MJK Taekwondo

7.04(04)(a)(01), 7.10(01), 7.10(02), 7.10(03), 7.10(04), 7.10(09) — Care of Children

The program has a main attendance sheet of all children signed into and out of the program. Each classroom does not have their own attendance sheet. Corrective action: I have attached the MJK Taekwondo class attendance sheet, so please check it.. Regulation: 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. Cited during: 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) — Administration

Three children's records were missing a current IHCP. One child's file had an expired first aid consent form, transportation plan, and was missing a progress report. Four children were missing a current medication consent form. Corrective action: Following a recent review, it was identified that three children's records were missing a current Individualized Health Care Plan (IHCP), one child's file contained expired documentation including the first aid consent form and transportation plan, and lacked a progress report, while four children were missing a current medication consent form. To address these gaps and ensure ongoing compliance, the program is implementing a strengthened procedure for maintaining up-to-date health documentation for all children with allergies or chronic health conditions. Moving forward, the program will establish a proactive system to ensure that each child’s IHCP, medication consent form, and medication administration form are current and readily accessible. This includes maintaining a centralized tracking log with expiration dates and renewal timelines for all health-related documents. Families will be contacted at least two weeks prior to any expiration date to allow sufficient time for updates. Communication will be ongoing between the program, the child’s parent or guardian, and their healthcare provider to ensure that all necessary documentation is completed and returned promptly. Additionally, designated staff will be responsible for conducting monthly audits of child files to verify the accuracy and completeness of health records. Any discrepancies or missing items will be flagged immediately and followed up with corrective action. Staff will also receive periodic training on documentation protocols and compliance standards to reinforce the importance of maintaining accurate and timely records. These measures are designed to safeguard the health and well-being of all children in our care and to uphold the highest standards of program accountability.. Regulation: 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: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.13(04) — Transportation Safety

The vehicle attendance log did not reflect the time children were signed into the vehicle and off of the vehicle. Corrective action: To ensure compliance with the updated attendance procedures, all program drivers have completed formal training that outlines the expectations for documenting the time each child is signed into and off of the vehicle. This training includes clear instructions on verifying child identity, recording accurate time stamps, and maintaining emergency contact information. In conjunction with this, the program has reviewed and updated its transportation plan to reflect the revised attendance documentation requirements, including the need to record both pick-up and drop-off locations. Accountability measures have been implemented, designating a staff member responsible for reviewing attendance sheets daily to ensure accuracy and completeness. Additionally, emergency contact information for each child is now required to be either attached to the attendance record or readily accessible to the driver during transport. These steps are designed to enhance child safety, improve operational transparency, and ensure adherence to regulatory standards.. Regulation: Vehicle and Driver Requirements. Whenever transportation is provided or contracted by the licensee the licensee must ensure that: Cited during: Renewal - 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

Three medications reviewed were missing a medication consent form. Corrective action: During the recent review, it was noted that three medications were missing the required medication consent forms. To prevent future discrepancies and ensure full compliance, the program will implement a standardized procedure for managing medication documentation. This includes maintaining a centralized tracking system that monitors expiration dates and renewal timelines for all medication-related forms, including consent and administration records. Staff will initiate contact with parents or guardians and, when necessary, the child’s healthcare provider at least two weeks prior to the expiration of any documentation, allowing adequate time for updates. Monthly audits of child files will be conducted by designated personnel to verify that all children requiring medication have a current medication consent form and administration plan on file. Staff will also receive ongoing training to reinforce documentation protocols and ensure that all medication records are complete, current, and accessible at all times. These measures are designed to uphold the health and safety of children in our care and maintain regulatory compliance across all program operations.. 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: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(c), 7.11(02)(e) — Health

One medication reviewed had an expired prescription. Corrective action: To ensure all children in the program have current medication at all times, the program has implemented a proactive procedure focused on collaboration and accountability. The program will maintain an up-to-date log of each child's medical records and prescription expiration dates. Parents will be notified at least two weeks in advance of any upcoming medication expiration, giving them sufficient time to contact their child’s physician and renew prescriptions as needed. This process allows us to stay ahead of potential lapses and ensures that every child’s health needs are consistently met. The program is committed to working closely with families to keep medical documentation current and accurate.. Regulation: 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. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04) — Health

