Sanchez de Vasquez, Rosa

7.07(13) — Equipments and Materials

Insufficient materials accessible to the children. Assistant reported that the educator did not want materials accessible to the children because they throw them. Corrective action: El programa reconoce la importancia de que los materiales sean accesibles para los niños de acuerdo con las regulaciones de EEC. Aunque existía preocupación porque los niños lanzaban los materiales, se entiende que restringir el acceso no es una práctica apropiada. En adelante, los materiales estarán organizados en estanterías bajas y abiertas, en cantidades apropiadas, y el personal recibirá orientación sobre cómo enseñar y modelar el uso adecuado de los materiales. Se dará seguimiento continuo para asegurar un ambiente seguro y apropiado para el desarrollo infantil.. 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: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(07), 7.07(10) — Physical Space (Indoor & Outdoor)

Bathroom sink was clogged. Corrective action: LA POMPA DEL LAVA MANOS ESTABA MUY CERRADA POR ENDE EL AGUA NO BAJBA ADECUADAMENTE ESTO TAMBIEN FUE CORREGIDO. Regulation: 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. Cited during: 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) — Medication

One child had medication that was not in the original container and there was no written parent consent in the file. Corrective action: El programa cuenta con un niño diagnosticado con [redacted] mantiene toda la documentación requerida actualizada, incluyendo el plan de atención médica, el consentimiento y las órdenes médicas firmadas por el doctor, así como la autorización firmada por la madre. El personal sigue estrictamente el protocolo establecido para el manejo del [redacted], asegurando el acceso adecuado a la medicación, la observación de síntomas y la respuesta inmediata según las indicaciones médicas. El programa continuará dando seguimiento para garantizar el cumplimiento continuo de las regulaciones de EEC y la seguridad del niño. AL IGUAL SE ESTARA RECIBIENDO UNA NUEVA POMPA EN EL MES DE FEBRERO.. 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 - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(05)(b) — Supervision

Children were standing on top of furniture, hiding under furniture. One child was climbing on a high chair while a preschool age child was sitting in the high chair. Educator was changing a diaper with her back to the children, while the children,some toddler age, were using scissors. Corrective action: El programa reconoce que no se mantuvo una supervisión activa y adecuada para garantizar la seguridad de los niños. Se identificaron situaciones inseguras, incluyendo niños parados o escondidos debajo de los muebles, un niño escalando una silla alta mientras otro estaba sentado en ella, y el uso de tijeras por niños pequeños sin supervisión directa mientras se realizaba un cambio de pañal. Como acción correctiva, el personal recibió orientación inmediata sobre la importancia de la supervisión constante, el posicionamiento adecuado del educador y la eliminación de situaciones de riesgo. En adelante, los cambios de pañal se realizarán de manera que el educador mantenga supervisión visual y auditiva del grupo, el acceso a materiales como tijeras será estrictamente supervisado, y se reforzarán las prácticas de seguridad en el aula. El programa dará seguimiento continuo para asegurar el cumplimiento de estas medidas.. Regulation: Licensees and educators must use good judgment at all times and must consider the following factors when determining the appropriate level of supervision: Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.09(15)(f) — Staff and Educators

A review of the educator’s professional development hours in the registry did not show 30 total hours. Corrective action: EL PQR FUE ACTUALIZADA CON TODAS LAS HORAS DE CAPACITACION DURANTE LOS 3 AÑOS. Regulation: Professional Development. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(14)(c) — Postings

One child has [redacted]. Corrective action: El programa cuenta con un niño diagnosticado con [redacted] mantiene toda la documentación requerida actualizada, incluyendo el plan de atención médica, el consentimiento y las órdenes médicas firmadas por el doctor, así como la autorización firmada por la [redacted]. El personal sigue estrictamente el protocolo establecido para el manejo del asma, asegurando el acceso adecuado a la medicación, la observación de síntomas y la respuesta inmediata según las indicaciones médicas. El programa continuará dando seguimiento para garantizar el cumplimiento continuo de las regulaciones de EEC y la seguridad del niño.. Regulation: in a manner that protects the privacy of each child: Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(10)(p) — Physical Facility - Indoors

Detectors were beeping which usually indicates that the battery or the detector needs to be replaced. Corrective action: LAS BATERIAS FUERON REMPLASADAS Y ESTAN FUNCIONADO A LA PERFECCION. Regulation: 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. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(14) — Physical Facility - Indoors

