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Allergies, medical info, special diets, emergency medications; privacy protected
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Home › MA › Waban › Zervas After-School Program
Waban MA 02468 · License #P-171170 · 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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Allergies, medical info, special diets, emergency medications; privacy protected
One staff member who has been employed for 6+ months does not have current First Aid Certification.
Staff First Aid Training
Individual Health Care Plan (IHCP)
Medication
1) The Allergy/Medical Condition List included an inaccurate medication for a child with a mild allergic reaction. 2) The Allergy/Medical Condition List did not include a child's medication, should they have a mild allergic reaction.
Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
One child's Individual Health Care Plan did not include the staff who were training in the medication administration, who trained them and parent signature and date.
1) One child's medication was not provided in its original box. 2) One child's medication had expired.
One child's emergency medication did not have a Medication Consent form completed and signed/dated by the parent. Please email EEC the completed Medication Consent form for review.
Several children's belongings were stored on the floor in the cafeteria and on the stage. The program must provide sufficient space, accessible to children, for each child to store clothing and other personal items in a safe and sanitary manner.
Staff files that were reviewed at the previous visit were reviewed. 1) One staff member who has been employed at the program for 6+ months did not have current First Aid Certification. 2) One staff file did not have a current physical exam. 3) Two staff files did not include a current Staff Orientation Checklist. Please email EEC documentation upon receipt.
Current consent for administered medications
Children's Belongings
Staff Records
Staff orientation, training and meetings
Children's Records
Attendance Recording and Group Sizes/Ratios
Individual Health Care Plan (IHCP)
The program did not have written documentation of staff meetings for a minimum of 2 hours from November 2025 to February 2026.
Children's files that were reviewed during the previous visit were reviewed. One child's file did not include the statement that current physical/immunizations are on file at the child's school, signed/dated by the parent, OR a current physical exam with immunization record. Please email EEC documentation confirmed by the child's parent.
In the cafeteria, EEC checked attendance for the 1st grade group, the 3rd grade group and the 5th grade group. There were 9 3rd-grade children marked present on attendance. However, there were 7 children present. Two children had left to go home, and their time of departure had not been noted on attendance.
One child's Individual Health Care Plans (IHC) did not include staff who were trained in the administration of the medication and who were trained with the parent's signature/date.
Children's Records
Staff First Aid Training
Attendance Recording and Group Sizes/Ratios
A sampling of children's files was reviewed. Two children's files did not include the statement that current physical/immunizations are on file at the child's school, signed/dated by the parent, OR a current physical exam with immunization record.
Children's Belongings
One staff member who was hired after 6/30/25 has not completed the Essentials 2.0 training and cannot be with the children.
Two children's emergency medications did not have a Medication Consent form completed and signed/dated by the parent.
EEC Essentials Training completion
Two staff members who have been employed at the program for 6+ months did not have current First Aid Certification.
Staff Records
Individual Health Care Plan (IHCP)
Two children's Individual Health Care Plans (IHC) did not include staff who were trained in the administration of the medication and who were trained with the parent's signature/date.
Emergency medications readily available
Current consent for administered medications
Staff orientation, training and meetings
BRCs on all potential employees
A sampling of staff files was reviewed. 1) Two staff members who have been employed at the program for 6+ months did not have current First Aid Certification. 2) Three staff files did not include the date/documentation of an interview. 3) One staff file did not include evidence of 2 reference checks. 4) One staff file included an incomplete background record check (BRC). 5) One staff file did not include evidence of Essential's 2.0 training certificate. 6) One staff file did not have a current physical exam. 7) One staff file did not include evidence of PQ Registry.
The program did not have written documentation of staff meetings for a minimum of 2 hours in October 2025.
One staff file included an incomplete background record check (BRC).
In the gym and cafeteria, staff did not have a method of knowing who was present at any time when splitting into different groups for activities.
Several children's belongings were stored on the floor in the cafeteria and on the stage. The program must provide sufficient space, accessible to children, for each child to store clothing and other personal items in a safe and sanitary manner.
One child's Individual Health Care Plan included a second emergency medication. This medication has not been provided to the program by the parent.
One child's IHC Plan included a medication should a child have a minor allergic reaction. The parent has not provided that medication or required paperwork to the program.
Children's belongings, storage space
Liquid soap, disposable towels
Children's records and checklist
Staff meeting documentation
A sampling of children's files was reviewed. Three children's files did not include either a current physical and immunizations or a statement initialed by the parents stating that a copy of the child's current physical and immunizations is on file at the child's school.
Emergency medications readily available
Staff Records
Protection from windows, stairwells, and kitchen.
