Cited finding
One child was missing the IHCP for the emergency medication.
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Home › MA › Randolph › Step Ahead Early Education and Child Care Center
License #P-183304 · Center · Center-Based Care
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When they operate
Schedule type not published.
Ages served
Ages not published.
Complaint outcomes are not published by Massachusetts EEC.
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One child was missing the IHCP for the emergency medication.
The evacuation drill log was missing the months May, June, July, August, September, October and November.
Medication
Staff Records
Children's Records
Emergency Evacuation
Individual Health Care Plan (IHCP)
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
1. One child missing all EEC pertinent information in file. 2. One child’s transportation form, off site permission and first aid medical consent forms were dated 9/5/24. 3. One child was missing evidence of an annual physical examination and immunization records.
1. One educator had a blank staff form, was missing bi-monthly observations, an annual evaluations, MMR immunizations and had a physical examination dated 4/17/22. 2. One educator was missing MMR immunization, bi-monthly observations and annual evaluations.
One child had an emergency medication with an expiration date 10/25.
The evacuation drill log was missing the month of November.
Medication
Individual Health Care Plan (IHCP) - R Apr 2025
Children's Records - R Apr 2025
Staff Records - R Apr 2025
Written Parental Consent
Emergency Evacuation - R Apr 2025
1.One child transportation plan was not signed or dated. The transportation mode was not checked off. One child was missing the first aid and medical consent form. 2 One child transportation form was not dated and was missing the first aid and medical consent form.
This investigation inspection recorded no violations or advisories.
Individual Health Care Plan (IHCP) - R Apr 2025
One child on an emergency medication was missing the IHCP form.
Evacuation drill logs were missing the months of September, October. 2. The other months observed were missing the effectiveness of the drill.
Two children on an emergency medication did not have the IHCP.
The program did not have water available to children and does not offer water frequently to children.
Allergies, medical info, special diets, emergency medications; privacy protected
Evacuation drill log, all groups
First Aid Kit (SLGSA)
Staff meeting documentation only included August 2023.
This investigation inspection recorded no violations or advisories.
The staff schedule was not current
Building Inspection and Fire Inspection - R Apr 2025
Staff Schedule/Qualifications - R Sep 2025
Fire inspection was expired 2/22. Will upload new inspection upon receipt.
This investigation inspection recorded no violations or advisories.
This renewal - full review visit inspection recorded no violations or advisories.
Staff Records - R Apr 2025
At the time of the visit two staff files were reviewed and the following was found: one file was missing evidence of two verification of references, evidence of current bi monthly observations, and annual evaluations.
Individual Health Care Plan (IHCP) - R Apr 2025
Medication
Building Inspection and Fire Inspection - R Apr 2025
At the time of the visit, three children with IHCP's were reviewed and the following was found: one child's IHCP and medical consent forms did not include all EEC required information, and one child's medication was not accompanied by IHCP.
Toxic Substances
1. One staff program orientation form was not signed or dated. and she was missing evidence of MMR immunizations.
One child had a parent consent form for medication that was not dated.
One emergency medication was expired 11/24.
An IHCP form was dated 9/6 and not signed with the year.
Individual Health Care Plan (IHCP) - R Apr 2025
Drinking water available; Drinking water offered frequently
Staff:child ratios and groupings
Emergency medications readily available
A review of three staff files found that: 1.One educator was missing a resume, staff form, EEC Essentials and program orientation. 2. One educator was missing EEC Essentials and had a physical examination dated 5/16/2018. 3. One educator was missing evidence of a current physical examination and MMR immunizations.
Documentation of medication administration; Current consent for medications
Room temperature minimum of 65 degrees; Water temperature less than 120 degrees
Medication Storage; Medication Container/Label
Staff meeting documentation
Staff Records - R Apr 2025
One preschool grouping had 11 children with one educator.
At the time of the visit the water temperature was at 123 degrees.
An allergy list was not posted.
The first aid kit was missing CPR mouth guard, and tape.
Two children on an emergency medication did not have the consent forms for the medication.
One child had an emergency medication stored in the child's backpack and was not out of the reach of children.
One child on an emergency medication had the medication stored in the child’s backpack.
Children's Records - R Apr 2025
Allergies, medical info, special diets, emergency medications; privacy protected
Staff meeting documentation
Supervision of Children
Emergency Evacuation - R Apr 2025
At the time of the visit three children’s files were reviewed and the following was found: one file had expired off site consent, transportation plan, and developmental history forms, and two files did not have current physicals.
At the time of the visit a current building and fire inspection was not available for review.
At the time of the visit, the list of allergies and/or other emergency medical information was not current.
At the time of the visit, documentation of a staff meeting for the month of January was not available for review.
At the time of the visit, a child was observed leaving the classroom to go to the bathroom without proper supervision of an educator.
At the time of the visit, fire drills for the year of 2019 had not been documented.
At the time of the visit, an educators purse and a floor fan was accessible to children.
At the time of the visit, one child's emergency medication was not in its original packaging.