123 Grow Child Center, INC.

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

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. Monitoring Outside Differential Licensing Cycle 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) — 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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

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. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.07(16)(e) — Fall zones adequate depth of impact absorbing material

Fall zones adequate depth of impact absorbing material Playground Safety. The use zones under and around swings, slides, and climbing structures must be covered with an adequate depth of an impact absorbing material, in accordance with EEC policy. Pea gravel and wood chip nuggets must not be used in areas used by infants and toddlers. Domain: Physical Facility - Outdoors. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.05(05), 7.05(06), 7.05(08) — Child Guidance & Interactions

Child Guidance & Interactions 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:, Educators must have a method of communicating effectively with each child., The following practices are strictly prohibited: Domain: Care of Children. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(c)(03) — Equipment and materials visible, available, accessible

Equipment and materials visible, available, accessible materials and equipment are visible and readily accessible to the children in care and are arranged to promote independent access by children; Domain: Equipments and Materials. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(05)(d)(04) — Emergency medications readily available

Emergency medications readily available emergency or life-saving medications, such as asthma inhalers and epinephrine auto-injectors, for any children for whom they have been prescribed; Domain: Health. Monitoring Outside Differential Licensing Cycle Visit. Source: MA EEC child care provider record (childcare.mass.gov).

Non-compliance identified during complaint investigation

Non-compliance identified during complaint investigation No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified, No death, serious injury, or child abuse identified Domain: Complaint investigation. Complaint Investigation. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(a)(01), 7.06(01)(b)(03), 7.07(16)(c)(05), 7.06(01)(b)(14), 7.04(07)(a)(08), 7.06(01)(b)(09) — Opportunities to foster independence and self help skills

Opportunities to foster independence and self help skills be developmentally and linguistically appropriate;, opportunities for children to participate in a variety of creative activities, such as art, music, literature, dramatic play and science, encouraging exploration, experimentation and discovery;, Indoor play areas must be clearly defined by spatial arrangement reflecting the variety of creative activities required by 606 CMR 7.06(1)(b)3., 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., written parental consent for older school age children to leave the program for any reason, including consent for the specific activity, time, and method of transportation, and acknowledgement of parental responsibility for the child once s/he leaves the program;, opportunities that foster the development of independence and responsibility in children by encouraging decision-making, choices and independent time, as appropriate and with parent’s consent, as required by 606 CMR 7.04(7)(a)8; Domain: Curriculum and Activities. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.06(01)(c)(05) — Space includes small quiet area

Space includes small quiet area the approved space includes a small, quiet area that is inviting to children, visible to staff, and easily accessible to a child who seeks or needs time alone. Domain: Physical Space (Indoor & Outdoor). Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(12) — Diapering and Toileting for children under 2.9

Diapering and Toileting for children under 2.9 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: Domain: Health. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).

7.11(03) — Individual Health Care Plan (IHCP) - R Apr 2025

Individual Health Care Plan (IHCP) - R Apr 2025 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. Monitoring Visit. Source: MA EEC child care provider record (childcare.mass.gov).