Cited finding
Current consent for administered medications
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Home › MA › Topsfield › Joyful Noises Inc. Preschool and Day Care
Topsfield MA 01983-1426 · License #P-170845 · Center · Center-Based Care
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When they operate
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Complaint outcomes are not published by Massachusetts EEC.
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Current consent for administered medications
Children's Records
Staff Records
Indoor Space
Medication
Individual Health Care Plan (IHCP)
The review identified two records missing updated transportation forms and one record lacking evidence of annual lead screening.
Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Two staff records contained no evidence of current physicals.
Several electrical cords were accessible to the children, including two humidifier cords in the chapel room, a radio cord, and decorative string light cord.
A child’s inhaler was not in the container which was originally dispensed.
Two children’s individual health care plans were not up to date.
The child's record is missing a signed parent-authorized medication consent form for an inhaler.
Bottles/pacifiers/toothbrushes/sleeping materials labeled with child's name
Electric outlets covered, no frayed electrical cords. Carbon monoxide detector.
A child's EpiPen did not contain the original label affixed.
EEC observed a radio electrical cord accessible to the children.
Staff Records - R Apr 2025
Medication Storage; Medication Container/Label
A staff record contained insufficient evidence of MMR immunity.
Four water bottles were not labeled with the name of the child for whom they were intended.
a staff record contained no evidence of current physical.
Medication
Staff Records - R Apr 2025
Building Inspection and Fire Inspection - R Apr 2025
The building inspection expired October 2023.
A Benadryl indicated on a child's health care plan was not readily available during the visit.
Individual Health Care Plan (IHCP) - R Apr 2025
A child's individual health care plan did not include the physician's signature.
This investigation inspection recorded no violations or advisories.
This enhanced monitoring visit inspection recorded no violations or advisories.
This renewal - monitoring visit inspection recorded no violations or advisories.
Staff BRC - R Sep 2025
Evacuation procedures posted at each exit
(1) educator did not wash their hands with liquid soap and running water after changing a child's diaper. Educators wash their hands with liquid soap and running water using friction and dry their hands with individual or disposable towels after diapering a child;using friction and dry their hands with individual or disposable towels after diapering a child.
Individual Health Care Plan (IHCP) - R Apr 2025
(1) child’s IHCP did not include a parent signature. Educators may, with written parental consent and authorization of a licensed health care practitioner, develop and implement an individual health care plan that permits older school age children to carry their own {REDACTED} and {REDACTED} and use them as needed, without the direct supervision of an educator. All educators must be aware of the contents and requirements of the childs individual health care plan specifying how the {REDACTED} or {REDACTED} will be kept secure from access by other children in the program.
Staff Records - R Apr 2025
Building Inspection and Fire Inspection - R Apr 2025
Medication
Diapering and Toileting for children under 2.9
(1) educator file did not contain evidence of BRC documentation including consent form and identification. Evidence of completed background record checks, as required by 606 CMR 1.05(2) and 606 CMR 14.00
(1) staff file contained an expired physical which dated 3/1/2017. Documentation that the employee has the qualifications required under 606 CMR 7.09, including, but not limited to, health records, as required by 606 CMR 7.09(11)
The Building Inspection certificate expired on 9/21/2019. The Fire Inspection certificate expired on 10/11/2019. Every program that is not located in a residence and every program that has a licensed capacity of more than 10 children must provide a certificate of inspection from the Department of Public Safety or the local building inspector certifying that the facility complies with the State Building Code (780 CMR). Every program not located in a residence must submit evidence of compliance with applicable fire codes.
Emergency/evacuation procedures were not posted at two exits of the preschool classrooms. Next to each exit, emergency and evacuation procedures must be posted.
In the Preschool transitional room, (1) child’s {REDACTED} had an expiration date of 4/2019. When possible, all unused, discontinued or outdated prescription medications shall be returned to the parent and such return shall be documented in the child’s record. When return to the parent is not possible or practical, such prescription medications must be destroyed and the destruction recorded by a manager or supervisor in accordance with policies of the licensee and the Department of Public Health, Drug Control Program.