Radiator cover in bathroom was broken and very hot to the touch. Corrective action: EL RADIADOR FUE REFORZADO. Regulation: Heating Safety. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.05(08), 7.05(05) — Interactions

The assistant did not use positive and nurturing words. [Redacted} said no and don’t do that. Corrective action: El programa reconoce la importancia de utilizar un lenguaje positivo, respetuoso y afectuoso con los niños. Se brindó orientación al personal sobre el uso de palabras que guíen y apoyen el comportamiento infantil, evitando expresiones negativas como “no” o “no hagas eso”. En adelante, el personal utilizará lenguaje que modele expectativas claras, ofrezca alternativas apropiadas y promueva un ambiente emocionalmente seguro y de apoyo. El programa dará seguimiento continuo para asegurar el cumplimiento de esta práctica.. Regulation: The following practices are strictly prohibited:, Educators must provide guidance to children in a positive and consistent way based on an understanding of the individual needs and development of children by: Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d), 7.11(05)(e) — Health and Safety

Missing COR mask, gauze roll, scissors and tweezers. Corrective action: TODO ESTO QUE FALTABA ESTA EN EL OTRO BOTIQUIN PERO YA SE PUSO TMABIEN EN EL QUE USTED HABIA REBISADO. Regulation: The licensee must ensure that the following are easily and readily available at all times, and accompany the children anytime they leave the facility in the care of staff:, 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. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(12) — Health and Safety

Educator did not wash the child’s hands or [redacted] hands after changing a diaper. [redacted] did not clean and disinfect the changing mat. Corrective action: El programa reconoce que no se siguieron correctamente los procedimientos de higiene durante el cambio de pañal. El personal recibió orientación inmediata sobre la importancia del lavado de manos del niño y del educador después de cada cambio de pañal, así como sobre la limpieza y desinfección adecuada de la colchoneta de cambio. En adelante, se reforzarán los protocolos de higiene y saneamiento establecidos por EEC, se brindará supervisión continua y se dará seguimiento para asegurar el cumplimiento consistente de estas prácticas.. Regulation: Diapering and Toileting. In programs serving children who are under two years and nine months of age and/or not toilet trained, the educator must ensure that: Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(10) — Health and Safety

There are no disposable paper towels in the bathroom. Corrective action: CADA NIÑO TIENE SU TUALLA PERO DE IGUAL MANERA SE PUSO PAPEL TUALLA EN EL BAÑO. Regulation: Infection Control. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.04(04)(a)(03) — Administration

Last evacuation drill was in September. Corrective action: LAS EVACUACIONES SE ESTUVIERON HACIENDO MAS NO DOCUMENTADAS SE HIZO UNA EL MARTES 20 DE ENERO Y FUE ACTUALIZADO LO DEMAS DE TODODS MODOS DEJARE LAS IMAGANES DE LA MISMA. Regulation: documentation of regular evacuation drills, as required by 606 CMR 7.11(7)(h). Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(15)(d) — Physical Facility - Indoors

Smoke detectors were beeping. This indicates that it needs batteries replaced or detectors replaced. Corrective action: LAS BATERIAS FUERON REMPLASADAS Y ESTAN FUNCIONADO A LA PERFECCION. Regulation: Smoke Detectors. Cited during: Renewal - Full Review Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.05(08), 7.05(05) — Interactions

Educator gave the children commands and did not communicate with the children in a positive way when she told the children not to do something without offering an alternative. Licensor observed the educator grab a child by the arm to move them. Licensor also observed the educator grabbing another child who was having a tantrum in the kitchen. The educator did not attempt to calm the child in a different way. The child was put in the infant's playpen instead of talking with him. Corrective action: tener a la licenciadora en casa es algo que me pone muy Nerviosa y tenza pero siempre trato los ninos con respeto y educacion Al igual que con carino. espero seguir haciendo UN buen trabajo leere nuevamente las regulaciones para ponerme Al dia y seguir las intruciones. Regulation: The following practices are strictly prohibited:, Educators must provide guidance to children in a positive and consistent way based on an understanding of the individual needs and development of children by: Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(b)(14) — Routine & Activities

