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Rules for the Licensing of Child Care Facilities 10-148 cmr chapter 32


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STAFF CHILD REQUIREMENTS





    1. Children under six weeks and staff member’s children




      1. Children under six (6) weeks of age. No child under six (6) weeks of age, as verified by a birth certificate, shall be cared for in a Child Care Facility.




      1. Children of staff members. Children of staff members shall be counted in the appropriate age groups when in care at the facility.




    1. Supervision




      1. Supervision for each child. Each child, during both indoor and outdoor times, shall be supervised by a childcare staff member who is aware of and responsible for the ongoing activity of each child and who is near enough to the child to intervene when needed.




      1. Supervision while napping. The facility must provide supervision to children during napping and/or sleeping hours and at all other times by awake staff.




      1. Crying children. A child crying or crying out shall be attended to.




      1. Emergency plan. When only one provider or staff member is present at the facility there must be a plan for obtaining help in an emergency.




    1. Other staffing requirements and responsibilities




      1. Responsibility for compliance with these rules. The on-site director or head teacher shall be responsible for the facility’s daily operation in compliance with these rules.




        1. If the director is absent from the facility, a responsible staff member shall be designated to be in charge and be given authority to administer the facility in compliance with these rules.




        1. In a facility licensed for fifty (50) or more children, if the director is absent, a staff member who meets director/head teacher qualifications shall be designated to be in charge and be given authority to administer the facility in compliance with these rules.




      1. The facility licensed for 13-20 must employ at least one group leader (see Sections 1.12 and 27.7.2) who may be the same person as the director/ head teacher. Aides or assistants may be employed to complete the ratios.




      1. The facility licensed for 21-49 or fifty (50) or more must employ one group leader (see Sections 1.12 and 27.7.2) per group of children. Aides or assistants may be employed to complete the ratios.



TRAINING





    1. Pre-service orientation. All childcare providers shall orient new staff, including volunteers, prior to or during the first week of services in the following:




      1. Rules for the Licensing of Child Care Facilities;




      1. The facility's programs and policies; and




      1. Fire drill and other emergency procedures.




    1. Documentation of training. The facility must document all pre-service training and show documented evidence of ongoing training of all staff.




    1. Volunteers and substitutes. The facility must provide orientation to volunteers and substitutes to enable them to carry out their assigned tasks.



PROGRAM DESCRIPTIONAND SCHEDULE





    1. Program description and schedule. The facility must describe its program in writing. The following must be included:




      1. Ages of children served;




      1. Hours of operation;




      1. Numbers of children served;




      1. A description of what the program offers children, such as:




        1. Basic childcare, care for children with special needs, part-time care, infant/toddler care, pre-school care, school-age care, etc.




        1. Specific focus if applicable (i.e., educational focus, religious focus, Montessori, High Scope, etc.);




      1. Opportunities for parent involvement;




      1. A description of the child guidance methods used by staff;




      1. A sample daily activities schedule which must be posted at the facility and provided to the Division of Licensing and Regulatory Services. The schedule must include the following as appropriate to the hours of operation:




        1. Times for meals/snacks;




        1. Time for sleep, rest, or quiet time;




        1. A period of time for indoor and outdoor activities appropriate to the developmental needs of the children;




        1. When necessary, modifications shall be made in the schedule.




    1. Indoor and outdoor activities




      1. Children in attendance for more than four (4) hours shall have an opportunity for rest of one (1) hour or longer according to the age and needs of the child.




      1. There shall be a period of rest or relaxation for at least ten (10) minutes in a program of four (4) or fewer hours.




      1. All children shall have a minimum of thirty (30) minutes out of doors each morning session and each afternoon session of more than three and one half (3 ½) hours or more, weather permitting. Gross motor activity will be substituted for outdoor time when weather does not permit outdoor time.




      1. Television, video viewing and/or use of the computer shall be educational and age appropriate. Television viewing shall be limited to one (1) hour or less per classroom per day.




      1. Activities shall be developmentally appropriate.




      1. Toileting shall take place based upon individual needs.




    1. Materials and equipment




      1. Toys and play equipment. The facility shall provide toys and equipment for indoor and outdoor activities appropriate to the ages and the numbers of the children. Materials provided and employed shall include a selection from the following areas:




        1. For infants, a variety of toys, music and books designed to stimulate curiosity, small and large muscle development, hand-eye coordination, and the senses of sights, sound and touch;




        1. For toddlers and preschool children, sufficient variety to offer activities in the following areas:




          1. blocks;

          2. housekeeping and dress-up;

          3. books and language;

          4. arts and crafts;

          5. puzzles, games and manipulatives;

          6. sensory activities (such as sand and water);

          7. science and nature;

          8. music; and

          9. toys, equipment and space that encourage gross motor development.




