Cited finding
A written progress report must be done periodically
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Pulling inspections, violations, and complaints.
Home › MA › West Springfield › 1 Root Childcare
License #P-246986 · Center · Center-Based Care
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A written progress report must be done periodically
The allergies and medications list did not include all children identified as having allergies, medications, or medical conditions.
The program did not have emergency medication readily available for all children who require it.
The children’s attendance records were incomplete and did not reflect accurate times of arrival and departure.
Accurate attendance; arrival/departure times
Indoor Space
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Allergies, medical info, special diets, emergency medications; privacy protected
Location of health care policy; Location of 1st aid kit
Evacuation procedures posted at each exit; Exit signs and diagrams as required
Emergency medications readily available
Documentation of medication administration; Current consent for medications
Medication Storage; Medication Container/Label
Current consent for administered medications
Building Inspection; Fire Inspection; Environment free of pests; Date of IPM
The program did not have documentation of progress reports on file.
Multiple maintenance and safety issues were observed at the time of the visit that require repair or attention. 1- Floors appeared to need cleaning at the time of the visit. 2- A shoe rack was broken. 3- One classroom had small puzzle pieces scattered on the floor and appeared to need cleaning and organization. 4- A window frame in one room had peeling paint, and the trim around the border appeared worn. 5- Ceiling tiles in one bathroom showed water leak stains. 6- Cleaning materials were accessible and must be kept out of children’s reach. 7- Peeling/chipped paint and broken plaster were observed around a sink in one bathroom. 8- Floor tiles had visible cracks and separation along some seams. 9- One bathroom had broken trim along the wall. 10- A sofa showed visible stains and wear. 11- Broken floor tiles were observed in one area. 12- Loose wood boards and other items were stored leaning against a wall near an exit area and were accessible to children. 13- A ceiling access opening was exposed. 14- During the visit, a staff member’s bag was found exposed and within children’s reach.
Location of the heath care policy was not posted.
Emergency procedures were not posted at each exit.
The program did not have an Individual Health Care Plan (IHCP) and medication consent form on file for each child who requires one.
1- The program had medication that was expired. 2- Some medications were not stored in their original containers.
The program was missing required medication administration consent forms and written parental consent for some children.
The building inspection was expired at the time of the visit.
This investigation inspection recorded no violations or advisories.
The staff schedule was not posted. The staff schedule must be current and must be posted in an area visible to educators, parents and visitors.
Toxic Substances
Previous menus on file for one year
Multiple children files need annual update.
1- Multiple children had expired IHCP and medication consent forms. 2- Multiple children with medical conditions did not have an IHCP and medication consent form on file. 3-The program must review children's files to identify any children with health conditions that require an IHCP. 4- The allergies and medications list must be updated and posted.
Cleaning materials and tools were accessible to children.
1- There are broken ceiling tiles throughout the facility, with some tiles showing visible water stains from leaks. 2- Furniture and Equipment Wear: multiple pieces of furniture and equipment show visible signs of wear and tear, including: -Upholstered Sofa: The sofa has visible tears in the upholstery. -Table: The table has areas where the paint is scraped, indicating significant wear. -There was a damaged office chair in the child care space with noticeable tears or rips in the fabric. 3-There were potential hazards stored near the exit accessible to children. 4- Some cabinets in the kitchen area and one of the playrooms are in need of repair.
This investigation inspection recorded no violations or advisories.
Transportation Safety
Staff must wash hand before and after medicine administration.
Individual Health Care Plan (IHCP) - R Apr 2025
First Aid Kit (SLGSA)
Please add information of child with medication to the medications and allergies list posting.
The staff schedulle/qualifications must be updated.
Staff Schedule/Qualifications - R Sep 2025
Required Postings - Child Specific - R Apr 2025
This investigation inspection recorded no violations or advisories.
One child's emergency medication was missing.
Location of health care policy; Location of 1st aid kit
Staff meeting documentation
Please post location of the health care policy and first aid kit in the new space.
Allergies, medical info, special diets, emergency medications; privacy protected
Evacuation procedures posted at each exit; Exit signs and diagrams as required
First Aid Kit; Emergency contact information; Seat belt cutter in vehicle
Weekly snack/meal menu made available; Previous menus on file for one year
This investigation inspection recorded no violations or advisories.
This investigation inspection recorded no violations or advisories.
Medication
Children's Records - R Apr 2025
Allergies, medical info, special diets, emergency medications; privacy protected
Individual Health Care Plan (IHCP) - R Apr 2025
Progress reports must be completed once a year for school age children.
