Iraola, Ana

7.09(15)(f) — Staff and Educators

The educator's PQR is not updated in the system. The educator will ensure to update their PQR with all required training hours. Corrective action: All training we emailed to the licensor due to the Educator having problem getting into her PQR and not being to update into the system.. Regulation: Professional Development. Cited during: Renewal - Full Review 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

One child is missing the Individual Healthcare Plan for their prescribed medication. The educator will ensure to maintain updated consent for all prescribed medications. Corrective action: The Educator has updated medical consent for prescribed medications. 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 - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(14)(c) — Postings

A child is missing their IHP. The educator will ensure to maintain all updated medical documents for prescribed medications for the childcare children and post the information on the childcare space appropriately. Corrective action: Educator has updated medical documents for prescribed medications and posted it the information on the childcare space.. Regulation: in a manner that protects the privacy of each child: Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07)(a), 7.04(07)(b) — Administration

A child in care was missing an asthma plan. The educator will ensure to maintain up-to-date records for all the childcare children. Corrective action: I got a new plan from mom I have put a copy on the wall and in her records. Regulation: information required at admission, including:, Ongoing records, including: Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13), 7.07(13)(g), 7.11(02)(e) — Physical Space (Indoor & Outdoor)

Missing detectors in the basement. The educator will ensure to keep a working smoke and carbon monoxide detectors in all the floors of the home. Corrective action: I installed a smoke dictator in the basement. Regulation: Safety Requirements for Equipment, Materials and Furnishings. The licensee must only use indoor and outdoor equipment, materials, furnishings, toys, and games that are appropriate to the ages, needs and developmental level of the children enrolled. They must be sturdy, safely constructed and installed, non-tippable, flame retardant, easily cleaned, and free from lead paint, protruding nails, rust, and other hazards that may be dangerous to children., 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., 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: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).