      1. Extra clothing for pre-school children. The facility serving pre-school age children shall have access to extra children's clothing in the event that clothes become soiled or damaged during the activities of the day.




      1. Materials and equipment for children. Materials and equipment shall be appropriate for children enrolled, including those with special needs.


15.4 Swimming and wading activities
15.4.1 Policies and procedures regarding water activities and safety procedures. The facility must develop policies and procedures regarding swimming and wading activities and safety procedures. Policies and procedures must cover all swimming or wading activities that take place at the child care facility and all swimming or wading activities away from the child care facility premises, e.g., at a public swimming pool or beach.
15.4.2 Emergency Plan. The facility must include in its policies and procedures a written emergency plan related to any swimming or wading activities, regardless of where they are conducted. The plan must be available to all staff. The plan must cover procedures for medical emergencies, chemical emergencies and severe weather.
15.4.3 Emergency procedures. For facilities with swimming pools on the premises, staff must be familiar with emergency procedures, the use of safety equipment and emergency contacts.
15.4.3.1 Children must be reminded of the emergency procedures regularly.
15.4.3.2 Emergency drills. For facilities with swimming pools on the premises, swimming pool emergency drills must be conducted at least once a month in any month during which the pool is used. These drills must be conducted according to policies and procedures that are posted in the swimming area. The facility must keep a written record of the type, date, time and duration of the training and drills.
15.4.4 Pool safety rules. For facilities with swimming pools on the premises, legible safety rules for the use of swimming pools must be posted in a conspicuous location, and must be read and reviewed weekly by each staff member responsible for the supervision of children.
15.4.5 Basic water safety instruction for children. Before initially entering the water, all children must be instructed on all water safety measures.
15.4.6 Safety checklist. For facilities with swimming pools on the premises, the facility must complete a checklist on any day on which a pool activity occurs. A checklist will be supplied by the department, and must be signed by the individual responsible for swimming or wading activities on that day.
15.4.7 Water safety attendant on duty. The child care facility must have an appropriately trained water safety attendant, as required by these rules, present at all times during swim instruction or other swimming or wading activities.
15.4.7.1 More than 4’ deep. Swimming pools that are more than four (4) feet deep at any point shall comply with the following:
15.4.7.1.1 For pools more than sixteen feet (16’) wide, a lifeguard must be on duty. A copy of the lifeguard’s current Lifeguard Training Certificate must be on file in the facility.
15.4.7.1.2 For pools that are sixteen feet (16’) wide or less, if a non-swimming rescue is not feasible, a lifeguard must be on duty.
15.4.7.1.3 For pools that are sixteen feet (16’) wide or less, if a non-swimming rescue is feasible, the water safety attendant must have completed within the past three (3) years a basic water safety course that includes training in non-swimming rescue techniques in a program of instruction approved by the department. A copy of the current training certificate must be on file in the facility.
15.4.7.2 More than 2’ and less than 4’ deep. For swimming pools that are more than two feet (2’) and less than four (4) feet deep at the deepest part, a water safety attendant must be on duty. The water safety attendant must have completed a department-approved basic water safety course that includes training in non-swimming rescue techniques. A copy of the current training certificate must be on file in the facility.
15.4.7.3 Wading pools. For wading pools, a water safety attendant must be on duty. The water safety attendant must hold a valid CPR certificate and a valid first aid certificate.
15.4.7.4 Off-site water activities. For water activities away from the child care facility premises, the child care facility must provide an adequate number of water safety attendants, including lifeguards, as required by these rules, if the wading pool, swimming pool, beach, or water park operator does not, as well as comply with all applicable sections of these rules.
15.4.7.5 Use of lakes and ponds. For the use of lakes and ponds away from the child care facility premises, the child care facility must comply with all applicable sections of these rules, including the following:
15.4.7.5.1 Parental permission. Prior to allowing a child to participate in water activities in lakes and ponds, the child care facility must have written permission from the parent or legal guardian. The department-approved parental permission form shall describe the water activities offered at lakes and ponds, the child’s swimming ability and shall include the child's name, location of the lake or pond, the parent's signature and date. At least annually, the written parental permission form must be updated, signed and dated by the parent or legal guardian. The signed and dated parental permission form must be placed in the file maintained by the child care facility for each child’s records.