Allergies, medical info, special diets, emergency medications; must be protected and Posted in a manner that protects the privacy of each child.
All prescription medications must be in the containers in which they were originally dispensed and with their original labels affixed. Over-the-counter medications must be in the original manufacturer's packaging.
Allergies, medical info, special diets, emergency medications; privacy protected
Emergency #'s easily visible-all
The attendance log does not have two signatures confirming that the vehicle has been inspected at the end of each trip to verify no children were left behind. Licensee reported that he did not know this had to be done.
Evacuation procedures posted at each exit
Emergency Evacuation Logs
First Aid Kit (SLGSA)
Vehicle and Driver Requirement1
This investigation inspection recorded no violations or advisories.
On the day of the visit it was reported that one driver without a 7-D license was transporting children in a vehicle not registered as a 7-D vehicle.
From a review of medications maintained at the Program it was revealed that not all medications required for children were readily available.
Transportation Vehicles
Transportation First-Aid Readiness
Individual Health Care Plan (IHCP) - R Apr 2025
Emergency medications readily available
Vehicle and Driver Requirement1
Children's Records - R Apr 2025
Staff Schedule/Qualifications - R Sep 2025
Attendance Recording and Group Sizes/Ratios
Indoor Space
Building Inspection and Fire Inspection - R Apr 2025
Sharp/dangerous objects secured
Emergency Evacuation - R Apr 2025
Medication
Individual Health Care Plan (IHCP) - R Apr 2025
Emergency medications readily available
The program did not have documented menus. Previous menus should be maintained in writing for one year.
The children attendance record was incomplete.
The building inspection is expired.
One of the vans had tools stored in the back of the vehicle, but they were not secured.
There was no evidence that monthly evacuation drills had been conducted
Some medications were expired and some children were missing medications.
The program did not have all the emergency medications. The Licensee reported it has been challenging working with some parents to obtain the necessary medications after multiple requests.
Transportation Vehicles
Evacuation procedures posted at each exit
Infection Control/Hand Washing - R Apr 2025
One vehicle's 7D was expired at the time of the visit.
The transportation first aid kit was missing materials.
The first aid kit was missing supplies. The licensee must maintain adequate first aid supplies, including, but not limited to: adhesive tape, band aids, gauze pads, gauze roller bandage, disposable non-latex gloves, instant cold pack, scissors, tweezers, thermometer, and CPR mouth guard.
Emergency and evacuation procedures must be posted near each exit.
IHCP were not available at the time of the visit. The licensee must maintain as part of a child's record, an individual health care plan for each child with a chronic medical condition, which has been diagnosed by a licensed health care practitioner.
Individual Health Care Plan (IHCP) - R Apr 2025
Emergency medications readily available
The program must maintain documentation of the staff meetings date, times and program issues discussed.
Please post list of allergies and medications in the new space.
Please post evacuation procedures and diagrams as required in the new space.
A first aid kit, seat belt cutter and emergency numbers for the children must be easily available in all vehicles.
The program must prepare and make available to parents on request written menus, including snacks, for each week; Previous menus must be kept on file for one year.
The program must maintain as part of a child's record, an individual health care plan for each child with a chronic medical condition, which has been diagnosed by a licensed health care practitioner. The plan must describe the chronic condition, its symptoms, any medical treatment that may be necessary while the child is in care, the potential side effects of that treatment, and the potential consequences to the child's health if the treatment is not administered.
IHCP must be signed by doctor and parent. Individual Health Care Plans The licensee must maintain as part of a child's record, an individual health care plan for each child with a chronic medical condition, which has been diagnosed by a licensed health care practitioner. The plan must describe the chronic condition, its symptoms, any medical treatment that may be necessary while the child is in care, the potential side effects of that treatment, and the potential consequences to the child's health if the treatment is not administered.
There are children enrolled in the program who have allergies and medication but a list was not posted.
List of emergency numbers did not include the program's address and phone number.
Procedure was not posted by every exit.
Did not have a fire drill log. Reported that they have done a couple of fire drills.
Several items were missing from the first aid kit: scissors, tweezers, tape, CPR mask and instant ice pack. There were other items in the first aid cabinet like Neosporin and hydrogen peroxide, that should not be used for first aid for children.
On the day of the visit there was no first aid kit in one vehicle.
From a review of a sample of children’s records it was revealed that not all records requiring such had individual health care plans that were accurately and or entirely completed signed and dated.
On the day of the visit at least one transportation driver did not have a passenger attendance log and evidence that the vehicle was inspected at the end of the route.