Health Care Practitioner Authorization Required Yes. Must be in original container with original label containing the name of the child affixed.

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1 Attachment B-Additinal Summary Infrmatin fr Parents The fllwing infrmatin is intended t prvide parents with a cmprehensin explanatin f plicies and prcedures at Mntessri Escuela: Mntessri Escuela supprts and encurages a partnership with and the invlvement f parents in the early educatin and care f their children. Mntessri Escuela encurages nging cmmunicatin with parents and aims t cmmunicate effectively with parents f all languages. We welcme parent input in the develpment f plicies, and await yur suggestins as they arise. We als cnduct infrmal individual and/r grup meetings t address parent recmmendatins and ideas. We encurage and permit unannunced visits by parents t the prgram at any time while yur child is present. We prvide prspective parents an pprtunity t meet with the prgram administratr prir t admitting their child int the prgram. During the visit we prvide a brief tur and rientatin t discuss the child s interests and needs. We gather infrmatin abut yur child and discuss their develpmental histry in rder t facilitate a smth transitin frm ther prgrams r hme. Prgress reprts are prvided twice per academic year: nce in January and nce in May It is ur preference that the administratin f medicatin will be dne by parents unless therwise arranged. In the event f an emergency, parents will be cntacted immediately. Parents are respnsible fr all vehicle transprtatin including pick-ups and drp ffs An additinal schl calendar may be dwnladed frm the website and printed Please cntact Maria fr tuitin csts fr the upcming schl year. A $500 depsit secures yur child s space. Payments are made in 10 mnthly installments, beginning in August and ending in May. We are cmmitted t prviding psitive and cnsistent guidance t children based n their individual needs and develpment. Each child wrks at their wn pace. Children may nt attend schl if they shw signs f cntagius illness r have had a fever within 24 hurs. Children s Medical and all pertinent schl recrds will be kept n file fr five years. All educatrs are mandated reprters and must, by law, reprt suspected child abuse r neglect t the Department f Children and Families Mntessri Escuela is licensed by the Department f Early Educatin and Care. Yu may cntact the ffice fr infrmatin regarding ur prgram s regulatry cmpliance histry. The address: 51 Sleeper Street, 4 th Flr, Bstn MA & Phne: (617) We are available fr frmal parent cnferences at the parents request. We will ntify parents immediately regarding: Any injury which requires any medical care beynd minr first aid, r emergency administratin f nn-prescriptin medicatin Immediately f any allegatin f abuse r neglect invlving their children while in ur care and custdy. Prir, r as sn as pssible, f any change in educatrs. At the end f the day regarding any first aid administered.

2 In writing within 48 hurs f afrementined incidents Whenever special prblems and significant develpments arise Whenever a cmmunicable disease r cnditin has been identified in the prgram In writing seven days prir t the implementatin f any change in prgram plicy r prcedure Prir t the intrductin f any pets int the prgram Of the use f any herbicides r pesticides, prir t their use whenever pssible Whenever the prgram deviates frm the planned menu Medicatin Administratin All medicatin administered t the child, including but nt limited t ral and tpical medicatins f any kind, either prescriptin r nn-prescriptin, must be prvided by the child s parent. All prescriptin medicatin must be in the cntainers in which they were riginally dispensed and with their riginal labels affixed. Over-the-cunter medicatins must be in the riginal manufacturer s packaging. The educatr must nt administer any medicatin cntrary t the directins n the riginal cntainer, unless s authrized in writing by the child s licensed health care practitiner. Any medicatins withut clear instructins n the cntainer must be administered in accrdance with a written physician r pharmacist s descriptive rder. Unless therwise specified in a child s individual health care plan, the educatr must stre all medicatins ut f the reach f children and under prper cnditins fr sanitatin, preservatin, security, and safety during the time the children are in care and during the transprtatin f children if applicable. Ntwithstanding the prvisins abve, emergency medicatins such as epinephrine must be immediately available fr use as needed. Dispsal f medicatin will be dne with parent apprval and in a secure utdr trash receptacle the mrning f trash remval. When pssible, all unused, discntinued r utdated prescriptin medicatins shall be returned t the parent and such return shall be dcumented in the child s recrd. When return t the parent is nt pssible r practical, such prescriptin medicatins must be destryed and the destructin recrded by a manager r supervisr in accrdance with plicies f the licensee and the Department f Public Health Drug Cntrl Prgram. N educatr shall administer the first dse f any medicatin t a child, except under extrardinary circumstances and with parent cnsent. Each time a medicatin is administered, the educatr must dcument in the child s recrd the name f the medicatin, the dsage, the time and the methd f the administratin, and wh administered the medicatin, except as nted belw The educatr must infrm the child s parents at the end f each day whenever a tpical medicatin is applied t a diaper rash. All medicatins must be administered in accrdance with the cnsent and dcumentatin requirements specified belw:

