Reneatris Washington

Back fence tarps were frayed or unsecured. Fencing around gas meter was broken. bricks loose around the patio.

Daily maintenance checklists were not current.

Gate lock on fence gate in outdoor area is not functional, gate cannot stay closed.

One child was missing Immunization records.

Director was missing annual training in the following areas: Handling, storing, and disposing of hazardous materials Understanding building and physical premises safety, including identification and protectionfrom hazards that can cause bodily injury such as electrical hazards, bodies of water, andvehicular traffic Preventing and responding to emergencies due to food or an allergic reaction Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) Administering medication, if applicable, including compliance

One child did not have the parents signature for medical emergency authorization.

Four childrens records were missing the health statement from a medical provider.

2 out of 4 children's files evaluated was missing a completed health statement.

1 out of 4 children's files evaluated was missing required special care needs information

Written documentation showing parent notification that the operation does not have liability insurance was not available for review during the inspection. Note: A notice of the lack of liability insurance was posted on the front doorl of the entrance at the operation during the inspection.

Documentation showing the following training topics have been completed was not available for review during inspection: - Handling, Storing and Disposing of Hazardous Materials - Understanding and Responding to Food Allergies - Understanding and Preventing the Spread of Communicable Diseases

The primary caregiver background check was observed as inactive during the inspection. The caregiver was observed resubmitting the background check during the inspection.