During the visit it was observed that when the educator did not know how to deal with the toddler's behavior she would put him in the high chair. It was also observed that the educator did not appear to have a clear routine as the children did not seem to know what to do and were wondering. Corrective action: El nino [redacted] tienen un compotamiento que SE lastima algo que ya lo estamos trabajando entre la Madre y yo decidimos que sentarlo o ponerle en El corral para darle sus espacio y tenerlo en un lugar seguro es la forma que mas a funcionado ya que El nino Se lastima la tirandeose Al piso y dandeose en la cabeza, estamos trabajando ahora hasta aprender la mejor manera de manejar Esta cituacion ya que El nino cuando Se pone asi Se le ofrece cualquier Otra actividad y Se niega rotundamente por El momento estamos tratando de que El no se lastime. Todo esto esta documentado en su record y la agencia tienen conocimientos.. Regulation: in programs serving infants and toddlers, opportunities for infants and toddlers to move freely and achieve mastery of their bodies through self-initiated movement, including multiple opportunities to practice emerging skills in coordination, movement, balance, and perceptual-motor integration. Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(12) — Routine & Activities

The diaper changing mat had a cover on it. Corrective action: el Cambiador fue remplazado por uno de plastico sin convertor para la facilidad de la limpieza. Regulation: Diapering and Toileting. In programs serving children who are under two years and nine months of age and/or not toilet trained, the educator must ensure that: Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(b), 7.06(01)(a) — Routine & Activities

The children did not seem to know what to do during a transition and the educator did not talk to the children and explain what to do. Corrective action: Las transiciones de cambios siempre seimplementan en El daycare por ejmeplo a la hora de la comida Los ninos recojen y yo recogemos los juguetes y nos preparamos para comer lavarse las manos y prepararse para comer es algo que siempre SE implementa pero seguire trabajando en eso.. Regulation: The licensee must have evidence of a plan describing how program activities support and engage children through specific learning experiences. Such plan must be appropriate to the ages and development of the children served, to the length of the program day and to the program objectives. As appropriate, children must participate in the development of the plan, and the plan must provide for:, The licensee must provide a well-balanced curriculum of specific, planned learning experiences that support the social, emotional, physical, intellectual and language development of all children. The curriculum must: Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(13), 7.07(13)(g), 7.11(02)(e) — Physical Space (Indoor & Outdoor)

During the visit it was observed that: -The radiator in the playroom is not fully enclosed allowing the children access to it. - The kitchen drawer that stores sharp knives and scissors has a broken lock allowing the children access. - the cords for the televisions are not secured and within the reach of the children. - the kitchen trash can was not covered. Corrective action: 1-El radiador del cualto se reparo y se anexo una parte de tabla cubriendo las entradas. 2-el cajon de la Cocina donde SE guardan los cuchillos fue reparado. 3-Los cables del televisor fueron reparado. 4-El cubo de la Basura fue eliminado.. 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., Educators must ensure that all hazardous objects, including but not limited to matches, lighters, toxic materials, sharp objects, plastic bags and purses are locked or inaccessible to children., 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: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(07), 7.07(10) — Physical Space (Indoor & Outdoor)

The backyard was being worked on and the children cannot use it at this time. Corrective action: El patio tracero SE estaban hacienda algunos arreglos y fuerron reparados.. Regulation: 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. Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.05(02) — Interactions

The educator was not always positive and nurturing towards the children. Corrective action: tener la licenciadora presente me pone muy tenza y nerviosa pero siempre trato los ninos con respeto y carino algo que seguire implementando.. Regulation: Educators must be nurturing and responsive to children by: Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.10(05) — Interactions

The educator did not provide appropriate supervision during the visit. She did not secure the children to the high chair appropriately and one was observed trying to climb out without her noticing. During the transition to lunch the children were in different rooms including the living room and not supervised appropriately. Corrective action: la supervision de los ninos adecuada es siempre tenerlo a la vista y mas a la hora del amuerzo en caso de cualquier Emergencia es algo que siempre implementor en El cuido pero seguire trabajando en mejorar eso para tener una mejor supervicion. Regulation: Supervision of Children: In addition to interacting with children as required by 606 CMR 7.05, all licensees and educators must exercise appropriate supervision of the children in their care in order to ensure their health and safety at all times. Such supervision must include, but not be limited to, indoor and outdoor activities, mealtimes, naptime, transportation, field trips, and transitions between activities. Cited during: Progress Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(10) — Physical Facility - Indoors

There is a storage cabinet that is on top of another and is unsecured and can tip over. Corrective action: the storage were changed and the new one was secured to the wall successfully.. Regulation: 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: Change of Space Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(14) — Physical Facility - Indoors

The radiator covers are not secured. Corrective action: The radiators were successfully secured to the wall.. Regulation: Heating Safety. Cited during: Change of Space Visit. Source: MA EEC child care provider record (childcare.mass.gov).