Rivera, Loreliz

7.11(10)(l) — Health & Safety

Children used the same towel to dry their hands. Corrective action: Estuve comprando un dispensador de servilletas.. Regulation: The following items must be monitored for cleanliness and washed and disinfected at least daily: 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

One child needs medication and a health care plan. Corrective action: Ya hablé con mamá que necesito el documento requerido para poder administrar el medicamento y mamá me dijo que el no padece de [redacted] que solo fue cuando se enfermó de igual manera le pedí el documento que dijera que no lo necesita redactado por su pediatra.. 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).

7.07(10)(a) — Physical Space (Indoor & Outdoor)

Stairs were not gated as required. Corrective action: Tengo un gate para que los niños no vaya a la escalera estaba cerrado pero al momento que le abrí la puerta olvidé cerrarlo pero ya lo corregí.Siempre permanece cerrado durante las horas del daycare.. Regulation: Child care must be provided only in space approved by the Department. Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(03)(b), 7.06(03)(a) — Curriculum and Activities

Educator reported that she’s working on them but there was no documentation available. Corrective action: Estoy trabajando con los reportes de los niños.. Regulation: 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 Cited during: Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(b)(14) — Routine & Activities

There was no evidence of a planned curriculum. Infants were in pack and plays and not moving freely. Corrective action: La casa y el espacio añadido fuera de la casa ambos aprobados por la licenciadora anterior el espacio fuera fue aprobado para 8 niños y también tengo currículum. Todos los días los pongo en el piso a jugar durante la visita no estuvieron en el piso por qué estuve realizando una actividad de navidad con brillo y no quería que se llevaran nada a la boca.Pero ya eso no pasará estarán jugando en el piso libremente.. Regulation: in programs serving infants and toddlers, opportunities for infants and toddlers to move freely and achieve mastery of their bodies through self-initiated movement, including multiple opportunities to practice emerging skills in coordination, movement, balance, and perceptual-motor integration. Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(c)(01) — Routine & Activities

Insufficient amount and variety of materials Corrective action: Ya mandé a buscar por Amazon más materiales.. Regulation: there is a sufficient quantity and variety of materials and equipment to engage all children present in the program; Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(12) — Routine & Activities

Does not use an appropriate cover for the diaper changing surface, does not clean and disinfect after each diaper change, does not wash her hands and the children's hands after diaper changing. There is no running water in the space and no bathroom. Corrective action: Siempre se utilizan guantes para el cambio de pañales y luego usábamos desinfectantes de manos.Ya mande a buscar los pads para poner antes de cada cabio de pañales. Voy a estar trabajando desde adentro de mi hogar ya que cuento con la facilidad del baño directamente para el lavado de manos y para desinfectar la changing pad estaré utilizando los wipes de Lysol y agua con jabón en una botella de spray.. Regulation: 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: Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(b), 7.06(01)(a) — Routine & Activities

There was no evidence of a routine or curriculum. Corrective action: Tengo dos diferentes currículum y también tengo una rutina que le doy a los padres con el parent handbook y ahora lo pondre en el boletín board para que este visibe y cada mes pondre el currículum de ese tiempo. Si me parece que en la visita le mostré lo que estuve realizando antes de que llegaras que era un ornamento de navidad y luego puse al niño a colorear una madera de santa.Todos los días trabajaré mis actividades.. Regulation: 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: Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(10)(a) — Routine & Activities

Educator was not holding an infant who was drinking a bottle. Educator did not wash her hands before preparing the bottle. Corrective action: Tenia el conocimiento de que cuando el niño aguantara su botella podia beber su leche solo pero siempre en un lugar seguro y con supervision todo el tiempo.Pero al saber que no se puede los aguantaré mientras toman leche.Ahora tengo la facilidad de lavado de manos por que utilizare nuevamente la casa para el cuidado de mis niños.. Regulation: In programs serving infants and toddlers: Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(07), 7.07(10) — Physical Space (Indoor & Outdoor)

The home is on a very busy street and the outdoor play area is not fenced. The educator reported that the children do not go outside. Corrective action: Ya para Enero,25,2025 estara terminada su area de juegos.. Regulation: 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. Cited during: Renewal - Enhanced 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)

In the house bathroom there were items within the reach of the children that could be harmful. Corrective action: Ya le puse seguridad para que los niños no puedan abrir.. 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: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

Missing medical documents for 2 of 3 children. Corrective action: Ya le infome a los papás que necesito los documentos y me los van a entregar tan pronto la oficina medica se los entregue.. Regulation: information required at admission, including:, Ongoing records, including: Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(03)(b), 7.06(03)(a) — Administration

No progress reports have been completed. Corrective action: Ya estoy trabajando en ello y tan pronto estén terminados los enviaré. Ya logré terminar los reportes.. Regulation: 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 Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(05)(a), 7.04(05)(c), 7.04(05)(b) — Administration

Educator did not have the medical letter for her assistant or an attendance for the assistant. Corrective action: Tengo cita para mi físico y esperando llamada para recoger el físico de mi asistente.. 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);, 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;, 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; Cited during: Renewal - Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).