Creative Choices/Frances Drake

2025

1. Medium-High riskStandard 8.1312/8/2025

   8.13(02)(a)(08)(d)

   an individual health care plan (IHCP) for each child with a chronic medical condition, which has been diagnosed by a licensed Health Care Practitioner. The plan shall 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: Review of Written Materials. Funded Program Renewal Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
2. High riskStandard 8.0312/8/2025

   8.03(03)(a), 8.03(03)(b), 8.03(03)(c), 8.03(03)(e), 8.03(03)(f) — Policies for the Documentation, Administration, Handling, Disposal of Medication

   Policies for the Documentation, Administration, Handling, Disposal of Medication Medication Policies. The Program shall have clear, written policies for the documentation, administration, handling, and disposal of all medications, in accordance with EEC requirements., Parental Consent. All medication administered to a child, including but not limited to oral and topical medications of any kind, either prescription or non-prescription, shall be provided by the child’s Parent. No medication shall be administered without written Parental consent., Administration of Routine Medications. Providers may administer routine, scheduled medication or treatment to a child with a chronic medical condition in accordance with written Parental consent and licensed Health Care Practitioner authorization. Providers administering routine, scheduled medication or treatment to the child with a chronic medical condition shall have successfully completed training, given by the child's Health Care Practitioner, or, with his/her written consent, given by the child's Parent or the Program's Health Care Consultant that specifically addresses the child's medical condition, medication, and other treatment needs., Staff Training – Medication Administration. The Program shall ensure that at least one adult with training in medication administration is present at any and all times when children are in care., Medication Disposal. Medications shall not be used beyond their date of expiration. Unused medication shall be returned to the Parent/guardian for disposal. If medication cannot be returned to the Parent/guardian, the Program shall have a written policy on medication disposal in accordance with the recommendations of the Department of Public Health, Drug Control Program. Domain: Administration of Medication. Funded Program Renewal Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
3. High riskStandard 8.1412/8/2025

   8.14 — Background Record Checks

   Background Record Checks Background Record Checks Domain: Background Record Checks. Funded Program Renewal Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
4. Medium riskStandard 8.011/7/2025

   8.01(03)(a), 8.01(03)(a)(01), 8.01(03)(a)(02), 8.01(03)(b) — Storage of Personal Belongings

   Storage of Personal Belongings Storage for Children’s Personal Belongings. The Program shall provide sufficient space, accessible to children, for each child to store clothing, coats, bedding, and other personal items in a safe, sanitary manner., Personal items intended for individual use by children, including but not limited to bottles and cups, pacifiers, toothbrushes, and sleeping materials, shall be labeled with the name of the child for whom they are intended; and, Personal items shall be stored so that they do not touch., Storage for Adults’ Personal Belongings. The Program shall provide sufficient space, not accessible to children, for adults to store personal items in a safe, sanitary manner. Domain: Prevention and Control of Infectious Diseases. Funded Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
5. High riskStandard 8.071/7/2025

   8.07(02)(a)(02), 8.07(02)(a), 8.07(02)(a)(01), 8.07(02)(a)(03), 8.07(02)(a)(04), 8.07(02)(a)(05) — Appropriate Supervision

   Appropriate Supervision Providers shall not leave a child unattended in an Infant seat, on a changing table, or any other surface that could result in a fall;, Appropriate Supervision. All Providers shall exercise appropriate supervision of the children in their care in order to ensure their health and safety at all times. Such supervision shall include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities., Children younger than six months of age at the time of enrollment shall be under direct visual supervision at all times;, Providers shall be aware of children’s activities at all times and in sufficient proximity to children at all times in order to be able to intervene quickly when necessary;, Providers shall be positioned to maximize their ability to see and/or hear children in their care; and, Providers shall not engage in any other activities or tasks that could unnecessarily divert their attention from supervising the children. Domain: Appropriate Supervision, Interactions, Discipline, and Prevention of Maltreatment. Funded Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected