Whitney Afterschool Program

7.11(03) — Health

Child with [redacted] did not have an IHCP on file to help educators provide care in the event of an exposure. Corrective action: We are working with parent to get IHCP and once we get IHCP we will add it to the child's file. The child was already added to the allergy list.. 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: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(01), 7.04(17)(m)(07) — Administration

The program has recently had a change of administrator, and they did noy notify EEC of the Administrative change. Corrective action: I have made the change and put it on the portal. If more is needed or I did it wrong, please let me know. Regulation: The licensee must ensure that the program is soundly administered by qualified persons designated with specific administrative and program responsibilities. The licensee may admit children only in accordance with the provisions of the license., Provisions for Temporary Absence of Administrator. The licensee shall inform all staff on duty as to who is responsible for administration of the program at any given time. Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(k), 7.09(17)(a), 7.12(02) — Administration

Licensor was unable to assess compliance with staff meeting because the documentation did not include the time the meetings started or the time the meetings ended. Corrective action: The Afterschool Program director was instructed to put a start and end time on meetings that are held with the staff as well as the date.. Regulation: 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., Educator Orientation. The licensee must provide and document orientation for all employees., All educators must receive basic training in the following: Cited during: 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

Review of the staff records checklist revealed that 3 out of 4 Educators did not have evidence of a physical exam. Corrective action: I have requested a physical exam from each of the staff to supply their physicals asap. 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: 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) — Care of Children

On the day of the visit the program had not documented the arrival times for up to 20 children that were present. Corrective action: I spoke with the Director for the Afterschool Program and stated that attendance must be done when children arrive, not to wait until they have all arrived at the facility. Regulation: 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. Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

On the day of the visit the program’s Building Inspection certificate had an expiration date of 3/4/25. The Fire Inspection had an expiration date of 7/16/23. Corrective action: I have called the Building Department and scheduled an inspection for next week. Also contacted the Fire Department and requested their visit be at the same time. 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: 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) — Health

During the visit children were observed using hand sanitizing gel in place of proper handwashing. Corrective action: Instructions were given to all staff stating that the children must wash their hands before given snack and not to use hand sanitizer for this purpose. Regulation: 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: Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).