KCE Champions LLC Ruggles Lane Elementary

2025

1. High riskStandard 7.0411/19/2025

   7.04(07), 7.04(08)(b), 7.06(05)(b), 7.10(09)(a)(05) — Administration

   During a review of children's records, at least two children were missing medical paperwork, including Individual Health Care Plans and medication consent forms. Corrective action: All documentation has been updated, and a monthly audit is being done to maintain and make sure all paperwork is present. All educators will be attending a licensing training.. 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: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Corrected 12/2/2025
2. High riskStandard 7.1011/19/2025

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

   It was observed that two educators were not in close proximity to children who were playing in a large field during outdoor play. The educators were sitting on the picnic table that is located on the back top, while three children were wrestling in the field and another group of children were playing near the wooded area at the farthest point of the field. Corrective action: Both educators went through an active supervision training and a coaching about how to be in proper proximity of all students.. 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: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Corrected 12/2/2025
3. Medium-High riskStandard 7.1111/19/2025

   7.11(05)(d)(04) — Health

   Emergency medications, including asthma inhalers and EpiPens, were stored in a locked container and not readily available. Corrective action: All emergency medications are now properly stored and readily available in the first aid backpack.. 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).

   Corrected 12/2/2025
4. Medium-High riskStandard 7.1111/19/2025

   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) — Medication

   Two children were missing written parental consent to administer emergency prescription medications. Corrective action: Both children now have both parental consents to administer emergency prescription medications. Site coordinator will be attending a licensing training to be better equipped and understand EEC regulations.. 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: Enhanced Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Corrected 12/2/2025
5. High riskStandard 7.0411/19/2025

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

   During a review of the staff records checklist, documentation was missing for at least three educators, including staff information forms, BRC suitability letters, and staff orientation checklists. Corrective action: All documentation has been updated, and a monthly audit is being done to maintain and make sure all paperwork is present.. 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).

   Corrected 12/2/2025
6. Medium-High riskStandard 7.112/12/2025

   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) — Health

   [redacted] did not wash their hands with soap and water after performing first aid on a child with a bloody nose. Corrective action: [redacted] went over rules and procedures when a medical emergency occurs. Employees will wash their hands with water and soap whenever performing first aid moving forward.. Regulation: 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: Cited during: Renewal - Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

   Corrected 3/6/2025