Cited finding
Written parental and doctor's consent to administer medication was expired for one child.
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Home › MA › Oakham › Oakham Country Day School
License #P-245582 · Center · Center-Based Care
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Written parental and doctor's consent to administer medication was expired for one child.
Documentation of medication administration; Current consent for medications
Non-prescription medication for a child with food allergies was expired.
Indoor Space
Medication Storage; Medication Container/Label
Hazards were identified in the indoor space. The cabinets in the children's bathrooms were not locked and liquid soap and wipes were accessible to children. The radiator cover near the toilet in the upstairs bathroom was rusty.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Expired 10/2024.
Building Inspection and Fire Inspection - R Apr 2025
The metal monkey bars for school age children had chipping and peeling paint.
Physical Space Paint
Medication
The Epi-Pen reviewed expired in June 2023. The prescription does not expire until April of 2024.
IHCP plan was missing who was trained. Another IHCP plan did not have any instructions on when to administer the medication. Epi-Pen and Benadryl.
Staff Educator Schedule was not current, staff first aid and CPR expired on the scheduled.
The program has documentation and a log from May 2021. The director reported she does not write injury reports for minor injuries, But does communicate with the families verbally.
Both emergency medications reviewed were missing the prescription label.
Staff Schedule current and posted
Garbage kept in lined and covered containers, emptied daily
Health Care Consultant Agreement
Supervision of Children
Outdoor Space - R Apr 2025
During the visit children were observed in areas that were not clearly visible to educators. Creating supervision concerns.
The fence was broken leaving a gap that would be a potential head entrapment. The sand in the fall zones was compacted and hard.
Staff members were missing evidence of MMR's one was missing evidence on both the other was missing one of the required two. Staff files were missing BRC information.
Children did not wash hands before playing in the sand table in the downstairs preschool classroom.
At the time of the visit it was observed that some of the space could use a more thorough cleaning. Children's chairs, floors, walls both kitchen spaces and the cabinets.
Staff Records - R Apr 2025
Equipment is clean, safe, secured, and poses no hazard.
Indoor Space
Documentation of medication administration; Current consent for medications
Staff meeting documentation
Record of injuries, behavior incidents, accidents, emergencies
Staff Records - R Apr 2025
Staff records checklist
Playground free from hazards; fenced if applicable
Location of health care policy; Location of 1st aid kit
Medication Storage; Medication Container/Label
Documentation of medication administration; Current consent for medications
Individual Health Care Plan (IHCP) - R Apr 2025
Program director reported they have not been doing 2 hour staff meeting after hours, they have just been talking on the playground.
One staff file missing interview, application, references, evaluation, current physical and no documented professional development for the current year.
Current staff records checklist was not available during the visit.
Nurse practitioner has an expired certification date.
Bathroom trash has no cover.
The monkey bars and the dome have chipping paint. Hazardous projection on the metal slide, the screw extended more than two threads from the bolt. The Little tikes climber was broken and leaning. The fence was not secured into the ground, it was leaning against the existing fence and held together with cords. The fence has slits that are head entrapments.
Not posted in a visible area to staff, families or visitors.
Medication missing consent form.
Staff and children wash hands: before/after water play
Individual Health Care Plan (IHCP) - R Apr 2025
There was a cord in the downstairs preschool room that was accessible to the children. There was also an apple corer that was in a drawer accessible to the children.
One of the medication consent forms was expired.
There was information missing on two of the children's Individual Health Care Plans.