Shining Stars Child Care Center

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, THERE WERE THREE BOOSTER FEEDING SEATS STRAPPED TO THREE METAL FOLDING CHAIRS POSING A FALLING HAZARD TO THE CHILD.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, THE FILE OF CHILD # 6 DID NOT INCLUDE THE CHILD'S BIRTHDATE ON THE EMERGENCY CONTACT FORM.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, THE FILE OF CHILD # 3 AND CHILD # 4 DID NOT INCLUDE HEALTH INSURANCE/MA POLICY NUMBER ON THE EMERGENCY CONTACT FORM.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, THE FILE OF CHILD # 3 DID AND CHILD # 4 NOT INCLUDE THE RELEASE PERSON'S ADDRESS AND PHONE NUMBER ON THE EMERGENCY CONTACT FORM.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, THERE WERE LEAVES, TREE BRANCHS, TRASH AND DIRT IN THE BACKYARD OUTSIDE PLAY SPACE. DEBRIS BLOCKING THE EGRESS LEADING OUT OF THE YARD.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 3-13-2020, 1 BOTTLE OF HAND SANITIZER WAS ON THE DINNING ROOM TABLE AND 1 BOTTLE OF HAND SNITIZER ON A LOW SHELF NEAR THE CHANGING TABLE IN THE FRONT ROOM ACCESSIBLE TO CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#1 and #4)

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e). Complete and submit a current up-to-date child service report for the indicated child/children. Ensure that all child service reports are completed every 6 months in accordance with this regulation.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in each child care space.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children. Post the plan in each classroom/child care space and ensure that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two children have been enrolled for more than 60 days and their records did not contain a current, up-to-date health report. (#3 and #4)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#4) Emergency contact information in another child's record was not being updated every 6 months. (#2).

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Revise and submit written policies and procedures to ensure that children's emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children.

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Noncompliance Area: The indoor temperature was not at least 65 F . The indoor temperature registered at 50 F.

Correction Required: The indoor temperature shall be at least 65 F. Take necessary steps to ensure that the indoor temperature is at least 65 F throughout the facility. Children cannot return to care if the temperature is not at least 65 F. Submit a written statement indicating that the indoor temperature will be at least 65 F when children are in care.

Noncompliance Area: At the time of inspection, child service reports dated within the last 6 months were missing for the following children #1, #2, #5 and #6

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: At the time of inspection, the emergency contact forms for child #6 and #7 were missing release persons addresses

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: At the time of inspection, the operator did not have a written plan identifying the means of transporting a child to emergency care.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: At the time of inspection, a few non-compliances related to the child health assessments were observed. Child #1's medical form dated 6/12/14 only reflected the record of vaccination and was not the required health history report. Child #2's health assessment dated 3/18/17 which was older than12 months. Child #4's medical form dated 3/29/17 only reflected the record of vaccination and was not the required health history information. Child #8 did not have a health assessment on file at the facility.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, staff member #1 and #2 did not have a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the emergency contact information and the financial agreement forms for child #1, #2 #3 #4,and #5 were not update once in a 6-month period. The agreement forms for child #6 and #7 reflected 5/6/18 which was a date two months into the future, and had not occurred yet.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: At the time of inspection, the record for child #5 did not contain signed consent for emergency medical care and/or minor first aid procedures administrated by staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At the time of inspection, the operator had not documented in writing the annual review of the facility's emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: At the time of inspection, staff members #1 did not have evidence of emergency plan training at the time of initial employment or on an annual basis.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: At the time of inspection, staff #1 and #2 did not have verification completion of training by a profession in the field of first-aid.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: At the time of inspection, 7 unrelated children and 1 related toddler were observed in care at the facility.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: AGREEMENT FOR CHILD #4 DID NOT INCLUDE THE FEE TO BE CHARGED PER DAY OR PER WEEK

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: EMERGENCY CONTACT INFORMATION DID NOT INCLUDE THE HOME ADDRESS,WORK ADDRESS, AND PHONE NUMBER OF THE ENROLLING PARENT

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: FILE RECORD FOR CHILD#5 AND CHILD#6 WERE MISSING SIGNED AND WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: FILE RECORD FOR CHILD#5 AND CHILD#6 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND POLICY NUMBER

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: FILE RECORD FOR CHILD#1, CHILD#2, AND CHILD#3 DID NOT INCLUDE NAME,ADDRESS, AND PHONE NUMBER FOR DESIGNATED RELEASE PERSONS

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: FILE RECORD DID NOT INCLUDE A 6 MONTH REVIEW BY PARENT/GUARDIANFOR CHILD # 4(LAST DONE ON 9/7/16), #5 AND #6(LAST DONE ON 2/24/14)

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: FILE RECORD FOR CHILD #5 AND CHILD #6 DID NOT INCLUDE SIGNED CONSENT FOR ADMINISTRATION OF MINOR FIRST AID PROCEDURES

Correction Required: A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.