The Learning Experience

7.10(09)(b)

Fixed Age Groups. Children may be assigned to groups with others within their same age range, as specified by the Department provided the requirements of 606 CMR 7.10(9)(b)1-6 are met. The fixed age group ratios and groupings below may be used by large group and school age child care programs. Domain: Supervision. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(10)

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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(05)

Supervision of Children: In addition to interacting with children as required by 606 CMR 7.05, all licensees and educators must exercise appropriate supervision of the children in their care in order to ensure their health and safety at all times. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. Domain: Supervision. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(03)

Progress Reports. A written progress report must be prepared periodically on the progress of each child in the program. The program must offer parents a conference to discuss the content of the report. A copy of the progress report must be given to the parent and a copy kept in the child’s record. Domain: Review of Written Materials. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(k)

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: Review of Written Materials. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04)

emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Domain: Medications. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(10)

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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(06)

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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(05)

Supervision of Children: In addition to interacting with children as required by 606 CMR 7.05, all licensees and educators must exercise appropriate supervision of the children in their care in order to ensure their health and safety at all times. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. Domain: Supervision. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(f)

Notwithstanding the provisions of 606 CMR 7.11(2)(e), above, emergency medications such as epinephrine auto-injectors must be immediately available for use as needed. Domain: Health and Safety. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(06)

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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(18)(c)(05)

evidence of completed background record checks, as required by 606 CMR 1.05(2) and 606 CMR 14.00; Domain: BRC Information. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.03(02)

Licensed Capacity. Programs will be licensed for the maximum number of children who may be in the care of educators at any one time, taking into consideration the size and layout of the physical facility, the number and qualifications of educators, the equipment and resources available to the children, the individual needs and characteristics of the children served, and the building certificate capacity, if applicable. At no time shall a program admit, supervise or provide care for more than the maximum number of children indicated on the license. Domain: Review of Written Materials. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.09(11)

Health Requirements for Educators. Prior to licensure or employment of any educator the licensee must obtain from a licensed health care practitioner. Domain: Review of Written Materials. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07), 7.04(08)(b), 7.06(05)(b), 7.10(09)(a)(05) — Children's Records

Children's Records Children’s Records. The licensee must maintain an individual written record for each child that includes:, For school age children, the licensee may accept either:, The licensee must obtain parental consent prior to contacting any outside social, educational or health care resource or service provider on behalf of an individual child. If such direct contacts are made by the program, the licensee must maintain a written record of such contacts and the results of such contacts., Whenever a child is considered for assignment in a fixed age group outside his chronologically defined age group, the licensee must: Domain: Administration. 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. 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) — Infection Control/Hand Washing

Infection Control/Hand Washing 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: Domain: Health. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04) — Emergency medications readily available

Emergency medications readily available emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Domain: Health. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.03(02)

Licensed Capacity. Programs will be licensed for the maximum number of children who may be in the care of educators at any one time, taking into consideration the size and layout of the physical facility, the number and qualifications of educators, the equipment and resources available to the children, the individual needs and characteristics of the children served, and the building certificate capacity, if applicable. At no time shall a program admit, supervise or provide care for more than the maximum number of children indicated on the license. Domain: Review of Written Materials. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(07)(c) — Food not served beyond recommended dates

Food not served beyond recommended dates the licensee must ensure that foods are not served to children beyond their recommended dates of use; Domain: Mealtime, Food, Food Preparation. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(13)(d)(04)(a)

there is a distance of at least two feet between each crib or cot, or there is a distance of at least three feet between children’s faces while resting or napping; Domain: Health and Safety. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(18)(c)(05)

evidence of completed background record checks, as required by 606 CMR 1.05(2) and 606 CMR 14.00; Domain: BRC Information. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).