Cited finding
Individual Health Care Plans
Correction status not published
Cited finding
One child's medication consent form was not complete. It was missing the parent's signature and date. Another child's medication consent form was not current (expired 4/5/2025). A third child's medication consent form had two medications listed. Each medication must have its own medication consent form with instructions, storage, dosage, ect.
Correction status not published
Cited finding
The following was observed to be accessible to children: In PSA, an open box of gloves and a tube of Aquaphor which has the label "Keep out of reach of children" sat on a low shelf outside of the bathroom. The educator placed these items out of reach during the visit. The licensee must only use indoor and outdoor equipment, materials, furnishings, toys, and games that are appropriate to the ages, needs and developmental level of the children enrolled. They must be sturdy, safely constructed and installed, non-tippable, flame retardant, easily cleaned, and free from lead paint, protruding nails, rust, and other hazards that may be dangerous to children.
Correction status not published
Cited finding
The following was observed to be accessible to children: In the Toddler Area, two free standing basketball hoops were not secure and tippable. The outdoor play area must be free from hazards including but not limited to: a busy street, a parking lot, poisonous plants, water hazards, debris, broken glass, chipping, peeling or flaking paint, dangerous machinery or tools, and weather related and environmental hazards or small objects that could present a choking hazard to young children. Any such hazard must be removed or fenced by a sturdy, permanently installed barrier which is at least four feet high or otherwise protected or removed, as appropriate.
Correction status not published
Cited finding
The current staff schedule was not posted when licensor arrived at the visit. Whenever more than one educator is providing care: the Licensee must keep the schedule current and posted in an area easily visible to educators, parents and visitors.
Correction status not published
Cited finding
Medication Consent
Correction status not published
Cited finding
Two toddlers (ages are approximately 2 years and 5 months and two years and six months as reported by the Program Director) were observed to be placed in the Preschool A classroom and were listed on the attendance. Neither child has any documentation in their file to support that they were placed in that classroom due to developmental purposes. Children may be assigned to groups with others within their same age range, as specified by the Department provided the requirements of 606 CMR 7.10(9)(b)1. through 6. are met. A Fixed Age Group of Preschool Children is 33 months to school age.
Correction status not published
Cited finding
Emergency Medication Available
Correction status not published
Cited finding
Indoor Space- hazard
Correction status not published
Cited finding
Outdoor Space - hazards
Correction status not published
Cited finding
Staff Schedule Posted
Correction status not published
Cited finding
Posting- Children's Medical Needs
Correction status not published
Cited finding
Ratios, Group Sizes and Supervision of Children
Correction status not published
Cited finding
Group Assignment of Children
Correction status not published
Cited finding
One child's antihistamine needed to treat an allergy was not available. Another child's medication was missing the measuring device needed to administer the medication to the child (measuring cup). Notwithstanding the provisions of 606 CMR 7.11(2)(e), emergency medications such as epinephrine auto-injectors must be immediately available for use as needed.
Correction status not published
Cited finding
The posting of children's chronic conditions and medications in PRESCHOOL A was not current. One child's name, condition, and medication were missing from the posting.The licensee must post the following information in an area easily visible to parents, educators and visitors: in a manner that protects the privacy of each child: 1. a list of all emergency or life saving medications, including but not limited to epinephrine auto-injectors, inhalers, and anti-seizure medications, that specifies to which children they belong; and 2. a list of allergies and/or other emergency medical information provided by the parent for each child.
Correction status not published
Cited finding
Two children's IHCPs stated the staff trained to administer medication are former staff member(s) that no longer work at the program; One IHCP is not current (expired 4/4/2025); and one IHCP is missing names of educators who are trained to administer medication.
Correction status not published
Cited finding
While outside, one of the educators in PSB brought one child into the building to use the bathroom and left the second teacher with thirteen children. Ratios must be maintained at all times. The regulation requires Preschoolers 33 months to school age (Full Day) is a Maximum Group Size of 20 children with an Educator/Child Ratio is 1:10
Correction status not published