Ramirez, Fatima

2025

1. Medium-High riskStandard 7.1110/16/2025

   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. Follow-up Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
2. High riskStandard 1.0510/16/2025

   1.05(01) — Persons on Premises

   Persons on Premises Applicants and Family Day Care. Any applicant, licensee, provider, family day care approved assistant, family day care household member and any person regularly on the premises when family day care children are present shall have a background free of conduct which, in the judgment of the Office, bears adversely upon applicant's or licensee's ability to care for children. Domain: Administration. Follow-up Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
3. Medium riskStandard 7.079/10/2025

   7.07(06) — Chipping and Peeling Paint

   Chipping and Peeling Paint Chipping and Peeling Paint. The licensee must maintain the interior and exterior of the program in good repair, free of chipping, flaking, or peeling paint or broken plaster. Domain: Physical Facility - Indoors. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
4. Medium-High riskStandard 7.079/10/2025

   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 - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
5. Medium-High riskStandard 7.119/10/2025

   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 - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
6. Medium-High riskStandard 7.119/10/2025

   7.11(10)(l) — Prevention and Control of Infectious Diseases

   Prevention and Control of Infectious Diseases The following items must be monitored for cleanliness and washed and disinfected at least daily: Domain: Health & Safety. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
7. High riskStandard 7.109/10/2025

   7.10(05)(h) — Supervision - Outdoors

   Supervision - Outdoors No child may be outdoors without appropriate adult supervision as set forth in 606 CMR 7.10(5)(b) above. Domain: Supervision. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
8. High riskStandard 7.109/10/2025

   7.10(05)(b) — Supervision - Judgement

   Supervision - Judgement Licensees and educators must use good judgment at all times and must consider the following factors when determining the appropriate level of supervision: Domain: Supervision. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
9. Medium riskStandard 7.099/10/2025

   7.09(15)(f) — Ongoing Professional Development

   Ongoing Professional Development Professional Development. Domain: Staff and Educators. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
10. Medium-High riskStandard 7.119/10/2025

    7.11(13)(d)(03)(b) — Napping Materials

    Napping Materials provide a separate mat, cot, sofa, portacrib, playpen, bassinet or bed, and blanket for each child present at any time during the day; Domain: Health and Safety. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
11. Medium-High riskStandard 7.119/10/2025

    7.11(10) — Handwashing

    Handwashing Infection Control. Domain: Health and Safety. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
12. Medium-High riskStandard 7.119/10/2025

    7.11(12) — Diapering & Toileting

    Diapering & Toileting Diapering and Toileting. In programs serving children who are under two years and nine months of age and/or not toilet trained, the educator must ensure that: Domain: Health and Safety. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
13. Medium-Low riskStandard 7.089/10/2025

    7.08(06) — Parent Handbook

    Parent Handbook Written Information for Parents. The licensee must provide the following information to families in writing prior to enrollment of their child: Domain: Family Involvement. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
14. High riskStandard 7.069/10/2025

    7.06(03)(b), 7.06(03)(a) — Progress Reports

    Progress Reports Content. The progress report must be based on observations and documentation of the child’s progress in a range of activities over time and may include samples of the child’s work., Frequency Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
15. High riskStandard 1.059/10/2025

    1.05(01) — Persons on Premises

    Persons on Premises Applicants and Family Day Care. Any applicant, licensee, provider, family day care approved assistant, family day care household member and any person regularly on the premises when family day care children are present shall have a background free of conduct which, in the judgment of the Office, bears adversely upon applicant's or licensee's ability to care for children. Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
16. High riskStandard 7.049/10/2025

    7.04(04)(a)(01), 7.04(04)(a)(02) — Attendance Logs

    Attendance Logs daily attendance records indicating each child’s attendance, including arrival and departure times;, a method of knowing exactly who is present on the premises at any given point in the day. Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
17. Medium-High riskStandard 7.071/7/2025

    7.07(07), 7.07(10) — Space (indoor / outdoor hazards) - R Apr 2025

    Space (indoor / outdoor hazards) - R Apr 2025 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). Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
18. Medium-High riskStandard 7.071/7/2025

    7.07(13), 7.07(13)(g), 7.11(02)(e) — Space (health risks) - R Apr 2025

    Space (health risks) - R Apr 2025 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. Domain: Physical Space (Indoor & Outdoor). Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
19. Medium riskStandard 7.061/7/2025

    7.06(01)(b), 7.06(01)(a) — Curriculum / Routine / Structure - R Apr 2025

    Curriculum / Routine / Structure - R Apr 2025 The licensee must have evidence of a plan describing how program activities support and engage children through specific learning experiences. Such plan must be appropriate to the ages and development of the children served, to the length of the program day and to the program objectives. As appropriate, children must participate in the development of the plan, and the plan must provide for:, The licensee must provide a well-balanced curriculum of specific, planned learning experiences that support the social, emotional, physical, intellectual and language development of all children. The curriculum must: Domain: Routine & Activities. Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected