Cited finding
Staff First Aid Training
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Home › MA › Dorchester › Children's Express at the Carolyn Lynch Children's Center
License #P-257766 · Center · Center-Based Care
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Staff First Aid Training
Children's Records
In the I/T classroom, a staff member was changing a child directly on the changing surface. The diaper changing surface must be covered by a disposable cover that is changed after each child has been diapered
Diaper changing paper
A sampling of children's files was reviewed. One child's file did not include their current Lead Test results.
Two staff who have been at the program for 6+ months did not have current First Aid Certification.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
This investigation inspection recorded no violations or advisories.
Staff Records
The Medical Consent Form for the current child with medications included 2-4 puffs of the medication as needed. However, the prescription label included 2 puffs of medication. Documentation needs to be consistent.
EEC Essentials Training completion
Current consent for administered medications
A sampling of staff files was reviewed. 1) One staff file did not include evidence of 12 Essentials 2.0 training completion and results from the MMR titre ensuring immunity.
One staff file did not include evidence of 12 Essentials 2.0 training completion.
Allergies, medical info, special diets, emergency medications; privacy protected
1) In the Infant/Toddler classroom, there was an air freshener spray bottle accessible to children. 2) In the Infant/Toddler classroom, there was a drawer accessible to children that included hazards that may cause injury to children. The safety lock on the drawer was broken.
Staff CPR Training
The Allergy/Medical Condition List did not include a medication prescribed to a child available at the program as needed.
A sampling of children's files was reviewed. One child's departure mode of transportation was left blank.
Three snack items had been transferred from their original box to clean and covered containers in the kitchen area. The program did not have documentation of the expiration dates for the 3 food items. EEC was unable to determine the expiration dates for these 3 foods.
This investigation inspection recorded no violations or advisories.
Children's Records - R Apr 2025
It appears that a parent did update the child's enrollment form packet however, the date that the forms were completed had not changed from over one year ago. 2) One child's physical did not include lead test results.
A sampling of staff files was reviewed. One staff file did not include evidence of 2 MMRs or proof of immunity.
Children's Records - R Apr 2025
One child's medication dosage was 3.5 ML. The medication dispenser provided to the program did not have a pre-determined 3.5 ML dosage.
Staff Records - R Apr 2025
Physical Space Paint
Outdoor Space - R Apr 2025
Sink Spaces
Emergency medications readily available
A plastic can of disinfectant wipes were stored on a shelf accessible to children. This was corrected at the time of the visit.
1) The parent provided training for the administration of one child's medication. The IHC Plan needed to include this information with the doctors approval. 2) One child's IHC, medication consent form and prescription label included different dosage information. All information must be consistent.
Individual Health Care Plan (IHCP) - R Apr 2025
Staff Records - R Apr 2025
Allergy/Medical Condition List
Personal items
Food stored in clean/covered containers
This follow-up visit inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
In the Infant Classroom, EEC observed a crib and bouncy seat obstructing the far classroom exit. Exits and evacuation routes must be kept clear of obstructions.
Attendance Recording and Group Sizes/Ratios
Indoor Space
Emergency Evacuation - R Apr 2025
In the Toddler/Preschool classroom when the attendance was reviewed, the attendance included the 2 children were present/ However, there was one child present at the time of review.
The evacuation drill log was reviewed. It was noted that the effectiveness of the drill (time to evacuate) and the exit route used was not included in documentation.
One child's medication dosage was noted as 4 ML. The medication dispenser did not have this exact dosage to ensure proper dosage administration.
Emergency medications readily available
Individual Health Care Plan (IHCP)
Staff Records
Attendance Recording and Group Sizes/Ratios
Supervision of Children
Food not served beyond recommended dates
Toxic Substances
Current consent for administered medications
Staff First Aid Training - R Sep 2025
Children's Records
EEC Essentials Training completion
At the time of the visit, the Assistant Director had locked their keys in the Program Director's office. Due to this, staff files were unavailable for review at the time of the visit, therefore, a sampling of First Aid certification was unable to be reviewed.
At the time of the visit, the Assistant Director had locked their keys in the Program Director's office. Due to this, staff files were unavailable for review at the time of the visit, and therefore, a sampling of EEC 12 Essentials Training completions could not be reviewed.
At the time of the visit, the Assistant Director had locked their keys in the Program Director's office. Due to this, staff records were unavailable for review at the time of the visit, and therefore, this documentation could not be reviewed.
At the time of the visit, the Assistant Director had locked their keys in the Program Director's office. Due to this, staff files were unavailable for review at the time of the visit, therefore, a sampling of current CPR certification was unable to be reviewed.
In the Pre-K (UPK classroom), the attendance presented to EEC had 2 children marked present. There was one child present. The program must have a method of knowing which children are present at all times during the day.
Due to the following, the staff did not ensure a child's health and safety at all times. A child in the program has a life-saving medication. According to the Assistant Director, the only staff member trained on how to administer the medication was the Program Director, who was on vacation at the time of the visit. The child was present at the program at the time of the visit.
There were three Individual Health Care Plans (IHC) that did not include staff who were trained and who trained them.
1) One child's file had a Medication Consent form that was not signed/dated by the parent. 2) One child had a medication, and the child's file did not include a Medication Consent Form.
A sampling of children's files was reviewed. 1) One child's enrollment form packet was signed/dated over a year ago. 2) One child's arrival and departure mode of transportation was blank. 3) One child's physical did not include lead test results.
In the I/T classroom, there was chipping/peeling paint on the walls and radiator. In the Toddler/Preschool classroom, there was chipping/peeling paint on the walls.
The lock on both of the playground gates was broken. Please submit a written purchase order or work order to EEC confirming that the locks have been repaired and are locking properly OR that new locks have been installed in working order.
There were dirty toys stored in the Infant 2 handwashing sink.
Emergency Evacuation - R Apr 2025
Toxic Substances
A sampling of staff files was reviewed. 1) One staff file was missing a bi-monthly observation which was due on 7/23 and evidence of completion of Strong Start 12 Essential Trainings. 2) One staff file did not include a 2nf MMR or proof of immunity. 3) One staff file was missing the bi-monthly observation that was due 8/23.
In the Infant/Toddler classroom, 3 sippy cups did not include the child's name. In the Infant classroom, there was one bottle that did not include a child's name. Personal items intended for individual use by children, including but not limited to bottles, pacifiers, and sleeping materials, must be labeled with the name of the child for whom they are intended.
In the Infant/Toddler classroom, there was an open box of Cheerios. This opened box/bag was not being stored in a covered container.
The Allergy/Medical Condition List did not include one child's condition, their medication and to Call 911 should the child show signs of their condition.
Evacation dtill documentation for the past year only included evacuation from primary routes. Drills must include evacuation from alternative exits