3 Regulatin Number and Type f Medicatin 7.11(2)(l)1 All Prescriptin 7.11(2)(l)2 Oral Nn-Prescriptin 7.11(2)(l)3 Unanticipated Nn- Prescriptin fr Mild Symptms (e.g., acetaminphen, ibuprfen, antihistamines) 7.11(2)(l)4 Tpical, nn-prescriptin (when applied t pen wunds r brken skin) 7.11(2)(l)5 Tpical, nn-prescriptin (nt applied t pen wunds r brken skin) Written Parental Cnsent Required Yes Yes, renewed weekly with dsage, times, days and purpse Health Care Practitiner Authrizatin Required Yes. Must be in riginal cntainer with riginal label cntaining the name f the child affixed. N in FCC Grup Must be in riginal cntainer with riginal label cntaining the name f the child affixed N in FCC Grup Must be in riginal cntainer with riginal label cntaining the name f the child affixed N in FCC Grup Must be in riginal cntainer with riginal label cntaining the name f the child affixed N. Items nt applied t pen wunds r brken skin may be supplied by prgram with ntificatin t parents f such, r parents may send in preferred brands f such items fr their wn child(ren) s use. Lgging Required Yes, including name f child, dsage, date, time, & staff signature. Missed dses must als be nted alng with the reasn(s) why the dse was missed. Yes, including name f child, dsage, date, time, & staff signature. Missed dses must als be nted alng with the reasn(s) why the dse was missed. Yes, including name f child, dsage, date, time, & staff signature Yes, including name f child, dsage, date, time, & staff signature. N fr items nt applied t pen wunds r brken skin. Individual Health Care Plans: The licensee must maintain as part f a child s recrd, an individual health care plan fr each child with a chrnic medical cnditin, which has been diagnsed by a licensed health care practitiner. The plan must describe the chrnic cnditin, its symptms, any medical treatment that may be necessary while the child is in care, the ptential side effects f that treatment, and the ptential cnsequences t the child s health if treatment in nt administered.

4 Parent Cnsent Please initial each cnsent statement: Pick-up & Drp-Off: I will prvide all transprtatin fr my child including pick-ups and drp ffs. Mntessri Escuela has my permissin t administer first aid r CPR if necessary. I give Mntessri Escuela cnsent t use unanticipated, nn-prescriptin and tpical, nn-prescriptin medicatins, if applicable. I recgnize this dcument as receipt f ntificatin regarding my right t visit the Mntessri Escuela Prgram unannunced at any time while my child is in care. Mntessri Escuela has my permissin t transprt my child t a medical facility t receive medical treatment in the event f an emergency, including but nt limited t an epinephrine aut-injectin fr suspected expsure t a life threatening allergen in the event that the parent cannt be reached and when delay wuld be dangerus t the health f the child. At my request, I give Mntessri Escuela permissin t release my schl aged child during schl hurs fr any reasn, including but nt limited t appintments r ther engagements, and acknwledge my persnal parental respnsibility fr the child s care nce he/she leaves the prgram. I give permissin t Mntessri Escuela, based n their discretin, t allw ccasinal bservers int the prgram fr the purpse f cntinued educatin, including but nt limited t parents f ptential applicants f the prgram, r Mntessri certified supervisrs and staff. I give permissin fr my child t use, n ccasin, a small prtable swimming pl n site at Mntessri Escuela. As apprpriate t the child s age and abilities, I will prvide the fllwing infrmatin t Mntessri Escuela: a. Infrmatin abut the child s daily schedule, develpmental histry, sleeping and play habits, accustmed mde f reassurance and cmfrt; b. Prcedures fr the tilet training f the child if necessary; c. The child s eating schedule and eating preferences I give Mntessri Escuela cnsent t btain a cpy f my child s medical recrds, including: a. Physician s r Nurse Practitiner s certificatin that the child has been successfully immunized in accrdance with the current Department f Public Health s recmmendatin schedules. b. A written statement frm a licensed health care practitiner, within ne mnth f admissin, that indicates that the child has had a cmplete physical examinatin within ne year prir t admissin. c. A statement signed by a physician r an emplyee f a health care agency btained within ne mnth f admissin stating that the child has been screened fr lead pisning. d. A recrd f any medicatins administered t the child while attending schl. Medicatins shuld be administered at hme, when pssible and are the parents respnsibility. I give permissin fr my child t participate in ff-site activities run by Mntessri Escuela. I will prvide Mntessri Escuela cpies f recrds pertaining t, and give my cnsent t fllw any custdy agreements, curt rders and restraining rders regarding the child.

5 This dcument serves as Mntessri Escuela prviding the fllwing written ntificatin that all subsequent files will remain nging in the child s schl recrds and files fr five years: a. Daily attendance recrds b. Dcumentatin f any persns present n prperty during schl hurs c. Dcumentatin f regular fire drills d. Dcumentatin f annual physical examinatins, updated immunizatins and lead screening. e. Dcumentatin f the results f visin, hearing and dental screenings when prvided f. A recrd f any medicatins administered t the child g. Dcumentatin f parent ntificatin f emergency treatment h. A cpy f a child s individual health care plan, if applicable i. A recrd f any referrals made, if applicable j. Dcumentatin f parental authrizatins k. Cpies f injury and incident reprts l. Cpies f peridic prgress reprts m. Individual prgram plans, and peridic review f such plans, fr any child with a disability, including IEP s, IFSP s, and ther dcumentatin as prvided by parents n. All pertinent crrespndence pertaining t the child All infrmatin pertaining t children and their families is privileged and cnfidential. Mntessri Escuela will nt distribute r release infrmatin abut a child and his/her family t any unauthrized persn, r discuss infrmatin, withut the written cnsent f the child s parent. The fllwing individuals have my permissin t take my child frm the prgram r t receive the child at the end f the schl day in the event that I, the parent, cannt cmplete the bligatin. Name Name Parent Signature Print Full Name: Last First M.I. Date: Parent s Signature: I certify that I have read the abve written infrmatin.

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