Violation

Designation of Administration/Multiple Site Plan

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff meeting documentation

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Record of injuries, behavior incidents, accidents, emergencies

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Rest materials clean/good repair/individually marked, stored appropriately

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Protection from windows, stairwells, and kitchen.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Schedule current and posted

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

First Aid Kit (SLGSA)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Refrigerator temp. between 32-40 degrees; working thermometer in refrigerator

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Not all educators were aware of who was the Designated Administrator when the Program Director is not at the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Staff Meeting Binder was reviewed and found there was no evidence of meetings held between April and September 2024 and the meetings held in October and November 2024 did not have the duration of time documented.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Incident Log was reviewed and found it had not been updated since 11/6/2024. The Injury Log was reviewed and found it had not been updated since 12/9/2024. These reports must be reviewed by the licensee or Program Administrator on a monthly basis.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One crib mattress has a large rip on the top and the five wooden cribs in the INFANT classroom have chipping paint on the top rung on the inside of the cribs. The program must provide sleeping materials that are individually marked and in good repair and clean.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The kitchen door was open during the visit.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was observed to be accessible to children: In PRESCHOOL, two adults scissors were in a cup on top of a lower shelf (relocated during the visit), a vinyl glove was in the hands of a child (taken away from the child during the visit), and a lateral bookshelf had a loose divider and the screws and long staples were visible; and in PREK, the cords to the microwave and refrigerator were hanging loosely and between the electric socket and the appliances.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The Staff Schedule was posted in the director's office but it was not posted where visitors and parents can see.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The First Aid Kit in TODDLER 1 was missing tape, scissors, a CPR mouth guard, ice packs, and gloves. The First Aid Kit in TODDLER 2 was missing scissors, a CPR mouth guard, and gloves. The First Aid Kit in PRESCHOOL, was missing ice packs and a CPR mouth guard.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The PREK emergency bag containing a child's emergency medication was found in the PRESCHOOL classroom during the visit. Licensor carried the bag from PS to PREK so the bag was in the correct classroom.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The refrigerator is TODDLER 1 was about 47 degrees. All refrigerator must be at a temperature of 32-40 degrees.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plans were reviewed for all children with chronic medical conditions and the following was found: -Two IHCPs were not complete. They were missing who is trained to administer the medication. -One child's IHCP was not signed or dated by the parent. -Two children's records were missing an IHCP to address allergies. -One child's IHCP was incomplete. It was missing potential side effects and consequences. -One child's IHCP was not complete. It was missing potential side effects. -One child's IHCP was not complete. It was missing potential side effects and staff trained to administer medication.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff BRC - R Sep 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Staff Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Children's Records - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Attendance Recording and Group Sizes/Ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Physical Space Paint

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Medication

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Individual Health Care Plan (IHCP) - R Apr 2025

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Sink Spaces

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Emergency medications readily available

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Fall zones adequate depth of impact absorbing material

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

During a review of three staff records it was found evidence of completed BRCs was missing. Staff Records. In addition to the information required by 606 CMR 7.04(5), the licensee must maintain in each personnel record: evidence of completed background record checks, as required by 102 CMR 1.05(2) and 606 CMR 14.00.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three staff records were reviewed and found: -Two staff records were missing evidence of a completed orientation. -Two staff records had expired PQR (one expired 1/4/2024 and one expired 8/11/2022).

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Six Child Records were reviewed and found: -Two children's enrollment forms were not signed or dated. -One child's enrollment form was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The attendance in TODDLER 1 was inaccurate. Seven children were in attendance but only six children were check in. The attendance in PREKINDERGARTEN was inaccurate. Eight children were in attendance but only six children were check in.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was found to be accessible to children: -In TODDLER 2, the toy tool bench was not secure and tippable and the microwave on top of the refrigerator was not secure and tippable. -In PREKINDERGARTEN, the play kitchen set was not secure and tippable.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was observed to be accessible to children -In the stairwell on the wall three holes were visible near the hand rail. The paint was chipping and the wall plaster was visible.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's (REDACTED)

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following was observed in the TODDLER 1 Classroom: Children's bibs were observed to be sitting in the hand washing sink in the classroom indicating the sink is used for purposes other than hand washing.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One child's (REDACTED) was not available for program staff.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The ground surface under the fall zones was assessed and found: -There was insufficient mulch under exit of the slide facing the sand box. The dirt under the mulch was visible, indicating less than an inch of mulch.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Supervision of Children

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Attendance Recording and Group Sizes/Ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Crib Sheets

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Indoor Space

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Toxic Substances

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three children were observed to be unsupervised in the hallway at the front door area. One child came down the stairs, unsupervised, and put his belongings into his cubby. A minute later two additional children came down the stairs also. No educator was with these children. Educators must be positioned to maximize their ability to see and/or hear children in their care.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Ratios in Toddler 1 and Toddler 2 were not in compliance. Seven children were present in Toddler 2 with one educator, and a second educator sitting between the doorway. Four children were present in Toddler 1, with only the educator sitting in the doorway. In addition, Preschool Room had eleven children present, supervised by one educator. Toddler Ratio is 1:4 and Preschool Ratio is 1:10.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Three cribs in the Infant Room had sheets that did not fit properly on the mattress. No children were in the cribs at the time of the visit. Technical Assistance was provided.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Two mouse traps were accessible to children under a table in Todler Room. One cubby shelf in Toddler Room was broken. One window screen in Toddler Room was torn. Brackets for the wall dividers are protruding on the floor and create a trip hazard. One microwave oven was not secured in Toddler Room.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the unlocked supply cabinet in the Preschool Room, plastic bags and aerosol can were accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