Accurate attendance; arrival/departure times
Individual Health Care Plan (IHCP)
A sampling of staff files was reviewed. 1) One staff file was missing evidence of an application/resume. 2) Two staff files did not have documentation of interview. 3) One staff file did not have evidence of a 2nd reference. 4) One staff file did not have evidence of a current physical exam. 5) One staff file did not have evidence of a 2nd MMR or proof of immunity. One staff file did not have evidence of 2 MMR's or proof of immunity. 5) One staff file did not have evidence of staff orientation. 6) Three staff files did not have evidence of bi-monthly observations.
At the visit, the program did not have any documentation of monthly staff meetings with all staff.
Staff did not have a method of knowing who was present at any time when splitting into their groups for the activity.
Several children's belongings were stored on the floor in the cafeteria on the stage. The program must provide sufficient space, accessible to children, for each child to store clothing and other personal items in a safe, sanitary manner.
At the time of the observation in the cafeteria, the kitchen door was open. There must be a barrier between the children's activity space and the kitchen.
The girls bathroom did not have any papertowels and the dryers did not work.
One child's Individual Health Care Plan did not include staff who have been trained in the medication administration, who trained them and the parent signature/date.
A sampling of staff files has been reviewed. 1) One staff file was missing a 2nd reference check, a current physical exam, and bi-monthly observations. The PQ registry had expired. 2) One staff file was missing bi-monthly observations. The PQ registry had expired. 3) One staff file was missing a 2nd reference check, a current physical exam, and 2 doses of MMR or proof of immunity and bi-monthly observations. The PQ Registry had expired.
Emergency Evacuation - R Apr 2025
One child's Individual Health Care Plan had not been signed/dated by the doctor.
The Fire Drill Log did not include the route used.
One child's emergency medication had expired. This child's medication prescription label had expired as well.
Children's Records - R Apr 2025
Staff Records - R Apr 2025
Snack Menus
Allergy/Medical Condition List
Medication
Individual Health Care Plan (IHCP) - R Apr 2025
A sampling of children's files was reviewed. One child's Medication Consent form was signed/dated by the parent; however, the form was blank.
The program was inconsistently recording the daily snack items served.
The Allergy/Medical Condition List did not include 2 foods the child was allergic to.
This investigation inspection recorded no violations or advisories.
Allergy/Medication List
Evacuation procedures posted at each exit
The program still did not have individual space for all children's belongings to be stored safely and secure. Please email EEC with a picture of items purchased and a receipt or purchase order including the number of items purchased.
The program's current Allergy/Medical Condition List was not posted.
Fixed age group
Two staff whose files were reviewed at the original renewal visit are no longer working at the program. 1) One file did not include a current physical exam, 2 doses of MMR or proof of immunity, 12 Essentials training certificate and staff orientation checklist. Please email EEC these items once received.
The school will not allow any postings at exits. At prior visits, we determined that staff on their clip boards would have written evacuation plans for each classroom/area that they use (primary and secondary exits). Staff clip board reviewed had general evacuation procedures. however, they were not specific for each door in the classroom/area. Please email EEC this documentation including all classrooms/areas used.
Individual Health Care Plan (IHCP) - R Apr 2025
Staff Records - R Apr 2025
Indoor Space
On the day of the visit, the kindergarten group included 27 children and 3 teachers. The school-age group's maximum capacity is 26 children.
1) One child's medication reviewed did not include an Individual Health Care Plan. 2) Several children's medications/documentation were with them for a field trip. All medication documentation must be maintained in the children's files.
Individual Health Care Plan (IHCP) - R Apr 2025
Attendance Recording and Group Sizes/Ratios
In the cafeteria, there was an uncovered barrel that contained food. Garbage must be kept in lined and covered containers and all trash containers must be emptied at least daily.
Children's Records - R Apr 2025
Medication
1) One child's file did not include a mid-year progress report. 2) Some emergency medications are available in the nurses office to use as needed. These medications did not include Medication Consent Forms.
There were 3 groups of children in the cafeteria. A head count was taken and the attendance was checked. These numbers did not match. It was determined that there was a child who did not go on the 3rd garde field trip and they were not marked present on the attendance. The program must have a method of ensuring that all children are accounted for during all hours of operation.
Staff Schedule/Qualifications - R Sep 2025
Staff First Aid Training - R Apr 2025
Emergency medications readily available
1) Many children's belongings were on the floor. The program did not have individual space for all children's belongings to be stored safe and secure. 2) The floors in the girls and boys bathrooms off of the cafeteria were dirty.
Indoor Space
Refuse
Toxic Substances
Evacuation procedures posted at each exit
A can of disinfectant wipes were on the table iin the office accessible to the children.
The Program Administrator has access to children's medications in the school nurses office to use. 1) One child's emergency medication was not in its original box with the prescription label noting the medication is for the specific child. 2) One child's emergency medication had expired 4/23. 3) A child required an emergency medication and this medication was not available at the program.
Staff Records - R Apr 2025
1) Two staff files reviewed did not include evidence of interview date/documentation. 2) Two staff files reviewed did not include evidence of 2 reference checks. 3) Three staff files did not include a current physical exam, 2 does of MMR or proof of immunity, evidence of 12 Essentials trainings, program orientation checklist and bi-monthly staff observations.
