Playful Minds @ Stefanik

7.04(05)(a), 7.04(05)(b), 7.04(05)(c), 7.09(09) — Administration

On the day of the visit, it was learned that 3 Educators are assigned to the program however there was one Educator's file on site. Corrective action: Staff files have been copied and filed with proper documentation and stored in file lockbox at site. Moving forward, all new staff members will have files copied and placed in lockbox at site prior to start date.. 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);, 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. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(k), 7.09(17)(a), 7.12(02) — Administration

The Site Coordinator did not have evidence of monthly staff meetings for at least 2 hours per month. Corrective action: Staff meeting logs will be copied from onsite office and stored at the offsite location. Moving forward, staff meeting agendas and attendances will be copied and given to the site coordinator monthly and will be stored at the site in a binder.. Regulation: Staff Meetings. In programs with four or more staff the licensee must develop and follow a written plan and must document regular staff meetings of at least two hours per month to consult with educators on program issues; program planning; policies and procedures; parent communication; implementation of the regulations; children’s behaviors and meeting the individual needs of children., Educator Orientation. The licensee must provide and document orientation for all employees., All educators must receive basic training in the following: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(05)(d), 7.10(05)(f) — Care of Children

The Site coordinator left the cafeteria with a child that was hurt leaving the Asst GL with 5 children. The Assistant Group Lader then left the cafeteria to bring a child to their parent leaving 4 children in the cafeteria unsupervised. Corrective action: All staff have been given a verbal reminder and review of policies and regulations about maintaining proper supervision and ratios. The Assistant Group Leader is qualified as a Group Leader.. Regulation: Educators must be positioned to maximize their ability to see and/or hear children in their care., Educators must not engage in any other activities or tasks that could unnecessarily divert their attention from supervising the children. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(02), 7.07(03) — Physical Facility - Indoors

On the day of the visit the Building Inspection and Fire Inspections had expiration dates of 9/30/25 Corrective action: We are in process of retrieving new building inspections from the Building Department with proper "Use Codes". Once new inspections are received, we will upload the new license into document library.. Regulation: 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. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(14)(c) — Postings

The allergy list maintained in a binder was not current. It did not include a date and included a child no longer attending the program. Corrective action: Administrator updated and gave staff updated allergy list with dates included to post on poster board and to place in the binder. Moving forward, Administrator will update and give allergy list monthly for the site and/or as needed and will remove any children no longer in our program.. Regulation: in a manner that protects the privacy of each child: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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

The evacuation procedures were not posted in cafeteria and gym on the day of the visit. Corrective action: Evacuation routes will be taken down and posted each day in the gym and cafeteria at primary and secondary exit routes. Evacuation procedures within the Health and Safety Manual are posted on poster board that is displayed daily.. Regulation: next to each exit, emergency and evacuation procedures. Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(03) — Health

The program did not have an Individual Health Care Plan for a child diagnosed with a chronic medical condition. Corrective action: Administrator has notified parent of missing paperwork. Parent has given us updated paperwork for medical condition. [redacted]. Regulation: 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. 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

The written parental consent for administration of medication, for a child, was expired on the day of the visit. Corrective action: Child's parent was notified of expired medication and paperwork and that the program needed updated paperwork and medication. [redacted] Administrator and Site Coordinator will check monthly for any expiring paperwork or medications.. 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).

7.04(14)(a) — Administration

The Site Coordinator was not able to find the emergency numbers in the binder, and they were not posted on the day of the visit. Corrective action: The emergency numbers have been transferred from the cabinet located outside of gym to the binder. Also, a poster board with emergency numbers and other documentation has been made and is displayed daily at the site.. Regulation: “Call 911” reminder and the telephone number and address of the program, including the location of the program in the facility; Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13)(d), 7.07(01), 7.07(02), 7.07(10) — Physical Facility - Indoors

It was observed that the indoor space contained electric fans and toxic substances accessible to children in the indoor space. Corrective action: The school was contacted and asked to remove the fan and the toxic substances from the indoor space that we use.. Regulation: 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. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10)(o), 7.11(10)(n), 7.11(10)(j), 7.11(10)(i), 7.11(10)(h) — Health

It was observed that several containers of cleaning, sanitizing, and disinfecting solutions were accessible to children in two different locations in the cafeteria. Corrective action: The school was contacted and asked to remove the toxic substances from the indoor space that we use.. Regulation: 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. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(17)(p)(04), 7.11(07)(e), 7.11(18)(b) — Postings

Evacuation routes and procedures were not posted next to each exit in the cafeteria or gymnasium. Corrective action: Exit routes and procedures have been posted next to the exits in the cafeteria and gymnasium.. Regulation: next to each exit, emergency and evacuation procedures., Exit signs must be posted in rooms that have direct access to the outdoors., Escape Routes. A diagram of escape routes must be posted conspicuously at each means of egress in rooms that do not have direct access to the outdoors. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(05)(a), 7.04(05)(b), 7.04(05)(c), 7.09(09) — Administration

The program did not maintain personnel records for the educators on site. Corrective action: Copies of the staff records have been added to the site and stored in a lock box.. 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);, 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. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(07) — Administration

During a review of five children’s records, it was found that five files did not include the required documentation, including one child’s Individual Health Care Plan and medication consent form. Corrective action: All individual health care plan and medication consent forms have been changed to the proper EEC forms.. 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).

7.04(18)(d)(01) — Administration

The staff records checklist was not available for review during the visit. Corrective action: The staff checklist is in the lock box with the staff and children's files.. Regulation: a current staff records check list that reflects all regular employees, Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(18)(c)(05), 1.05(02)(a) — Administration

The children’s records are not stored in a locked container or file cabinet. Corrective action: Children's files have all been put in a lock box that is stored in the cabinet.. Regulation: evidence of completed background record checks, as required by 606 CMR 1.05(2) and 606 CMR 14.00;, Each person employed by the licensee, who has the potential for unsupervised contact with children, shall have a background free of conduct which bears adversely upon his or her ability to provide for the safety and well-being of a child. The licensee shall determine, in accordance with OFC policy, whether an employee's or potential employee's conduct, criminal or otherwise, shall disqualify that person from employment in the program. Cited during: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).