Cited finding
Current consent for administered medications
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Home › MA › Raynham › Littlefoot Child Care
License #P-246442 · Center · Center-Based Care
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Current consent for administered medications
A review of medication documentation for three medications indicated that one parental medication consent had recently expired.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
A review of three staff records indicated the following: two did not have documentation of observations done at least on a bi-monthly basis and one did not have evidence of a current EEC PQ registration.
A review of two IHCPs indicated that designated staff were not identified to administer the medication in case of an emergency,
Individual Health Care Plan (IHCP) - R Apr 2025
Plan for diapering and toilet training
Staff Records - R Apr 2025
Outdoor Space - R Apr 2025
Medication
The following was observed and accessible to children: On the INFANT/TODDLER outdoor space, the ground covering was curling up creating a potential trip hazard. On the PRESCHOOL outdoor space, there were mushrooms on the side of a wooden log, there were weeds growing along the fence on one side, and there was chipped paint on the blue picnic table.
A plan for diapering and toileting was not posted in the first children's bathroom.
A review of medications indicated that one was not stored with its original packaging with prescription label attached and one over-the-counter medication expired April 2024.
This investigation inspection recorded no violations or advisories.
Indoor Space
It was observed that the play kitchens in the Toddler and Preschool classrooms were not secured and tippable.
It was observed in the Infant classrooms that two children's sippy cups were not labeled with the individual child's name for whom they are intended.
Bottles/pacifiers/toothbrushes/sleeping materials labeled with child's name
Staff Schedule/Qualifications - R Sep 2025
Outdoor Space - R Apr 2025
Medication
Toxic Substances
A review of one child's medications indicated that they were both expired as of (REDACTED)
It was observed that a current staff schedule was not posted in an area easily visible to educators, parents and visitors.
Indoor Space
Children's Records - R Apr 2025
Staff Schedule/Qualifications - R Sep 2025
Outdoor Space - R Apr 2025
Medication
Individual Health Care Plan (IHCP) - R Apr 2025
A review of three First Aid Kits indicate the following: Three were missing a cold pack, two were missing a CPR mouth guard and two were missing scissors.
First Aid Kit (SLGSA)
Evacuation procedures posted at each exit; Exit signs and diagrams as required
It was observed that in the kitchen, in two unlocked cabinets, there were two bottles of cleaning solution and a bottle of sanitizer tablets with manufacturer warnings to “keep out of reach of children”.
Electric outlets covered, no frayed electrical cords. Carbon monoxide detector.
Children's records and checklist - R Apr 2025
Indoor Space
Staff monitor environment for hazards-Hazardous items not accessible to children
A review of five children’s files indicated one did not have evidence of (REDACTED) results.
This capacity increase visit inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
A review of three files indicated that in one child's file, the medication consent form was missing.
The staff schedule was not posted in an area easily visible to educators, parents and visitors.
Staff BRC - R Sep 2025
Children's Records - R Apr 2025
Staff Schedule/Qualifications - R Sep 2025
Indoor Space
Outdoor Space - R Apr 2025
Toxic Substances
It was observed that a current staff schedule was not posted in an area easily visible to educators, parents and visitors.
It was observed that the wooden border towards the back right side of the playground was cracked and splintered.
It was observed that twp children's emergency medications had expired in July 2023.
It was observed that in the first bathroom, there was an open box of gloves and wipe packages accessible to children. These are a potential choking hazard.
A review of three children's records indicated the following: -Two were not updated annually since their enrollment date -All three did not have evidence of a current parental medication consent form for at least one medication.
It was observed that in the Toddler classroom next to the changing table, a broom and dustpan were accessible to children.
It was observed and accessible to children that there was a metal rake and a piece of metal grate to the side of the Preschool playground entrance.
A review of one child's Individual Health Care Plan (IHCP) indicated that it was expired.
It was observed that in the first children’s bathroom, next to the toilet, there was a plunger and toilet brush.
It was observed that in the hallway, outside the second bathroom, the bottom electrical outlet did not have a safety cover.
It was observed that in the Kitchen, an evacuation procedure was not posted.
A review of three files indicated that in one staff file, the BRC consent and fingerprint receipt were missing.
The following were observed: -The red toy storage shelf in the Toddler classroom was tippable. -The science area shelf in the Preschool classroom was tippable.
The following were observed outdoors: -there was a tippable play kitchen on the Infant/Toddler playground. -there were protruding bolts on the outside of the preschool playground gate.
The following were observed: -In the staff bathroom where the preschool children wash their hands, an aerosol spray was accessible to children. -In the toddler classroom, hand sanitizer located in the unlocked red cabinet was accessible to children. -In the same red cabinet, a personal purse was accessible to children.