Welcome to the Anne Bradstreet ECC Health Office

Dear ABECC Families, 

We look forward to welcoming back some familiar faces and we are excited to meet all the preschool and kindergarten students who are new to the ABECC!

Sending your child off to preschool or kindergarten is an exciting milestone.  We appreciate that these past few months have been a time of many questions and uncertainty for families.  We want to assure you that we have been working diligently to incorporate the frequently changing recommendations and guidelines put forward by the Centers for Disease Control, Massachusetts Department of Public Health, Department of Elementary and Secondary Education in close collaboration with our local North Andover Board of Health, school physician and administrators as we develop our school protocols and procedures. Our goal is always to do everything that we can to provide our students and staff with the safest and healthiest learning environment possible.  

We all have an important role to play as we reopen schools this fall. Masks, physical distancing, staying home when sick, frequent hand washing, and frequent cleaning/disinfecting are all key measures to help prevent the spread of COVID-19.  We are asking each family to familiarize themselves with the new guidelines our district has put into place for the health and safety of the entire school community: 


Masks/Face coverings


    • All students and staff over the age of 5 will be required to wear a face covering that fits snuggly, but comfortably and covers the mouth and nose.  Exceptions will be made for physician documented medical/behavioral reasons.  Your student should arrive to school wearing a mask and we ask that you send in at least one extra in case they need to change their mask at some point during the school day. 

NA Protocol Masks / Facial Coverings

    • For the safety of all, we strongly encourage masks for preschool students under the age of 5.  Please start practicing with them at home and send them to school with a mask.  We will work with them to increase their mask tolerance. 


    • Mask breaks will occur throughout the day when students can be greater than six feet apart.  Staff will work with students in a developmentally appropriate way to increase their mask tolerance if they are struggling with this. 

Hand Hygiene


    • Students and staff will be required to wash or sanitize their hands upon arrival to the school, before eating, before putting on and taking off masks, and prior to dismissal.

    • Hand washing is the preferred method for removing germs, however, soap and water are not always readily available.  When hand washing is not possible, students will be asked to use hand sanitizer at school.  Hand sanitizers are considered to be over the counter (OTC) medications.  If you do NOT want your student to use hand sanitizer while at school please sign and return the attached form to the health office by September 15, 2020.  

Hand Sanitizer Opt Out:  NA Opt Out hand sanitizer letter

Physical Distancing

    • Our goal is to maintain a physical distance of six feet between individuals when possible.

    • Students will be seated at least six feet apart in classrooms.

Daily Symptom Check



    • Families must screen students every day prior to sending them to school

    • Do not send your child to school if they are feeling ill.  Do not administer any fever reducing medications prior to sending your student to school.  

Students should not come to school if they have any of the following symptoms

    • Fever (100.0° Fahrenheit or higher), chills, or shaking chills 

    • Cough (not due to other known cause, such as chronic cough)

    • Difficulty breathing or shortness of breath

    • New loss of taste or smell

    • Sore throat

    • Muscle aches or body aches

    • Nausea, vomiting, or diarrhea

Students should not come to school if they have any of the following symptoms in combination with other symptoms:  

    • Headache (in combination with other symptoms)

    • Fatigue (in combination with other symptoms)

    • Nasal congestion or runny nose (in combination with other symptoms and/or not due to other known causes, such as allergies) 

If you have questions about whether or not you should send your student to school, a nurse will be available by phone before the start of school for any questions.

The nurse on call will be available from 6 am-8 am and can be reached  at:  978-794-4842  (please call us directly at ABECC if it’s after 8 or if your child is in the pm kindergarten group)

If your student is out sick the nurse will be in touch with you about when your student may return to school.  We must follow specific protocols this year in determining when students can return to school if they are out sick.  

NAPS COVID-19 decision tree: 9/5/20

COVID-19 Related Medical Waiting Room


    • We have set up a space separate from the nurse’s office to evaluate and treat any student displaying COVID-19 symptoms at school.  If a student becomes symptomatic at school they will remain in this medical area until they can be picked up.

We feel strongly that you as parents/caregivers will play a significant role in helping us to make this year a smooth and successful experience for every member of our school community.  It is critical that you screen your student  for Covid-19 symptoms each and every day before school, and that we are provided with at least three phone numbers for contact persons who are available to pick your child up immediately if they become ill at school.

Before the start of the school year it is also important to make sure that you have rescheduled any pediatrician appointments that may have been previously cancelled, and that all of your child’s immunizations are up to date.  An updated physical (dated within the last year) and immunizations are required for kindergarten/preschool entry. 

As you discuss returning to school with your children, please encourage them to practice wearing a facial covering, good hand hygiene, and demonstrating proper social distancing of six feet before the school year begins. We look forward to getting to know your children and watching them grow and learn and thrive in this new normal.  We have included some links to a few videos that you may find helpful in explaining the “why” we are taking all of these additional safety measures right now. 

Please reach out with any questions or concerns.  

Barbara Ann Donovan, RN, BSN, NCSN

Karen Doody, RN, BSN 

Masked Heroes | Cincinnati Children's

Wearing A Mask Helps Stop the Spread of Germs - YouTube

wearing a mask to school.pdf

As we prepare for the fall, please be aware of the requirements from the Massachusetts Department of Public Health for school entry:  


Documentation of a current physical exam (dated within one year).

