King's Kids II After School Program

7.05(05), 7.05(06), 7.05(08) — Care of Children

During the observation it was noted that an educator did not use positive child guidance techniques when correcting unwanted behaviors. Corrective action: The incident was addressed directly with the educator following the visit. Expectations regarding positive child guidance, appropriate redirection, and EEC prohibited discipline practices were reviewed. Additional coaching and supervision will continue to ensure all educators consistently use positive, developmentally appropriate guidance strategies when responding to behavior.. Regulation: Educators must provide guidance to children in a positive and consistent way based on an understanding of the individual needs and development of children by:, Educators must have a method of communicating effectively with each child., The following practices are strictly prohibited: Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

During a review of the program tri-fold board, there was no evidence of a current Building inspection certificate. Corrective action: The current building inspection certificate has been obtained and placed on the required program tri-fold board for visible review. A review of all required postings was conducted to ensure all licensing documents are current, complete, and visibly posted. Going forward, required postings will be reviewed regularly to ensure documents remain updated and accessible on site.. 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).

7.07(01), 7.11(07)(h) — Emergency Preparedness

Program reports that they have not conducted monthly emergency evacuation drills during afterschool programming. Corrective action: A monthly emergency evacuation drill schedule has now been re-established for afterschool programming, and documentation procedures have been reviewed with site leadership. The Site Director has been reoriented on required monthly drill implementation, documentation expectations, and use of the site compliance guide to ensure drills are conducted and recorded consistently moving forward.. Regulation: 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., 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. Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

Emergency Evacuation procedures were not posted with the evacuation diagrams as required by EEC. Corrective action: Emergency evacuation procedures have now been posted alongside all evacuation diagrams as required. A review of all emergency postings was completed to ensure required information is clearly visible and accessible in all designated areas.. Regulation: next to each exit, emergency and evacuation procedures. Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(03) — Health

During a review of medications, two IHCP's were unavailable for review. Corrective action: The two missing Individual Health Care Plans were identified during the visit, and follow-up has been initiated to obtain the required documentation. Families/health care providers have been contacted and the program is actively awaiting submission of the pending IHCPs. All medication and health files were reviewed to verify other required documentation is present and organized on site. Moving forward, health documentation will be monitored regularly to ensure required plans are obtained, filed, and readily accessible.. 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: 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

During a review of the medication consent forms it was noted that one child's medication consent form was not available for review, and one child's form required a guardian's signature. Corrective action: All medication documentation was reviewed immediately following the visit. The missing medication consent form was addressed, and the incomplete form requiring guardian signature was identified. The parent/guardian has been contacted and the program is actively awaiting the required signature to complete the form. Medication will not be administered without complete authorization documentation in place. A full review of all medication files has been conducted to verify completeness and accessibility, and medication paperwork will continue to be checked regularly upon receipt and during file reviews.. 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: 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 did not have evidence of a current Staff Records Checklist on site. Corrective action: A current Staff Records Checklist has been completed and restored on site for review. The checklist had previously been provided as part of site operational materials and has now been re-established in the designated licensing file for consistent on-site access. The Site Director has been reoriented on maintaining required licensing documentation, including staff record monitoring tools, to ensure all required compliance materials remain readily available during program hours.. 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).

7.11(02)(l) — Medication

At least two Medication consent forms were not available for review, parent signature could not be assessed. Corrective action: Parents given medication consent forms to complete with program leadership. Program will assign a staff member to track and confirm that all necessary forms are collected at the start of the program and updated as needed.. Regulation: All medications must be administered in accordance with the consent and documentation requirements specified below: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(c), 7.11(02)(e) — Health

At least one child's medication was not stored in it's original packaging and did not have a label affixed. Corrective action: Original packaging box was flattened and placed in separate container with medication. Implemented a monthly review of all medications stored on-site to ensure compliance with the labeling and packaging requirements.. Regulation: 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. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

Evacuation diagrams are posted. The programs evacuation procedures were not posted. Corrective action: Program adding copies of evacuation procedures to compliance board for the rooms utilized. Compliance boards will be placed in visible area of each room during program hours.. 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(02), 7.07(03) — Physical Facility - Indoors

Building Certificates were not available for review. Corrective action: Program awaiting updated Building Certificates from school following inspections and will upload copies once received. School's tentative date for update is now 3.14.. 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).