Ludlow Boys & Girls Club Child Care

7.11(03) — Health

The program did not have a current IHCP for a child diagnosed with a chronic medical condition. The IHCP form for another child with a chronic medical condition was missing required information. Corrective action: Current IHCP is now on file. The missing information is now on the IHCP.. Regulation: 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. Cited during: Enhanced 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) — Medication

The program did not have current written parental consent from administration of medication required for a child with an IHCP. Corrective action: The current written parental consent for medication is now on file.. Regulation: 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. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(13), 7.12(14) — Care of Children

Children in the School Age were drinking water directly from water fountains without using cups to prevent cross contamination. Corrective action: water fountain is sanitized daily. Children are encouraged to bring a reusable water bottle from home. Cups are available for those who don't have a water bottle. Regulation: The licensee must provide a source of sanitary drinking water located in or convenient to rooms occupied by children., Educators must offer water to children at frequent intervals and upon request by children. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(05)(a), 7.04(05)(b), 7.04(05)(c), 7.09(09) — Administration

The program has moved to electronic files for Staff records. On the day of the visit Administrators were unable to provide EEC Licensor complete staff records for review. Licensor allowed the program to email records for review. During the review EEC Licensor was not able to assess full compliance with Staff records. Corrective action: Per our Employee Handbook employee records are securely kept in electronic format in our online HR system Paylocity. The Director of Operations or CEO will access them for a licensor on their visit. A file with non-confidential requirements such as PQ registry, staff qualifications, trainings etc. will be available for the licensor upon request.. Regulation: 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);, copies of licenses, certifications and registrations held, including, but not limited to, motor vehicle operator’s license (if the staff member transports children) and EEC educator qualification;, documentation of orientation, training and professional development, as required by 606 CMR 7.09(15)(d-f), 7.09(16)(c) and 7.09(17)(a), and 7.11(1), 7.09 (18)(d), and 7.09(19)(b),as applicable;, All educators must attend an orientation to early education and care approved by the Department. Cited during: 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) — Administration

The program has moved to electronic files for Children's records. On the day of the visit Administrators were unable to provide EEC Licensor complete Childrens records for review. Licensor allowed the program to email records for review. During the review EEC Licensor was not able to assess full compliance with Children's records. Corrective action: LBGC will compile all required EEC child documents from our two electronic platforms into an individual children folders. The director and The children's teacher will have access to the children folders on their desk top. Individual children folders will be readily available to a licensor during a renewal visit.. Regulation: 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: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(02), 7.07(03) — Physical Facility - Indoors

The Administration reported that a building inspection was recently conducted but they are still waiting for the Building Inspection certificate. Corrective action: New Building inspection was received has been posted and updated in LEAD portal. Regulation: 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. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(p)(04) — Emergency Preparedness

On the day of the visit the program had diagrams with primary and secondary evacuation routs outlined but they did not have written evacuation procedures posted near each exits. Corrective action: Evacuation diagrams with written evacuation procedures are now posted near each exit in both the preschool and school aged programs. Regulation: next to each exit, emergency and evacuation procedures. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(07)(a) — Physical Space (Indoor & Outdoor)

The program was in the process of expanding the sandbox. They reported they will be ordering new mulch once the sand box expansion is completed. Corrective action: Mulch was delivered and spread on the playground as of May 12, 2025. The depth of the protective surfacing is now in compliance with the EEC regulation.. Regulation: The play area must be accessible to children with disabilities. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).