Berkshire Family YMCA Child Care Program PFY

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, Substantiated Child Abuse/Neglect Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, Substantiated Child Abuse/Neglect, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(02)(a)

Activities must be planned and organized in advance to avoid children waiting. Domain: Curriculum and Activities. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(07)(b) — Food prepared/served in safe/sanitary manner

Food prepared/served in safe/sanitary manner the licensee must ensure that snacks and meals are prepared and served in a safe and sanitary manner; Domain: Mealtime, Food, Food Preparation. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13)(d), 7.07(01), 7.07(02), 7.07(10) — Indoor Space

Indoor Space All play equipment, fences and structures must be free of entrapment hazards., The licensee must ensure that the physical facilities are safe, clean, in good repair and free from hazards and clutter. The licensee must monitor the environment daily to identify and remove or repair any hazards that may cause injury to children. Exits and evacuation routes must be kept clear of obstructions., Building Inspection. 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). The certificate must indicate the following:, Indoor Space. The indoor space must be clean, safely maintained, well-ventilated and well-lit, of sufficient size for the children served, and must encourage play and learning. Domain: Physical Facility - Indoors. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(02), 7.07(03) — Building Inspection and Fire Inspection

Building Inspection and Fire Inspection Building Inspection. 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). The certificate must indicate the following:, Fire Inspection. Every program not located in a residence must submit evidence of compliance with applicable fire codes. Domain: Physical Facility - Indoors. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(c), 7.11(02)(e) — Medication

Medication 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., Unless otherwise specified in a child’s individual health care plan, the educator must store all medications out of the reach of children and under proper conditions for sanitation, preservation, security and safety during the time the children are in care and during the transportation of children. Domain: Health. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(c), 7.11(10)(d), 7.11(10)(f), 7.11(10)(g), 7.11(10)(h), 7.11(10)(i), 7.11(10)(j), 7.11(10)(m), 7.11(10)(l) — Infection Control/Hand Washing

Infection Control/Hand Washing The licensee must ensure that educators and children wash their hands with liquid soap and running water, using friction, in accordance with DPH guidelines. Hands must be dried with individual or disposable towels or automatic hand blow-dryers. The use of common towels is prohibited. Educators and children must wash their hands at least at the following times:, In addition, educators must wash their hands:, The licensee must ensure that equipment, materials, items or surfaces (including floors, walls and clothing used for dramatic play) are washed with soap and water and disinfected as needed to maintain a sanitary environment., All floors used by children must be swept and/or vacuumed daily., All eating surfaces must be washed and disinfected before and after each use., Where applicable, the following items, equipment and surfaces must be washed and disinfected after each use:, Toys mouthed by children must be set aside and stored after each use and may not be used by another child until they are washed and disinfected., The following must be washed and disinfected at least weekly:, The following items must be monitored for cleanliness and washed and disinfected at least daily: Domain: Health. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(l)(05), 7.11(02)(l)(04), 7.11(02)(l)(03), 7.11(02)(l)(02), 7.11(02)(l)(01) — Current consent for administered medications

Current consent for administered medications Type of Medication: Topical, non-Prescription (not applied to open wounds or broken skin) Written Parental Consent Required: Yes, renewed annually Health Care Practitioner Authorization Required: No. Items not applied to open wounds or broken skin may be supplied by program with notification to parents of such, or parents may send in preferred brands of such items for their own child(ren)’s use. Logging Required: No for items not applied to open wounds or broken skin., Type of Medication: Topical, non-Prescription (when applied to open wounds or broken skin) Written Parental Consent Required: Yes, renewed annually Health Care Practitioner Authorization Required: No in FCC. Yes in Large and Small Group. Must be in original container with original label containing the name of the child affixed Logging Required: Yes, including name of child, dosage, date, time, & staff signature, Type of Medication: Unanticipated Non-Prescription for Mild Symptoms (e.g., acetaminophen, ibuprofen, antihistamines) Written Parental Consent Required: Yes, renewed annually Health Care Practitioner Authorization Required: No in FCC. Yes in Large and Small Group. Must be in original container with original label containing the name of the child affixed Logging Required: Yes, including name of child, dosage, date, time, & staff signature, Type of Medication: Oral Non-Prescription Written Parental Consent Required: Yes, renewed weekly with dosage, times, days and purpose Health Care Practitioner Authorization Required: No in FCC. Yes in Large and Small Group. Must be in original container with original label containing the name of the child affixed Logging Required: Yes, including name of child, dosage, date, time, & staff signature. Missed doses must also be noted along with the reason(s) why the dose was missed., Type of Medication: All Prescription Written Parental Consent Required: Yes Health Care Practitioner Authorization Required: Yes. Must be in original container with original label containing the name of the child affixed. Logging Required: Yes, including name of child, dosage, date, time, & staff signature. Missed doses must also be noted along with the reason(s) why the dose was missed. Domain: Medication. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07), 7.04(08)(b), 7.06(05)(b), 7.10(09)(a)(05) — Children's Records