The program stored all emergency medication and regular medication in the office. The emergency medication was not readily available in the classroom with the children who require it. Corrective action: To ensure that emergency medications are readily accessible to the children who require them, the program is implementing a new classroom-based protocol. Each classroom will be equipped with a designated emergency medication bag — a clearly labeled fanny pack — which will be stored in close proximity to the first aid kit for quick and easy access. This bag will contain only the emergency medications prescribed for children in that specific classroom, and will remain in the classroom at all times during the school day. In addition, all staff members — including teachers and drivers — will be trained on this updated procedure to ensure they understand the location, purpose, and handling of the emergency medication bags. This training will reinforce the importance of immediate access in case of a medical emergency and will be part of our ongoing commitment to the health, safety, and well-being of every child in our care. Regulation: emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(p)(04) — Emergency Preparedness

Three classrooms were missing an evacuation procedure next to the evacuation diagram. Corrective action: Evacuation procedure signs have been posted in every classroom.. Regulation: next to each exit, emergency and evacuation procedures. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.13(04)(b) — Transportation

While reviewing the programs Staff Records Checklist and Document Library it was learned that two drivers had expired 7D licenses and two drivers were expiring within the next two business days. Corrective action: Updated all drivers' 7D licenses.. Regulation: any program-owned, private or hired vehicles such as sedans, vans, or station wagons used for the transportation of eight or fewer passengers, at any one time, and the driver thereof, conform to requirements as contained in M.G.L. c. 90, § 7(D); Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07) — Administration

During a review of children's records, it was found that three children have expired enrollment paperwork. Corrective action: The program director and the site coordinator contacted the parents of the children who had expired enrollment paperwork. The updated forms were received at the program within a few days.. Regulation: Children’s Records. The licensee must maintain an individual written record for each child that includes: Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(11)(c), 7.11(12)(a) — Care of Children

The program administrator reported that the program does not have extra indoor or outdoor clothing for accidents or to ensure that children are dressed appropriately for the weather. Corrective action: The licensee and program director have arranged and bought some general outdoor clothing to keep at the program for accidents and weather conditions. The program director also informed the parents of younger children to send an extra set of clothing for accidents. The licensee arranged the indoor clothing for accidents and weather conditions.. Regulation: The licensee must have available sufficient clean and dry indoor and outdoor clothing to change a child’s clothing or for a child to change his/her own clothing when wet or soiled and to ensure that children are dressed appropriately for the weather and for indoor and outdoor program activities. Clothing must be washed after each use., a change of clothing is available for each child; Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13) — Curriculum and Activities

Three plastic storage shelves used to store games and materials at the program are not sturdy and tippable and may cause an injury to a child. Corrective action: The licensee moved the plastic storage shelves around and secured them to the back wall of each shelf in each room.. 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. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.13(04)(c) — Transportation

One vehicle used to transport children did not have a current inspection in accordance with the laws of the state. Corrective action: The licensee had the state inspection completed on the next day for the same vehicle.. Regulation: any and all vehicles used for transportation of children are registered and inspected in accordance with the laws of the state; Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04) — Health

Medication was not readily available at the program for a child with asthma. Corrective action: Program Director contacted the parent asking for the asthma medication. The parent has an appointment in November with the child's doctor for the prescription. The parent will bring in as soon as the prescription is filled. In case of an emergency, the program will call the paramedics and parent to handle the situation. Moving forward, the program director will discuss with the parent during the enrollment process, and if a child has a medical condition, the program director will ensure to have the parent bring in the necessary medication and the paperwork before the child is enrolled into the program.. Regulation: emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(02)(j), 7.11(02)(l) — Health

During a review of children's records, it was found that four out of five children did not have current consent to administer emergency medications on file. Corrective action: The program director and site coordinator contacted the parents of the children who were missing the medication consent forms. The completed/signed forms were received at the program within a few days.. Regulation: Each time a medication is administered, the educator must document in the child’s record the name of the medication, the dosage, the time and the method of administration, and who administered the medication, except as noted in (k) below., All medications must be administered in accordance with the consent and documentation requirements specified below: Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.12(01), 7.12(07)(a) — Health

The program does not serve food from two different food groups for AM and PM snack. Corrective action: The program director has arranged with the licensee to have 2 different food groups for snacks each day.. Regulation: The licensee must design and implement a nutrition program that meets the U.S.D.A. guidelines for the nutritional and dietary needs and feeding requirements of each child, including those of children with disabilities., the nutrition program must serve a variety of nutritious foods; Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).