Cedar ChildCare Center, Inc.

2025

1. High riskStandard 7.0412/16/2025

   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).

   Not corrected
2. High riskStandard 7.0412/16/2025

   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).

   Not corrected
3. Medium-High riskStandard 7.0712/16/2025

   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).

   Not corrected
4. Medium-High riskStandard 7.1112/16/2025

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

   Not corrected
5. Medium-High riskStandard 7.1112/16/2025

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

   Not corrected
6. Medium-High riskStandard 7.1112/16/2025

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

   Not corrected
7. Medium-High riskStandard 7.1112/16/2025

   7.11(12)(l), 7.11(12)(j) — One hand on child when being changed on elevated surface

   One hand on child when being changed on elevated surface soiled non-disposable diapers are placed in a sealed plastic container labeled with the child’s name and returned to the child’s parents at the end of the day., each child is washed and dried with individual washing materials during each diaper change. After changing, the child’s hands must be washed with liquid soap and water, and dried with individual or disposable towels; Domain: Health. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
8. Medium-High riskStandard 7.1112/16/2025

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

   Not corrected
9. High riskStandard 7.0412/16/2025

   7.04(05)(a), 7.04(05)(b), 7.04(05)(c), 7.09(09) — 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);, 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;, 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;, All educators must attend an orientation to early education and care approved by the Department. Domain: Administration. Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Not corrected
10. Medium-High riskStandard 7.043/6/2025

    7.04(17)(p)(03), 7.04(17)(p)(01) — Location of health care policy; Location of 1st aid kit

    Location of health care policy; Location of 1st aid kit the location of the first aid kit;, the location of the health care policy; Domain: Postings. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
11. Medium-High riskStandard 7.073/6/2025

    7.07(02), 7.07(03), 7.07(16)(b) — Building Inspection;Fire Inspection;Environment free of pests;Date of IPM-RApr25

    Building Inspection;Fire Inspection;Environment free of pests;Date of IPM-RApr25 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:, Fire Inspection. Every program not located in a residence must submit evidence of compliance with applicable fire codes., Integrated Pest Management. Programs must document compliance with the Integrated Pest Management program of the Department of Agricultural Resources. Domain: Physical Space (Indoor & Outdoor). Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
12. High riskStandard 7.113/6/2025

    7.11(10)(o), 7.11(10)(n), 7.11(10)(j), 7.11(10)(i), 7.11(10)(h) — Proper sanitizing techniques; Bottles labeled and out of children's reach

    Proper sanitizing techniques; Bottles labeled and out of children's reach All disinfectant solutions must be stored in accordance with manufacturer’s instructions and in a secure place out of the reach of children., The disinfectant solution used to disinfect child care items, equipment and surfaces must be either a bleach solution prepared by the licensee in accordance with EEC guidelines or a commercially prepared disinfectant that has been registered as a sanitizing solution by the Environmental Protection Agency (EPA). Registration by the EPA will be indicated on the product label. Commercially prepared solutions must be used in accordance with manufacturer’s directions., 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., Where applicable, the following items, equipment and surfaces must be washed and disinfected after each use:, All eating surfaces must be washed and disinfected before and after each use. Domain: Health. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
13. Medium-High riskStandard 7.113/6/2025

    7.11(05)(e) — First Aid Kit (SLGSA)

    First Aid Kit (SLGSA) The licensee must maintain adequate first aid supplies, including, but not limited to: adhesive tape, band aids, gauze pads, gauze roller bandage, disposable non-latex gloves, instant cold pack, scissors, tweezers, thermometer, and CPR mouth guard. Domain: Emergency Preparedness. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
14. Medium-High riskStandard 7.073/6/2025

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

    Not corrected
15. High riskStandard 7.043/6/2025

    7.04(05)(a), 7.04(05)(b), 7.04(05)(c), 7.09(09) — Staff Records - R Apr 2025

    Staff Records - R Apr 2025 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);, 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;, 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;, All educators must attend an orientation to early education and care approved by the Department. Domain: Administration. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
16. High riskStandard 7.043/6/2025

    7.04(18)(d)(01) — Staff records checklist

    Staff records checklist a current staff records check list that reflects all regular employees, Domain: Administration. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
17. High riskStandard 7.043/6/2025

    7.04(18)(a) — Budget; Financial documentation

    Budget; Financial documentation The licensee must have and submit a projected one-year operating budget that estimates income and expenses. In addition, a program that has not previously operated must document and submit proof of financial capability to carry out its program for at least a three month period. Domain: Administration. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
18. High riskStandard 7.113/6/2025

    7.11(19)(b) — Health Care Consultant Agreement

    Health Care Consultant Agreement Health Care Consultant. Each program must have access to a Health Care Consultant who will: Domain: Administration. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected
19. Medium-High riskStandard 7.073/6/2025

    7.07(10)(p), 7.07(10)(o) — Electric outlets covered, no frayed electrical cords. Carbon monoxide detector.

    Electric outlets covered, no frayed electrical cords. Carbon monoxide detector. Carbon Monoxide Detectors. Approved carbon monoxide detectors must be located and maintained in the program in accordance with the provisions of the state fire safety code and guidelines., Electrical outlets. All electrical outlets within the reach of children younger than school age must be made inaccessible by use of a safety device or covering that prevents access to the receptacle openings. If the covering is a shock stop, it must be of adequate size to prevent a choking hazard. All electrical cords must be arranged so they are not a hazard to children. Electrical cords must not be frayed or damaged. Domain: Physical Facility - Indoors. Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

    Not corrected