Children's Records Children’s Records. The licensee must maintain an individual written record for each child that includes:, For school age children, the licensee may accept either:, The licensee must obtain parental consent prior to contacting any outside social, educational or health care resource or service provider on behalf of an individual child. If such direct contacts are made by the program, the licensee must maintain a written record of such contacts and the results of such contacts., Whenever a child is considered for assignment in a fixed age group outside his chronologically defined age group, the licensee must: Domain: Administration. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(c)(03) — Staff and children wash hands: after toileting or diapering

Staff and children wash hands: after toileting or diapering after toileting or diapering; Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(01), 7.07(13)(g) — Staff monitor environment for hazards-Hazardous items not accessible to children

Staff monitor environment for hazards-Hazardous items not accessible to children The licensee must ensure that the physical facilities are safe, clean, in good repair and free from hazards and clutter. The licensee must monitor the environment daily to identify and remove or repair any hazards that may cause injury to children. Exits and evacuation routes must be kept clear of obstructions., Educators must ensure that all hazardous objects, including but not limited to matches, lighters, toxic materials, sharp objects, plastic bags and purses are locked or inaccessible to children. Domain: Physical Space (Indoor & Outdoor). Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(e), 7.11(02)(c) — Medication Storage; Medication Container/Label

Medication Storage; Medication Container/Label Unless otherwise specified in a child’s individual health care plan, the educator must store all medications out of the reach of children and under proper conditions for sanitation, preservation, security and safety during the time the children are in care and during the transportation of children., 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. Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(07)(e), 7.12(07)(d), 7.12(07)(c), 7.12(07)(b), 7.12(09) — Food Storage, Sanitation & Safety

Food Storage, Sanitation & Safety the licensee must properly wash and sanitize all bottles, eating utensils, drinking utensils, dishes, and preparation utensils after each use;, the licensee must store all food in clean, covered containers;, the licensee must ensure that foods are not served to children beyond their recommended dates of use;, the licensee must ensure that snacks and meals are prepared and served in a safe and sanitary manner;, Eating and drinking utensils must be free from defects, cracks and chips and appropriate to the ages and needs of the children, including children with disabilities. Disposable cups and plates may be used. If plastic utensils are used, they must be heavy-duty and if reused, must be designed for this purpose and dishwasher safe. Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04) — Emergency medications readily available

Emergency medications readily available emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(c)(02) — Staff and children wash hands: before eating or handling food

Staff and children wash hands: before eating or handling food before eating or handling food; Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(07)(h) — Evacuation drill log, all groups

Evacuation drill log, all groups The educator must hold practice evacuation drills with all groups of children and all educators from each floor level of the approved space at least monthly. Drills must be held during different times of the program day, and must use alternative exits. The educator must document the date, time, exit route used, number of children evacuated and effectiveness of each drill. Domain: Emergency Preparedness. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(14)(c) — Allergies, medical info, special diets, emergency medications; privacy protected

Allergies, medical info, special diets, emergency medications; privacy protected in a manner that protects the privacy of each child: Domain: Postings. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13)(d), 7.07(01), 7.07(02), 7.07(10) — Indoor Space

Indoor Space All play equipment, fences and structures must be free of entrapment hazards., The licensee must ensure that the physical facilities are safe, clean, in good repair and free from hazards and clutter. The licensee must monitor the environment daily to identify and remove or repair any hazards that may cause injury to children. Exits and evacuation routes must be kept clear of obstructions., Building Inspection. 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). The certificate must indicate the following:, Indoor Space. The indoor space must be clean, safely maintained, well-ventilated and well-lit, of sufficient size for the children served, and must encourage play and learning. Domain: Physical Facility - Indoors. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(10)(a)(01), 7.12(10)(a)(03) — Feeding schedule for each infant/toddler; Infants held while fed from bottle

Feeding schedule for each infant/toddler; Infants held while fed from bottle A current feeding schedule must be maintained, documenting use of either breast milk or formula, if applicable, new foods introduced, food intolerances and preferences, voiding patterns, and observations related to developmental changes in feeding and nutrition., Infants must be held while fed a bottle. Domain: Care of Children. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(03)(a) — A written progress report must be done periodically

A written progress report must be done periodically Frequency Domain: Administration. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).