One staff member who has been working at the program for 6+ months did not have current first aid certification.
The staff schedule that was posted was not current. Please email EEC when a current staff schedule has been uploaded to the document library.
The school will not allow any postings at exits. At prior visits, we determined that staff on their clip boards would have written evacuation plans for each classroom/area that they use. Staff clip board reviewed had general evacuation procedures. however, they were not specific for each door in the classroom/area.
There were some emergency medications available in the nurses office for the program to use if needed. These medications did not have Individual Health Care (IHC) Plans completed and signed by the child's doctor.
The Allergy List included that a child has an emergency medication and this has not been provided to the program.
Several children's belongings were not stored in an individual space for each child to store belongings safe and secure.
Staff meeting documentation was reviewed. The program did not have evidence of staff meeting for a minimum of 2 hours in 6/22.
One staff file that was reviewed on 6/13/22 still does not include evidence of 12 Essentials training.
Review of the Evacuation Drill Log found that a monthly drill was not practiced with children/staff in 6/22.
Staff meeting documentation
Staff Records - R Apr 2025
Children's belongings, storage space
Evacuation drill log, all groups
One child did not have an Individual Health Care Plan for a chronic condition.
Staff meeting documentation
Accurate attendance; arrival/departure times
Evacuation procedures posted at each exit; Exit signs and diagrams as required
Several children's loose belongings were not stored individually in a safe and sanitary manner.
1) One staff file was missing an application/resume; documentation of interview; evidence of 2 references, current first aid; and evidence of program orientation. 2) One staff file was missing documentation of interview, evidence of 12 Essentials trainings and evidence of program orientation. 3) One staff file was missing a second reference; current first aid certification and evidence of program orientation.
Weekly snack/meal menu made available; Previous menus on file for one year
Staff Records - R Apr 2025
Evacuation drill log, all groups
Proper sanitizing techniques; Bottles labeled and out of children's reach
Staff meeting documentation for a minimum of 2 hours monthly with all staff was unavailable for review at the time of the visit.
Allergies, medical info, special diets, emergency medications; privacy protected
Emergency medications readily available
Children's records and checklist - R Apr 2025
Staff Schedule current and posted
1) Three children's enrollment forms did not include the child's arrival mode of transportation with parent permission. 2) Two children's enrollment forms were signed/dated over a year ago. Enrollment forms must be renewed yearly.
Children's belongings, storage space
Individual Health Care Plan (IHCP) - R Apr 2025
A random review of past attendance was conducted. Two children were not signed out on attendance when they left the program to participate in a Newton Ed program.
At the last visit, the PA reported that due to the fire department restrictions, the written evacuation plans/evacuation diagrams cannot be posted next to the exit doors. We discussed that the program would make a list of rooms used, identify their exits and written evacuation procedures/evacuation diagrams from each rooms exits. Each plan would include the specific place to meet upon evacuation. These plans would be located on the back of each staff member's clip board to refer to if needed for evacuation from any indoor licensed space. At the visit, theses plans were not in place.
The posted Allergy/Medical Condition List was not current.
A current staff schedule was not posted.
Fire Drill documentation did not include the route used. Alternative routes must be practiced.
A can of disinfectant wipes were observed accessible to children.
One child's emergency medication was not readily available.
The current snack menu was not posted. Menu's also need to be kept on file for one year.
First Aid Kit (SLGSA)
The program did not have an Allergy/Medical Condition List posted including any medications available. The list must be postd in a manner that protects the privacy of each child. One child's file included a medical condition and minor allergy and one child's file included that they were allergic to a medicine..
The emergency phone list including: Call 911 reminder and the telephone number and address of the program, including the location of the program in the facility and the phone number for poison control was not posted next to the phone in the K-1 (Room 115) classroom.
Emergency #'s easily visible-all
The travel first aid kit contents were reviewed. The kit did not include cold packs, a thermometer and a CPR mask.
Allergies, medical info, special diets, emergency medications; privacy protected
IHC Plans
Written emergency evacuation plans were not posted in the cafeteria.
Staff records checklist
One trash barrel was observed with food. The trash barrel did not have a lid.
One child's Individual Health Care Plan (IHC) did not include the consequences should the child not receive the medication and the form was not signed/dated by the child's doctor.
The program has not provided sufficient space, accessible to children, for each child to store clothing and other personal items in a safe, sanitary manner. Please upload a supply order confirmation to the document library under "other".
Evacuation procedures posted at each exit; Exit signs and diagrams as required
Staff files previously reviewed at 9/17/19 visit were revewed. 1) One educator file did not include a program orientation check list 2) One educator file did not include a current physical exam, 2 doses of MMR or proof of immunity and a program orientation check list.
Children's belongings, storage space
Garbage kept in lined and covered containers, emptied daily