HRYMCA Before and After School Care @ Ryan Road

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

One Staff Record was missing the PQ Registry form, Staff Form, Program Orientation, EEC Essentials trainings certificates, BRC Suitability letter and evidence of First Aid and CPR. Corrective action: Since the record review and site visit took place towards the end of the school year, the Site Coordinator was not able to add the following to staff files: *PQ registry forms *Staff Form *Program Orientation *EEC Essentials Training certificates *Suitability letter *First Aid and CPR cards Moving forward, the SACC Director will work closely with the HR assistant and site coordinator to ensure that all current staff and new hires have all of the necessary paperwork on file.. 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).

7.11(01)(a)(01), 7.11(01)(a)(02) — Administration

The staff schedule form did not have the CPR certification expiration dates listed. Three Staff Files reviewed were missing evidence of current CPR. Corrective action: Since the record review and site visit took place towards the end of the school year, the Site Coordinator was not able to add CPR cards and expiration dates to staff folders and EEC paperwork. Moving forward, the SACC Director will work closely with the HR assistant to ensure that all current staff are renewing their CPR/first aide through the HRYMCA in a timely manner. Site Coordinators will not hire staff without current CPR/first Aide.. Regulation: The licensee must ensure that at least one educator currently certified in first aid and age-appropriate cardiopulmonary resuscitation (CPR) is present at any and all times when children are in care., CPR training must be renewed annually. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.09(17)(d), 7.11(18)(d) — Administration

The staff schedule form did not have the First Aid certification expiration dates listed. Three Staff Files reviewed were missing evidence of current First Aid. Corrective action: Since the record review and site visit took place towards the end of the school year, the Site Coordinator was not able to add CPR cards and expiration dates to staff folders and EEC paperwork. Moving forward, the SACC Director will work closely with the HR assistant to ensure that all current staff are renewing their CPR/first aide through the HRYMCA in a timely manner. Site Coordinators will not hire staff without current CPR/first Aide.. Regulation: First Aid Training. All educators must obtain within six months of employment, and must maintain thereafter current certification of training in basic first aid appropriate to the population served., First Aid Training. The licensee must document that each educator is certified in first aid within six months of employment. 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

Children’s records did not have a copy of their IHCP’S. One child with asthma and Allergies was missing their IHCP’S. Corrective action: Since the site visit was on the last day of program for the year, the site coordinator was not able to ask the family to turn in an IHCP for the missing paperwork. Moving forward, the Senior Program Director and SACC Director will create a master list of youth with medications and who need to have an IHCP on file. This master list will be used when the SACC Director does monthly medication and IHCP audits at each site to ensure that EEC regulations are being followed.. 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).

7.11(05)(d)(04) — Health

One child did not have their prescribed Albuterol on site. Corrective action: Since the site visit was on the last day of program for the year, the site coordinator was not able to ask the family to bring Albuterol to program. Moving forward, the Senior Program Director and SACC Director will create a master list of youth with medications and who need to have an IHCP on file. This master list will be used when the SACC Director does monthly medication and IHCP audits at each site.. Regulation: emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Cited during: 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) — Medication

Two medication consent forms were missing parent/guardian signatures. Corrective action: Since the site visit was on the last day of program for the year, the site coordinator was not able to ask the family to sign medical consent forms. Moving forward, the Senior Program Director and SACC Director will create a master list of youth with medications and who need to have an IHCP on file. This master list will be used when the SACC Director does monthly medication and IHCP audits at each site to ensure that EEC regulations are being followed.. 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: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

Complaint investigation

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