15.4.7.5.2 Parental notice that no lifeguard is on duty. A child care facility that offers water activities at lakes and ponds when there is no lifeguard on duty must give a department-approved written notice to each child's parent or legal guardian that there will be no lifeguard on duty at lakes and ponds
15.4.7.5.3 Water safety plan. The child care facility must have a written water safety plan for water activities at lakes and ponds that includes the following:
15.4.7.5.3.1 The same staff-to-child ratios for swimming pools at Section 15.4.9 in these rules, must apply to activities at lakes and ponds.
15.4.7.5.3.2 When no lifeguard is on duty, no fewer than 2 staff persons who are at least 18 years of age must be present at all times during water activities at lakes and ponds. When there is a lifeguard on duty at the lake or pond, the requirements of Section 15.4.9 apply.
15.4.7.5.3.3 Whether there is a lifeguard on duty or not, at all times during water activities at lakes and ponds at least one staff person present at the lake or pond must be an appropriately trained water safety attendant. When there is no lifeguard on duty, the appropriately trained water safety attendant is a person who has completed a department-approved basic water safety course that includes training in non-swimming rescue techniques. At no time do these rules require that a lifeguard be on duty at lakes and ponds during water activities.
15.4.7.5.3.4 Whether there is a lifeguard on duty or not at the lake or pond, prior to any child entering the water, the child care facility must ensure that a barrier, such as a roped-off area with buoys, is in place that limits the swimming area in the lake or pond to an area that is no wider than 16 feet across at any point and partitions off a part of the water that is no deeper than 4 feet at any point.
15.4.7.5.3.5 When there is no lifeguard on duty at the lake or pond, all children 8 years of age and younger must wear a Coast Guard approved flotation device, properly fitted for age and weight, in the water at all times except during swim instruction programs. When there is a lifeguard on duty at the lake or pond, the requirements of Sections 15.4.1. and 15.4.11 apply.
15.4.7.5.3.6 When there is no lifeguard on duty at the lake or pond, all children over 8 years of age must wear a Coast Guard approved flotation device, properly fitted for age and weight, in the water at all times unless the child has taken swimming lessons and can demonstrate the ability to swim. During swim instruction programs the child does not need to wear a flotation device. When there is a lifeguard on duty at the lake or pond, the requirements of Sections 15.4.1. and 15.4.11 apply.
15.4.8 Constant supervision. Staff must directly supervise children at all times. Children must be within sight and sound of staff.
15.4.9 Staff-to-child ratios. The staff-to-child ratio must be maintained at all times.
15.4.9.1 If the pool is more than four (4) feet deep at any point, only adults who can swim may be counted in the staff-to-child ratios.
15.4.9.2 For swimming pools, water safety attendants, including lifeguards, and swimming instructors do not count toward staff-to-child ratios. Water safety attendants, including lifeguards, must be stationed outside and next to the swimming pool.
15.4.9.3 Exception. If three (3) or fewer children are in the swimming pool and the water safety attendant is stationed outside and next to the swimming pool, the water safety attendant may count toward the staff-to-child ratio.
15.4.9.4 Wading pools. For wading pools, water safety attendants may count toward staff-to-child ratios.
15.4.10 Identification of non-swimmers. All non-swimmers must be clearly identified as non-swimmers in a way that is visually and easily recognized by water safety attendants, including lifeguards, and staff. Commonly used identifiers are specified bathing suits or caps, wristbands or colored zinc-oxide sun block. Personal flotation devices of any kind shall not be used as identifiers.
15.4.11 Approved flotation devices. All non-swimmers, when in water over their waists, must be protected by a Coast Guard approved flotation device properly fitted for age and weight, except during swim instruction programs.
15.4.12 Swim instruction program design. Swim instruction programs must be designed by a water safety instructor currently certified by the American Red Cross or other department-approved water safety instructor program to ensure that the program is age appropriate and safe, including the use of appropriate flotation devices, if any. Other swimming or wading activities are not required to be planned by a certified swim instructor.
15.4.13 Training for on-site directors. On-site directors must take a department-approved course in basic water safety that includes training in non-swimming rescue techniques.


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