administration

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

supervision

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

transitions

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

hazards

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

equipment

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

interactions

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

labeling

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

postings

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

sleep materials

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

ratios

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program has not uploaded all required documents into the Document Library, which is part of the renewal application process. Several documents, including Background Record Check Policy, Health Care Policy were returned for revision in January 2019. these documents have not been re-submitted. Additionally, the Building Inspection and Fire Inspection certificates in the program's Document Library are not current.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program failed to provide adequate supervision to children in the Infant Room. Upon arrival at the program, EEC staff observed one educator supervising five infants in the Infant Room.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program is not soundly administered, as evidenced by the following: Upon arrival at the program, the director provided EEC staff with false and misleading information. (see report) A bag of peanut candy was protruding from a teacher purse, which was hung on a hook with children's backpacks, and accessible to children. The program is a "peanut free" program, and currently there are two children enrolled with diagnosed peanut allergy. (see report) Additionally, one child's medication was hung on a hook with children's backpacks, and accessible to children. Additional hazards and non compliances are included in this report.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The director provided false and misleading information to EEC staff. Upon arrival at the program, the director stated that she was "monitoring classrooms", and was available to accompany EEC staff as they did a walk through of the program to inspect classrooms. When it was noted that one educator was assigned to supervise five infants in the Infant Room, the director then stated that she was the second staff person in this Infant Room. She also stated that she had been working in the office, because two of the infants were sleeping. The information provided was false and misleading.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

At lunchtime in Toddler 1 Room, there was no transitional activity prepared, or implemented for the nine children in the group. It took 20 minutes for the staff to serve the children lunch, which resulted in children waiting for an unreasonable time, with nothing to do. During this time, no activity was provided for the children. Activities must be planned and organized in advance to avoid children waiting.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One educator was observed supervising five infants in the Infant Room. Staff stated that this educator had been alone with the group for up to 15 minutes, while the director worked in the office.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following hazards were accessible to children: Toddler 1- a spray container of soap and water; Toddler 2- an empty plastic bag and a teacher purse; Preschool- two adult scissors; Hallway- one adult purse, with a protruding bag of peanut candy and one plastic bag containing a child's prescription medication. Upstairs Preschool- one staff purse. Bathrooms- renuzit dispenser and a spray can of air freshener. Children were observed walking through the kitchen to come in from the playground: in this kitchen were three teacher purses, adult knives, plastic bags and plastic wrap. *Staff purses accessible to children has been cited previously on report dated 7/31/19; the program Corrective Action Plan stated that "I will ....monitor on a daily basis".

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The following hazards were accessible to children in the Infant Room: frayed tape on the baseboard heater, a metal loop (part of an eye hook) near the floor; vinyl baseboard trim disconnected from separating walls; excess dirt on the bottom of one crib. A toy with an open battery pack was on a highchair tray, along with an open package of AAA batteries. The following hazards were accessible to children in the Toddler Rooms: a container of plastic small googly eyes; 4 feet of vinyl floor trim disconnected from the separating walls. The following hazards were accessible to children in the Preschool Room: the fireplace trim had sharp edges and pieces of missing foam, resulting in exposed brick; one heater vent cover was broken; a carpet sweeper and dirty broom; CD cords draped more than 6 inches; frayed carpet. The following hazards were accessible to children in the hallway: 5 wooden chairs, and six plastic chairs stacked and not secured; two four foot high plastic drawer units not secured.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

The program has failed to meet specific health care needs of enrolled children, including protecting children from that to which they are allergic. A teacher purse, hung on a hook with children's belongings, had a bag of peanut candy protruding from it. Two children currently enrolled at the program have a diagnosed allergy to peanuts. Additionally, the program has failed to follow their Health Care Policy, which states that children will be protected from that to which they are allergic.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In the Toddler 1 Room, one staff person was observed saying to a child "no, you don't touch her food", in a disapproving manner. No redirection to a positive action was offered to the child.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Educators in the Toddler 1 Room were not responsive to individual children's needs during the visit. EEC staff observed lunch being served: nine toddlers were seated at their tables, with nothing in front of them. One educator took each child's cup out of the refrigerator, one at a time, and placed it in front of a child, one at a time. She then proceeded to heat up each child's lunch in the microwave, one at a time and placing it in front of a child. During this time, staff did not speak to the children, or interact/nurture them in any way. One child was observed sliding off of her chair, twice. One child was observed eating food that he picked up off the floor. When licensing staff suggested that the second staff person read a story book to the children, she stood with her back to most of the children, and read from a book in a monotone and unappealing manner.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

In Toddler 1 Room, seven cups and one milk bottle were not labeled with the name of the children for whom it was intended.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

There was not a current staff schedule posted at the program.

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

Two cribs had a boppy pillow, hanging over the headboard. *This non compliance was cited on a previous visit report dated 7/31/19; the program's Corrective Action Plan stated 'boppy pillows are no longer stored in or on cribs, and will be monitored on a daily basis".

Open Not marked corrected in the state record

Open / not marked corrected.

Violation

One crib sheet in the Infant Room (pink) did not fit the mattress properly; the sheet was too large for the mattress, resulting in excess fabric. Staff stated that no infant had slept in this crib on the day of the visit. * Crib sheets not fitted properly was cited on a visit report dated 7/31/19. The program's Corrective Action Plan stated that "all crib sheets are in regulation guidelines".

Open Not marked corrected in the state record

Open / not marked corrected.