels, each leaving gap larger than 3.5 inches on the fence. Completed Date Disputed Date Disputed

Emergency preparation and exiting · WAC 110-300-0166(3)(a) · Serious

During the inspection, Licensor observed the front exit door to be locked after entering the providers home. Completed Date Disputed Date Disputed

Emergency preparedness plan · WAC 110-300-0470(4)(b) · Short Term

During the inspection, Licensor observed that Q2 and Q3 drills were not completed.

Staff records · WAC 110-300-0115(3) · Short Term

110-300-0115(3) - Assistant Teacher F.A staff records do not include a copy of current government issued photo identification and emergency contact information. Risk WAC/RCW Level Corrected On Site Correction Date Disputed Date Disputed

Fire safety · WAC 110-300-0170(2) · Short Term

110-300-0170(2) - Provider has not inspected for fire safety using the state fire marshal form.

Emergency preparedness plan · WAC 110-300-0470(4)(a) / 110-300-0470(4)(b) · Short Term

110-300-0470(4)(a) - Provider does not have an annually current fire and evacuation drill completed each calendar month. 110-300-0470(4)(b) - Provider does not have an annually current earthquake, lockdown, or shelter-in-place drill completed each calendar month.

Safety requirements · WAC 110-300-0165(5)(b) · Serious

Two outlets in the kitchen were not tamper resistant and accessible to children

Fire safety · WAC 110-300-0170(3)(b) · Serious

Child proof locks holding fireplace cover in place were within 3 ft of fireplace.

Child records · WAC 110-300-0460(2) · Long Term

Child Records were missing 2nd page (signature page) of Parent or Guardian Permissions

Training requirements · WAC 110-300-0106(12) · Serious

Provider had expired food worker card at time of visit Level Corrected On Site Correction Date Disputed Date Disputed

Outdoor early learning program space · WAC 110-300-0145(1) / 110-300-0145(8) · Short Term

1) Outdoor area had trash and debris on the ground. 8) Fence surrounding backyard had multiple gaps in fence in which a sphere a diameter of 3 and 1/2 inches could pass Level Corrected On Site Correction Date Disputed Date Disputed

Postings · WAC 110-300-0505(1)(2) · Long Term

Posted floor plan did not have emergency routes and exits identified Level Corrected On Site Correction Date Disputed Date Disputed

Safety requirements · WAC 110-300-0165(2)(d) · Serious

2d) Cabinet underneath bathroom sink was unlocked and had plastic bags accessible to children 2f) Provider has two sliding glass doors and one of the glass doors does not have stickers/artwork at child's level 3a) Plywood covering sides of outdoor patio has splintered edges and remaining part of tree that had been partially cut down has sharp edges and is in licensed outdoor area accessible to children 3c) Sliding closet doors in room down hall are capable of pinching 3e) Multiple divots in backyard space and hose in backyard pose tripping hazards 3g) Two rusted chains were on ground in licensed outdoor space accessible to children 5a) Outlets in all licensed space are not Tamper Resistant and outlet outside above patio is also not Tamper Resistant . 5b) Outlets on either side of sink in kitchen and outlet next to bathroom sink are not GFCI or Tamper Resistant Level Corrected On Site Correction Date Disputed Date Disputed

Safety requirements · WAC 110-300-0165(3)(a) · Short Term

2d) Cabinet underneath bathroom sink was unlocked and had plastic bags accessible to children 2f) Provider has two sliding glass doors and one of the glass doors does not have stickers/artwork at child's level 3a) Plywood covering sides of outdoor patio has splintered edges and remaining part of tree that had been partially cut down has sharp edges and is in licensed outdoor area accessible to children 3c) Sliding closet doors in room down hall are capable of pinching 3e) Multiple divots in backyard space and hose in backyard pose tripping hazards 3g) Two rusted chains were on ground in licensed outdoor space accessible to children 5a) Outlets in all licensed space are not Tamper Resistant and outlet outside above patio is also not Tamper Resistant . 5b) Outlets on either side of sink in kitchen and outlet next to bathroom sink are not GFCI or Tamper Resistant Level Corrected On Site Correction Date Disputed Date Disputed Short 110-300-0165(3)(e) Term

