Twinkle Little Star

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, Substantiated Child Abuse/Neglect Domain: Complaint investigation. Complaint Investigation. 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) — Attendance Recording and Group Sizes/Ratios

Attendance Recording and Group Sizes/Ratios 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. Domain: Care of Children. Renewal - 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. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(15)(b) — If on-site food prep, Inspection from local Health Dept/Food Service Permit

If on-site food prep, Inspection from local Health Dept/Food Service Permit If the licensee provides food prepared on-site, the licensee must have a Food Service permit or evidence of inspection from the local health department when required by DPH. Domain: Health. Renewal - 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: Medication. Renewal - Monitoring 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. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(07)(d), 7.07(07)(e), 7.07(10), 7.07(13)(d) — Outdoor Space - R Apr 2025

Outdoor Space - R Apr 2025 The outdoor play area must be free from hazards including but not limited to: a busy street, a parking lot, poisonous plants, water hazards, debris, broken glass, chipping, peeling or flaking paint, dangerous machinery or tools, and weather-related and environmental hazards or small objects that could present a choking hazard to young children. Any such hazard must be removed or fenced by a sturdy, permanently installed barrier which is at least four feet high or otherwise protected or removed, as appropriate., If the outdoor play space is located on a roof, it must be protected by a barrier at least seven feet high, which cannot be climbed by children., 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., All play equipment, fences and structures must be free of entrapment hazards. Domain: Physical Facility - Outdoors. 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: Medication. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(c), 7.11(02)(e) — Medication

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

7.11(03) — Individual Health Care Plan (IHCP) - R Apr 2025

Individual Health Care Plan (IHCP) - R Apr 2025 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. Domain: Health. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(01), 7.11(07)(h) — Emergency Evacuation - R Apr 2025

Emergency Evacuation - R Apr 2025 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. Domain: Emergency Preparedness. 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).

7.07(13)(b)

The licensee must keep all equipment, materials, furnishings, toys, and games clean and in a safe, secure, and workable condition. Domain: Infection Control. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(12)

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

7.10(05)(d), 7.10(05)(f) — Supervision of Children

Supervision of Children Educators must be positioned to maximize their ability to see and/or hear children in their care., Educators must not engage in any other activities or tasks that could unnecessarily divert their attention from supervising the children. Domain: Care of Children. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).