171 Pine Street, Auburndale, MA 02466   Tel.  617.965.1518
Mailing Address PO Box 66273, Newton, MA 02466   Tax ID 042734594

Health and Safety

A copy of The Burr Community Afterschool Program, Inc.'s full health care policy is available upon request.

Child's Health Records and Immunizations All children are required to have a complete up to date immunization record on file at The Burr Community Afterschool Program, Inc. or at the Burr School. This is per our licensing regulations. If you have chosen not to have your child immunized, please ask the Program Director for an immunization waiver form. Immunizations may be waived for certain reasons. Please discuss this with the Program Director to determine whether you have the right to be enrolled and not have your child immunized. Parents are required to have a wavier on file in place of an immunization record, so that the Program can maintain compliance with licensing regulations.

Children with Chronic Health Conditions BCAP must have a written plan for your child that "...describes the chronic health condition, its symptoms, any medical treatment that may be necessary while the child is in (BCAP's) care, the potential side effects of that treatment, and the potential consequences to the child's health if that treatment is not administered." Additionally, your child's health care practitioner must conduct training to our staff that, "Specifically addresses the child's medical condition, medication, and other treatment needs." With your child's health care provider's written permission, you, the parent will be able to provide staff with this training. No child will be admitted to BCAP unless this training has taken place and all medications are at the program. We will have a block of time set aside before school ends in June and another block set aside before school begins in the fall for parents to schedule this training.

"All individual health care plans must be reviewed and approved (signature required) by your child's health care provider. (3) 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.
(a) The educator may administer routine, scheduled medication or treatment to the child with a chronic medical condition in accordance with written parental consent and licensed health care practitioner authorization.
1. Notwithstanding the provisions of 606 CMR 7.11(1)(b)2, above, the educator must have successfully completed training, given by the child's health care practitioner, or, with his/her written consent, given by the child's parent or the program's health consultant, that specifically addresses the child's medical condition, medication and other treatment needs.
2. In addition to the requirements for the routine, scheduled administration of medication or treatment set forth in section (3)(a), above, any unanticipated administration of medication or unanticipated treatment for a non-life-threatening condition requires that the educator must make a reasonable attempt to contact the parent(s) prior to administering such unanticipated medication or beginning such unanticipated treatment, or, if the parent(s) cannot be reached in advance, as soon as possible after such medication or treatment is given.
3. The educator must document all medication or treatment administration, whether scheduled or unanticipated, in the child's medication and treatment log.
4. The written parental consent and the licensed health care practitioner authorization shall be valid for one year, unless withdrawn sooner. Such consent and authorization must be renewed annually for administration of medication and/or treatment to continue.

(b) Educators may, with written parental consent and authorization of a licensed health care practitioner, develop and implement an individual health care plan that permits older school age children to carry their own inhalers and epinephrine auto-injectors and use them as needed, without the direct supervision of an educator. All educators must be aware of the contents and requirements of the child's individual health care plan specifying how the inhaler or epinephrine auto-injector will be kept secure from access by other children in the program.

(c) Whenever an individual health care plan provides for a child to carry his or her own medication, the licensee must maintain on-site a back-up supply of the medication for use as needed." Department of Early Education and Care

Children With Severe Allergies For the safety of your child, you are required to provide a completed copy of an Individualized Health Care Plan form, detailing allergies, food or otherwise, from which your child suffers, prior to your child's first day at the program or when the allergy is discovered. This form must be completely filled out by the child's physician and parent(s) or legal guardian(s). We also require a meeting with you and/or your child's health care provider to review this Individualized Health Care Plan. In addition to this form, parents must provide a copy of any additional physician's orders and procedural guidelines relating to the prevention and treatment of the child's allergy.

Any medication required to treat an allergic reaction must be provided in accordance with the Medication Policy detailed herein.

Communicable Diseases Children will be excluded from participation in the program if they exhibit symptoms of any communicable disease. They will not be permitted to return to the program until they are no longer contagious. Children must present a doctor's note stating they are no longer contagious and can return to the program. The Burr Community Afterschool, Inc. reserves the right to refuse to allow a child to return if the Program Director or designee believes the child to be too ill to participate in the program.

