Current through Register 1531, September 27, 2024
The following requirements apply to all programs, including
family child care, small group and school age and large group and school age
child care. Additional requirements specific to family child care are found at
606 CMR 7.07(15). Additional requirements specific to small group and school
age and large group and school age child care are found at 606 CMR
7.07(16).
(1) The licensee must ensure
that the physical facilities are safe, clean, in good repair and free from
hazards and clutter. The licensee must monitor the environment daily to
identify and remove or repair any hazards that may cause injury to children.
Exits and evacuation routes must be kept clear of obstructions.
(2)
Building
Inspection. Every program that is not located in a residence and
every program that has a licensed capacity of more than ten children must
provide a certificate of inspection from the Department of Public Safety or the
local building inspector certifying that the facility complies with the
applicable 780 CMR: The Sate Building Code.
(3)
Fire Inspection.
The licensee shall submit evidence of compliance with applicable fire
codes.
(4)
Water Source
Inspection. The licensee must provide evidence that any private
well or water source has been inspected and approved by the local board of
health, health department, or private laboratory within one year of licensure
and meets Department of Environmental Protection Standards, if applicable.
(a) This evidence must be updated upon
renewal of a regular license.
(b)
Programs using well-water to serve 25 or more people for at least 60 days each
year require DEP approval as small public water suppliers.
(5) The licensee must submit copies of
current pool and pool roof inspections as required by applicable law or
statute.
(6)
Chipping
and Peeling Paint. The licensee must maintain the interior and
exterior of the program in good repair, free of chipping, flaking, or peeling
paint or broken plaster.
(7)
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.
(a) The play area
must be accessible to children with disabilities.
(b) The outdoor play space must be
appropriate for each age group served.
(c) The outdoor play area must provide for
both direct sunlight and shade.
(d)
The outdoor play area must be free from hazards including but not limited to: a
busy street, a parking lot, poisonous plants, water hazards, debris, broken
glass, chipping, peeling or flaking paint, dangerous machinery or tools, and
weather related and environmental hazards or small objects that could present a
choking hazard to young children. Any such hazard must be removed or fenced by
a sturdy, permanently installed barrier which is at least four feet high or
otherwise protected or removed, as appropriate.
(e) If the outdoor play space is located on a
roof, it must be protected by a barrier at least seven feet high, which cannot
be climbed by children.
(f) The
outdoor play space must not be covered with a dangerously harsh, abrasive, or
toxic material.
(h) Suitable
barriers, including but not limited to bulkhead doors, must be installed to
prevent falls into outdoor stair or window wells.
(8)
Porches and
Decks.
(a) Porches and decks must
be inspected and approved by the Department before use by child care
children.
(b) Porches and decks may
be used to meet the requirements for outdoor play space.
(c) Porches and decks that are more than
three feet from grade level must be surrounded by a protective barricade in
accordance with applicable building codes.
(d) Barricades must be sturdy and constructed
in a way that will prevent a young child from going underneath, over, or
through them.
(e) Stairs must be
safely barricaded whenever the porch or deck is in use by children younger than
three years old.
(f) Additional
precautions may be required as deemed necessary.
(9)
Water Safety.
For programs that offer swimming, boating or other water activities, the
licensee must ensure that the area is safe and children are directly supervised
at all times during activities involving water, including tubs, pools, showers,
or standing water. Educator/child ratios must be sufficient to maintain the
safety of children in or near water.
(a) The
licensee must ensure that all swimming and wading pools used by children are
treated, cleaned, maintained and supervised according to sound health and
safety practices and state and local guidelines and regulations.
(b) Whenever pools are not in use, they must
be made inaccessible to children through the use of fences, self-locking gates,
or other appropriate barriers to child access.
(c) Wading pools must be emptied immediately
after use and sanitized between uses and whenever contaminated.
(d) When children are swimming in a swimming
pool, an adult must be present who is aware of the pump location and is able to
turn the pump off in the event of an emergency.
(e) Whenever children are swimming (not
including the use of wading pools) a second adult must be on the premises
available to assist in case of emergency.
(f) Whenever children participate in off-site
water activities at least one person supervising the activity must be certified
as a lifeguard and currently certified in CPR and first aid.
(g) All hot tubs, whether indoors or
outdoors, must be inaccessible to children.
(10)
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.
(a) Child care must be provided
only in space approved by the Department.
(b) When measuring activity space, only
usable floor space (exclusive of hallways, bathrooms, and portions of rooms or
areas that contain furniture or equipment suitable only for adult use) may be
included.
(c) The total required
activity space must be available to children for at least half of the program
day.
(d) The licensee must provide
space to accommodate a variety of activities, and to accommodate all children
who are present playing individually, together, and in small or large
groups.
(e) The licensee must
provide a private yet visible area where a child can play or work alone or with
another.
(f) The licensee must
ensure that space is arranged to provide clear pathways for movement from one
area to another and to allow visual supervision by educators.
(g) The licensee must provide sufficient
space, accessible to children, for each child to store clothing and other
personal items in a safe, sanitary manner.