Current preschool families:   If you submitted a physical when your child started our preschool program,  we need an updated physical for kindergarten (please submit a copy from their 5 year old well visit).  


Massachusetts State Law requires that all immunizations must be up to date for children to attend school.  Physician offices are open and pediatricians want to see their patients.  Please schedule an appointment if your child is due for their well visit or if they need to catch up on any immunizations.  If you have any barriers to getting your student's vaccinations on time, please contact us.  We can help connect you to local health centers.  

Preschool Entry Requirements:
Hib: 1-4 doses; the number of doses is determined by vaccine product and age the series began
DTaP: 4 doses
Polio: 3 doses
Hepatitis B: 3 doses; laboratory evidence of immunity acceptable
MMR: 1 dose; laboratory evidence of immunity acceptable
Varicella: 1 dose; a physician documented case of chickenpox or laboratory evidence of immunity acceptable

Kindergarten Entry Requirements:
DTaP: 5 doses; 4 doses acceptable if the 4th dose is given on or after the 4th birthday. 
Polio: 4 doses
Hepatitis B: 3 doses; laboratory evidence of immunity acceptable
MMR: 2 doses; laboratory evidence of immunity accepted.
Varicella: 2 doses; a physician documented case of chickenpox or laboratory evidence of immunity acceptable
Lead Test
Every child entering kindergarten and preschool must have documentation of a lead test.
Lead tests are typically done between the ages of 9-12 months, and  2-3 years.
If your child has not had a lead test, ask your healthcare provider to test your child or you can contact your local health clinic for a lead test.
Tuberculosis Risk
Each school-aged child in a Massachusetts public or private school should have a TB Risk Assessment completed and documented on the school health form. 

WHEN TO CALL THE SCHOOL NURSE In addition to the symtoms check listed above, please contact the school nurse if your child

  • has a contagious disease, such as strep throat, flu, or chicken pox. This information will help us take necessary steps to protect the health of other students. 
  • is hospitalized 
  • is excused from physical education. 
  • has an injury or illness that may require accommodations during the school day. Examples: 
    • An injury that restricts mobility (e.g., casts, crutches, wheelchairs) 
    • An illness that affects a child's ability to function in school for a full day such as a concussion, infectious mononucleosis (mono), Lyme disease, or recent surgery


Medications (both prescription and over-the-counter drugs) should not be taken during school hours if it is possible to administer them at home.  If your child requires a medication to be given during the school day, it must be brought in by an adult.  Please do NOT send medications in via backpack! We have standing orders for some medications (acetaminophen and ibuprofen) which we may administer as needed in school after consulting with a parent/guardian. For all other medications we need to have signed parent permission and an MD order. These forms can be found on the district website www.northandoverpublicschools.com under Health Services.


Healthy eyes and vision are very important to a child’s early development and education.  Growing children constantly use their eyes, both at play and in the classroom. Often vision problems in children are not obvious.  Poor vision can cause headaches, fatigue, and may cause children to be more distracted in class. Vision screening is the best way to catch problems early.  In accordance with Massachusetts Department of Health policies, we screen children annually in grades K-5, then again in grade 7 and grade 10. We also screen all of our preschool students.

The American Academy of Pediatrics has approved the use of instrument based screening for children up to age 5.  This year, all kindergarten and preschool students will be tested using the Spot Vision Screener. This is a hand held device that takes a series of photos of the child’s eyes. By analyzing those images, the machine determines if the eye measurements are "in range" or "out of range."    

Kindergarten students will also have their hearing screened.  

These screenings are not diagnostic. If your child does not pass the school vision or hearing screening, you will be notified that your child needs to be referred to a specialist for further evaluation. It is important to make an appointment and return the referral form to the nurse's office when completed so that we can keep your child's health record up to date and make any recommended educational accommodations.

If you would like to exclude your child from any of these screenings, please send a note to the school nurse.


Our goal is to have our students outside for recess whenever possible.   If it is raining, snowing, or extreme cold the students will stay in for recess.  Otherwise, please prepare for the students to go out.   They should be dressed appropriately for the weather.  Proper footwear is also very important for this age group.  Closed toe sneakers/shoes are much better for moving around on the playground.  Jackets, hats, gloves and even snow pants and boots should be worn when needed. 

HEAD LICE: Children must be treated and checked by the school nurse before returning to school. Prevention is the key to controlling this pesky problem. Please inspect your child's hair frequently and call the school nurse if you have any questions.

For information about entry requirements and other health related news, please consult the Dept. links on the left.

Feel free to call us in the health office with any questions.  

Barbara Anne Donovan, BSN, RN, NCSN. DonovanB@northandoverpublicschools.com

Karen Doody, BSN, RN. DoodyK@northandoverpublicschools.com

 Nursing Staff 

Barbara Ann Donovan, BSN, RN, NCSN
Karen Doody, BSN, RN

Anne Bradstreet Early Childhood Ctr 
115 Phillips Brooks Road
North Andover, MA 01845

978-794-1577 - Main Number
978-738-1324 - Main Office Fax

When should you keep your child home from school?

Please see the