Parents are required to pick up an ill child within one hour of notification by phone. If a parent is reached, but cannot pick their child up within one hour, it becomes the parent's responsibility to arrange for alternate pick up person. The staff will not continue to call those listed on the emergency contact list once a parent is reached. If a parent can not be reached, the staff will begin to call the people listed on the emergency contact form, until arrangements can be made for the child to be picked up.

Children excluded from the program due to a fever may not return to the program until they are fever free, without fever-reducing medication, for twenty-four (24) hours. If your child is sent home due to a fever, he/she is not permitted to return to the program the following day at a minimum. A fever is defined as a temperature reading on a thermometer of at least 100°F, or more.

Children are required to be excluded from the program for loose bowels or diarrhea which occur three (3) or more times in a twenty-four (24) hours period of time. Children may return to the program when normal bowel movements resume.

If your child will be absent due to illness, we request that you notify the Program Director. This enables our faculty to keep track of any illnesses, which may occur at our school. This information will only be shared with faculty on a "need to know" basis. If your child has a communicable disease, we ask that you share the diagnosis with the Program Director, so that the parents of the children in the school maybe notified that a communicable disease is present. Once again, only the communicable disease information will be shared. The Burr Community Afterschool Program will take all measures necessary to protect your child's confidentiality. You are not required to disclose this information by law, and your continued enrollment will not be based whatsoever on your decision to share, (or not) the reason for your child's absence from school.

Medication The Burr Community Afterschool Program, Inc. will only dispense over-the-counter and/or prescription medication that is its original, labeled containers, and is accompanied by a doctor's note with explicit dosage and administration instructions or has the original RX label affixed to the medication, as well as parental authorization. One doctor's note per course of treatment is required. If a child, for example, is to be given a course of antibiotics for ten (10) days, the doctor's note must identify the dates that the medication is to be given.

Parents are required to complete a Medication Form prior to the time the medication is to be dispensed. See the Program Director for Medication Forms. Medication Forms, doctor's notes and medication are to be turned into the Program Director.

Parents are responsible for ensuring that all prescription medication is properly labeled by a pharmacist and replaced prior to the expiration date.

Unused medication will be disposed of or returned to the parent. As per the Commonwealth of Massachusetts Department of Early Education and Care regulation 7.05 2(a), all the Burr Community Afterschool, Inc., staff members are prohibited from administering non-prescription medication without a Doctor's note do not put any medications on your child's backpack.

BCAP personnel cannot give the first dose of any medication to a child.

Oral (non-prescription) consent forms must be renewed weekly.

Medication Administration

"(a) The licensee must have a written policy regarding administration of prescription and nonprescription medication. The policy must provide for the administration of medications ordered by a child's health care practitioner.

(b) All medication administered to a child, including but not limited to oral and topical medications of any kind, either prescription or non-prescription, must be provided by the child's parent, unless noted in 606 CMR 7.1 1(2)(e)1.

(c) All prescription medications must be in the containers in which they were originally dispensed and with their original labels affixed. Over-the-counter medications must be in the original manufacturer's packaging.

(d) The educator must not administer any medication contrary to the directions on the original container, unless so authorized in writing by the child's licensed health care practitioner. Any medications without clear instructions on the container must be administered in accordance with a written physician or pharmacist's descriptive order.

(e) Unless otherwise specified in a child's individual health care plan, the educator must store all medications out of the reach of children and under proper conditions for sanitation, preservation, security and safety during the time the children are in care and during the transportation of children.

1. Those medications found in United States Drug Enforcement Administration (DEA) Schedules II through V must be kept in a secured and locked place at all times when 110t being accessed by an authorized individual.

2. Prescription medications requiring refrigeration shall be stored in a way that is inaccessible to children in a refrigerator maintained at temperatures between 3sop and 42°F.

(f) Notwithstanding the provisions of 606CMR7.11(2)(e),emergency medications such as epinephrine auto-injectors must be immediately available for use as needed.

(g) Each licensee shall have a written policy on medication disposal." Department of Early Education and Care

© 2015 Burr Community Afterschool Program, Inc.