(h)
Windows. All
windows used for ventilation must include screens in good repair. Windows and
glass doors must be constructed, adapted, or adjusted through the use of window
guards or other means to prevent injury to children.
(i)
Room
Temperature. Room temperature in rooms occupied by children must
be maintained at a minimum of 65°F. Educators must take appropriate
measures to protect children from health risks associated with excessive heat.
(j)
Pest
Elimination. Room temperature in rooms occupied by children must
be maintained at a minimum of 65°F. Educators must take appropriate
measures to protect children from health risks associated with excessive heat.
(k)
Toilets and
Sinks.
1. In facilities licensed
for the first time after January 22, 2010, toilets and sinks must be available
no more than one floor level away from the approved program space.
2. When adult toilets and sinks are used, the
licensee must provide a safe means to permit access by those children who are
able to use them.
3. In addition to
toilets, portable "potty chairs" may be used in a bathroom for children unable
to use toilets.
4. In programs
serving children younger than school age, locks on doors to bathrooms must be
easily opened from both the inside and outside.
(l)
Water
Temperature. The licensee must provide running water in sinks used
by children. Water temperature must not exceed 120°F.
(m)
Refuse. Garbage
must be kept in lined and covered containers and all trash containers must be
emptied at least daily.
(n)
Eating Areas. The licensee must provide space
sufficient for children to eat in an un-crowded manner and to meet the needs of
all children.
(o)
Electrical Outlets. All electrical outlets within the
reach of children younger than school age must be made inaccessible by use of a
safety device or covering that prevents access to the receptacle openings. If
the covering is a shock stop, it must be of adequate size to prevent a choking
hazard. All electrical cords must be arranged so they are not a hazard to
children. Electrical cords must not be frayed or damaged.
(p)
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.
(11)
Stairways.
Stairways must be equipped with handrails.
(a)
In programs serving children younger than three years old, barriers must be
placed at the top and bottom of stairwells opening into areas used by children,
unless prohibited by building or fire department regulations. Barriers must be
permanently installed at the top of stairways. Pressure gates may not be used
at the top of stairs.
(b) Open
stairways used by children younger than school age must have railings or
banisters installed along the open or unprotected side(s).
(12)
Trampolines.
Except for therapeutic equipment, the use of trampolines by child care
children, whether indoors or outdoors, is prohibited.
(13)
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.
(a) The licensee must not use any equipment,
materials, furnishings, toys, or games identified by the U.S. Consumer Product
Safety Commission as being hazardous.
(b) The licensee must keep all equipment,
materials, furnishings, toys, and games clean and in a safe, secure, and
workable condition.
(c) The
educator must arrange furnishings and fixtures safely, with sharp edges
protected, and in such a way as to not present hazards to children.
(d) All play equipment, fences and structures
must be free of entrapment hazards.
(e) Riding toys must not be used in any room
where there is access to falling hazards.
(f) Electric fans, if used, must not be
accessible to children.
(g)
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.
1. Toxic
substances must be stored separately from food and medications.
2. All toxic substances must be labeled as to
the contents and antidote.
(h) Strings and cords longer than six inches
that are not part of recreational or educational materials, including, but not
limited to cords on window blinds, curtains or shades, must be kept out of
children's reach.
(14)
Heating Safety.
(a)
All steam and hot water pipes and radiators must be protected by permanent
screens, guards, insulation or another suitable device that prevents children
from coming in contact with them.
(b) The use of portable heaters and portable
radiators is prohibited during child care hours.
(c) All fuel burning stoves, including but
not limited to wood, coal, pellet, or gas, when used during child care, must:
1. meet applicable local and state codes and
approval documentation must be provided to the Department;
2. be maintained in a manner that ensures the
safety of all children. Heaters and stoves in approved space or common space
used by children must be surrounded by a fireproof wall or enclosed by
partitions, screens, or guards or other similar barricades that are at least
three feet in height and installed at least three feet from the heaters and
stoves. If non-combustible and non-heat retaining material s are used,
barricades may be placed two feet away from the stove.
3. Heaters and stoves that are not used for
heating purposes during child care, or are used before child care and are
sufficiently cooled to prevent a child from being burned, may be barricaded
less than two feet away.
4. Heaters
and stoves that are never used for heating purposes may be barricaded two feet
from the stove or be sufficiently padded to prevent a child from injury if the
child falls against them.
(d)
Fireplaces.
1. All working fireplaces in space used by
children must have a secure child proof barrier in place at all
times.
2. The educator must be in
the room with the children whenever a fireplace is in use.
3. Hearths that present a hazard to children
must be protected or padded.
(15)
Additional Requirements for
Family Child Care Programs.
(a)
Lead Poisoning.
1.
The licensee must provide information to parents in writing regarding the risks
and sources of lead poisoning.
2.
The licensee must provide all parents with a disclosure statement regarding any
known source of lead in the home.
3. The licensee must maintain in each child's
record a written acknowledgement of receipt of the information required by 606
CMR 7.07(15)(a)1. and 2.