Safety requirements · WAC 110-300-0165(5)(b) · Serious

2d) Cabinet underneath bathroom sink was unlocked and had plastic bags accessible to children 2f) Provider has two sliding glass doors and one of the glass doors does not have stickers/artwork at child's level 3a) Plywood covering sides of outdoor patio has splintered edges and remaining part of tree that had been partially cut down has sharp edges and is in licensed outdoor area accessible to children 3c) Sliding closet doors in room down hall are capable of pinching 3e) Multiple divots in backyard space and hose in backyard pose tripping hazards 3g) Two rusted chains were on ground in licensed outdoor space accessible to children 5a) Outlets in all licensed space are not Tamper Resistant and outlet outside above patio is also not Tamper Resistant . 5b) Outlets on either side of sink in kitchen and outlet next to bathroom sink are not GFCI or Tamper Resistant Level Corrected On Site Correction Date Disputed Date Disputed 110-300-0166(4)(c)(ii)(iii)(Iv)(v)(vi)(vii) Serious

Fire safety · WAC 110-300-0170(2) / 110-300-0170(3)(b) / 110-300-0170(3)(g) · Short Term / Serious

2) Provider did not inspect for fire safety using state fire marshal form 3b) Provider's fireplace was covered with wood boards and there were toys and a playpen within 3 ft of fireplace 3f) Provider will not use fireplace and did not have written statement that fireplace will not be used at any time 3g) Room down hallway used for sleeping did not have smoke detector 3i) Top of fire extinguisher was mounted 68" off ground (more than 5 ft off ground) Level Corrected On Site Correction Date Disputed Date Disputed

Medication · WAC 110-300-0215(3)(c) · Serious

Multi-vitamin container was on kitchen counter accessible to children and inhalers were in unlocked kitchen drawers accessible to children. Level Corrected On Site Correction Date Disputed Date Disputed

Storage of hazardous and maintenance supplies · WAC 110-300-0260(2)(a)(b) · Serious

Laundry room, bedroom, furnace area, and doors leading to unlicensed space were unlocked with hazards inside and accessible to children Level Corrected On Site Correction Date Disputed Date Disputed

Infant and toddler sleep, rest, and equipment · WAC 110-300-0290(3)(d) · Short Term

3c) Playpen had two mattresses (one that came with playpen and one that was thicker) in it at time of visit 3d) Provider did not have tight-fitted sheet for playpen or crib Level Corrected On Site Correction Date Disputed Date Disputed

Parent or guardian handbook and related policies · WAC 110-300-0450(1) · Long Term

Provider did not have signed documentation stating parents/guardians of enrolled children reviewed handbook and early learning program policies Level Corrected On Site Correction Date Disputed Date Disputed

Child records · WAC 110-300-0460(2) · Long Term

2) Child file for child on site was missing second page (signature page) for both Child Registration Form and Child Care Parent/Guardian Permission form Level Corrected On Site Correction Date Disputed Date Disputed

Attendance records · WAC 110-300-0455(2) · Short Term

2) Child on site was not signed in at time of visit and Provider could not show licensor sign-in sign-out records 3) Provider was not signed in at time of visit and Provider could not show licensor sign-in sign-out records Level Corrected On Site Correction Date Disputed Date Disputed

Attendance records · WAC 110-300-0455(3) · Long Term

2) Child on site was not signed in at time of visit and Provider could not show licensor sign-in sign-out records 3) Provider was not signed in at time of visit and Provider could not show licensor sign-in sign-out records

Emergency preparation and exiting · WAC 110-300-0166(3)(a) · Serious

The back door which is an emergency exit was locked at the beginning of the visit. It was then unlocked during the visit.

Emergency preparedness plan · WAC 110-300-0470(1) · Short Term

Provider does not have policy addressing what she would do if there is an emergency and children may be left unsupervised.

Outdoor early learning program space · WAC 110-300-0145(1) · Short Term

There is an open pipe next to the front window that does not have a secure cover.

Outdoor early learning program space · WAC 110-300-0145(1) · Short Term

Part of the fence is not attached to the ground and is loose; the gate has a large gap at the bottom.