Garcia Guedes Ferraz, Jessica Aparecida

7.10(04) — Adult-Child Ratios

Adult-Child 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: Domain: Staff and Educators. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(e), 7.11(02)(c) — Medication Storage; Medication Container/Label

Medication Storage; Medication Container/Label 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., 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. Domain: Health. 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).

7.04(07)(a), 7.04(07)(b) — Children's Records

Children's Records information required at admission, including:, Ongoing records, including: Domain: Administration. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

3.06(04)(k) — Medication

Medication The licensee shall have written policies and procedures regarding the prescription and administration of all medication. These policies and procedures shall include the following: Domain: Health/Medications. Follow-up Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(07)(d) — Supervision - Napping Children

Supervision - Napping Children The educator must visually observe napping children at least every fifteen minutes. When children are placed in a separate room for naps, the door must remain ajar. Domain: Supervision. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(10)(a) — Licensed Space

Licensed Space Child care must be provided only in space approved by the Department. Domain: Physical Space (Indoor & Outdoor). Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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).

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).

7.11(03) — Individual Health Care Plan (IHCP)

Individual Health Care Plan (IHCP) 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. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(14)(d) — License/Certicates/Approvals Posted

License/Certicates/Approvals Posted the current license or approval. Domain: Postings. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(11)(e), 7.11(11)(d) — Toothbrushing - Toothbrush Storage

Toothbrushing - Toothbrush Storage Children must use individual, labeled toothbrushes which must be stored in a safe and sanitary manner open to the air without touching each other., Educators must assist children in brushing their teeth whenever they are in care for more than four hours or whenever they consume a meal while in care. Domain: Personal Hygiene. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(07) — Emergency Preparedness

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

3.06(04)(k) — Medication

Medication The licensee shall have written policies and procedures regarding the prescription and administration of all medication. These policies and procedures shall include the following: Domain: Health/Medications. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(05)(a), 7.04(05)(c), 7.04(05)(b) — Staff Records

Staff Records 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; Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07)(a), 7.04(07)(b) — Children's Records

Children's Records information required at admission, including:, Ongoing records, including: Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(04)(a)(03) — Evacuation Logs

Evacuation Logs documentation of regular evacuation drills, as required by 606 CMR 7.11(7)(h). Domain: Administration. Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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).

7.07(13) — Equipment, materials and furnishings - Play Materials

Equipment, materials and furnishings - Play Materials 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. Domain: Equipments and Materials. Change of Location Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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. Change of Location Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(11)(d) — Tooth brushing - Toothbrush Storage

Tooth brushing - Toothbrush Storage Educators must assist children in brushing their teeth whenever they are in care for more than four hours or whenever they consume a meal while in care. Domain: Personal Hygiene. Change of Location Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(15)(b) — Exits (two exits)

Exits (two exits) Exits. Domain: Physical Facility - Indoors. Change of Location Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(07)(f) — Emergency Preparedness Plans

Emergency Preparedness Plans The licensee must have a written plan detailing procedures for meeting potential emergencies including but not limited to missing children, the evacuation of children from the program in the event of a fire, natural disaster, loss of power, heat or hot water or other emergency situation. The plan must include but not be limited to: Domain: Prevention and Response to Emergencies. Change of Location Visit. Source: MA EEC child care provider record (childcare.mass.gov).