A Child's View

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(07)(d), 7.07(13)(g) — Toxic Substances

Toxic Substances The outdoor play area must be free from hazards including but not limited to: a busy street, a parking lot, poisonous plants, water hazards, debris, broken glass, chipping, peeling or flaking paint, dangerous machinery or tools, and weather-related and environmental hazards or small objects that could present a choking hazard to young children. Any such hazard must be removed or fenced by a sturdy, permanently installed barrier which is at least four feet high or otherwise protected or removed, as appropriate., 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: Health. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(03) — Individual Health Care Plan (IHCP)

Individual Health Care Plan (IHCP) 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. Domain: Health. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(k) — Bottles/pacifiers/toothbrushes/sleeping materials labeled with child's name

Bottles/pacifiers/toothbrushes/sleeping materials labeled with child's name Personal items intended for individual use by children, including but not limited to bottles, pacifiers, toothbrushes and sleeping materials, must be labeled with the name of the child for whom they are intended. 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).

7.07(07), 7.07(10) — Space (indoor / outdoor hazards)

Space (indoor / outdoor hazards) Outdoor Space. The licensee must maintain, or have access to, an outdoor play area of at least 75 square feet per child who is outside at any one time., 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 Space (Indoor & Outdoor). Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(04)(a)(01), 7.10(01), 7.10(02), 7.10(03), 7.10(04), 7.10(09) — Attendance Recording and Group Sizes/Ratios

Attendance Recording and Group Sizes/Ratios daily attendance records indicating each child’s attendance, including arrival and departure times;, The licensee must maintain sufficient numbers of qualified staff to promote the health, safety, growth and development of each child. Assignment of staff must take into account the physical environment, requirements of the activities children are engaged in, and the developmental levels and behavioral traits of children in care., Ratios: The program must have the number of educators necessary to:, Staff to Be Included in Ratios., Multi-Age Grouping. A group of children ranging in age from birth through thirteen years (or sixteen years, if such children have special needs), may be assigned on an ongoing basis to a single group, provided all provisions of 606 CMR 7.10(4) are met. The Multi-Age Grouping ratios and group sizes specified at 606 CMR 7.10(4)(d – h) may be used by:, Additional Provisions for Large Group and School Age Child Care. Domain: Care of Children. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07) — Children's records and checklist - R Apr 2025

Children's records and checklist - R Apr 2025 Children’s Records. The licensee must maintain an individual written record for each child that includes: Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(k) — Staff meeting documentation

Staff meeting documentation Staff Meetings. In programs with four or more staff the licensee must develop and follow a written plan and must document regular staff meetings of at least two hours per month to consult with educators on program issues; program planning; policies and procedures; parent communication; implementation of the regulations; children’s behaviors and meeting the individual needs of children. Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(03) — Individual Health Care Plan (IHCP) - R Apr 2025

Individual Health Care Plan (IHCP) - R Apr 2025 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. Domain: Health. Renewal - Full Review 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. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).