4. If
chipping or peeling paint or plaster is found in a home built prior to 1978 the
licensee must provide written notification to the parents of all children in
care of the possibility of exposure to lead paint.
5. The licensee must maintain in each child's
record a written acknowledgement of receipt of the notification required
above.
6. If a family child care
home is determined by the Department of Public Health to be the source of lead
poisoning for any child, the licensee must notify EEC and must follow DPH
guidelines to eliminate further risk of lead poisoning.
(b)
Exits.
1. Family child care homes must have at least
two separate exits to the outside, approved by the Department.
2. If the family child care home has a
basement space that is approved for child care, the basement must have at least
two separate means of egress directly to the outside. The two separate means of
egress must be approved by the Department.
3. Any family child care home initially
licensed prior to October 10, 2003, and which remains continuously licensed,
will be exempt from the requirement of two separate means of egress from the
basement. However, in the event of substantial renovations to the basement, the
child care home must be in compliance with 606 CMR 7.07(15)(b)2. after the
renovations are completed.
(c)
Space.
1. The licensee must provide:
a. a minimum of 150 square feet of approved
activity space for one or two children;
b. a minimum of225 square feet of approved
activity space for three to six children;
c. 35 square feet of approved activity space
for each child when serving seven to ten children.
2. The approved activity space counted toward
the square footage requirement can be located on no more than two adjacent
floors.
3. No more than one area
that is used exclusively for napping purposes can be counted toward meeting the
square footage requirements.
(d)
Smoke Detectors.
1. Family child care homes must have approved
smoke detectors on or near the ceiling throughout the home as follows:
a. on each floor level of the home, including
cellars and basements. An approved smoke detector must be installed in each
stairway on the ceiling near the base, but not within, the stairway. A smoke
detector installed to detect a fire in the basement must be located near the
base of the stairwell leading to the floor above;
b. outside of each separate sleeping area.
Sleeping areas (i.e. bedrooms or sleeping rooms) separated by other rooms such
as kitchens or living rooms (but not bathrooms) must be considered separate
sleeping areas. A smoke detector installed to protect a sleeping area must be
located outside the bedrooms but near the sleeping area.
2. Smoke detectors must be maintained in
operable condition. The licensee must maintain a safety log of tests made
monthly. If the smoke detector is battery operated, the batteries must be
replaced at least annually, or more often as necessary, and noted in the safety
log.
(e)
Playground Safety. All playground equipment installed
after January 22, 2010 and all playground equipment in homes first licensed
after January 22, 2010 must be located within use zones that are 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.
(16)
Additional Requirements for
Small Group and School Age and Large Group and School Age Child Care
Programs.
(a)
Lead
Paint. If a program serves any child younger than five years old,
the licensee must provide evidence of a lead paint inspection from the local
board of health, or the Massachusetts Department of Public Health, or a private
lead paint inspection service and compliance with The Department of Public
Health regulations at
105 CMR 460.000:
Lead Poisoning Prevention and Control.
1. A licensee that obtained evidence of a
lead paint inspection and compliance with
105 CMR 460.000 from the
local board of health or the Massachusetts Department of Public Health or a
private lead paint inspection service prior to July 1, 1978, will not be
required to comply with additional deleading requirements unless:
a. ordered to do so by the local board of
health or the Massachusetts Department of Public Health to remain in compliance
with
105 CMR 460.000;
or
b. expanding to space not
previously approved by the Department.
2. If chipping, peeling, flaking or otherwise
loose paint or plaster is discovered in a previously compliant facility built
prior to 1978, the Licensee must obtain new evidence of compliance with 105 CMR
460.00.
3. The licensee must
disclose the results of the lead inspection and any necessary remediation plan
to enrolled or prospective families.
(b)
Integrated Pest
Management. Programs must document compliance with the Integrated
Pest Management program of the Department of Agricultural Resources.
(c)
Space.
1. The licensee must provide a minimum of 35
square feet of activity space per child.
2. There must be designated space, separate
from children's play or rest areas, for administrative duties and educator and
parent conferences.
3. Activity
space must be staffed, equipped and used for children's activities throughout
the day. If the areas are not staffed, equipped and used throughout the day
these areas may be approved as "accessory space".
4. The program must have activity space of
its own, apart from other groups that may be using the facility, during the
time that it operates.
5. 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.
6. There must be a barrier between children's
activity space and the kitchen.
7.
Janitorial activities, such as vacuuming, washing floors and windows must not
be carried out in any room while it is occupied by children.
(d)
Sinks, Toilets and
Bathrooms.
1. The licensee must
maintain a ratio of at least one toilet and sink in one or more well-ventilated
bathrooms for every 20 children.
2.
Any portable sink used to meet any of the requirements of
606 CMR 7.00 must be approved
by the Board of Health.
3. Toilet
facilities must afford adequate privacy appropriate to the ages of children
enrolled in the program.
4.
Bathrooms must be:
a. in close proximity to
children's activity space, and
b.
readily accessible to all children, including children with
disabilities.
c. There must be
running water or an approved alternative adjacent to each diapering
area.
(e)
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.