Cited finding
Supervision - Napping Children
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Home › MA › Hyannis › Arantes Ambrozio, Lara
License #P-260615 · Home-based · Family Child Care
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This follow-up visit inspection recorded no violations or advisories.
Supervision - Napping Children
Safe Sleep - infants sleep on back
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Assistant
Safe Sleep - cribs have proper mattress
Safe Sleep - no pillows, comforters, stuffed animals
Safe Sleep - infants napped in individual crib, portacrib, playpen
The certified assistant was staffing the program, providing care in the educator's absence. This assistant has exceeded the maximum of twenty-five hours in a twelve-month period. This certified assistant license does not meet the same qualifications as the educator's.
An (REDACTED) infant was observed asleep behind a closed door in a separate room. When children are placed in a separate room for naps, the door must remain ajar.
The pack and play identified for napping was observed to have various play materials inside.
The child was observed to be sleeping in an inclined position. The child was immediately removed by the assistant upon licensor observing.
The infant was asleep with a blanket behind his head.
The infant was observed to be sleeping in an infant rocker.
Evacuation Logs
Children's Records
The educator did not document an evacuation log for the month of December. The months of September, October, November and January did not have the date listed.
All of the children's progress reports were reviewed, two children needed updated progress reports.
Progress Reports
Outdoor Playspace - Hazards
Persons on Premises
Safe Sleep
The window screen on the back door was ripped and not in good condition.
An outdoor umbrella, tipped over, with several of its pieces detached, was in the outdoor space.
Equipment, materials and furnishings - Play Materials
Injury Prevention
Indoor Hazards
Outdoor Playspace - Hazards
The play kitchen in the playroom was not secured posing a tipping hazard. The cord for the air conditioner was loose and not secured.
The educator was observed to heat a bottle of milk in the microwave.
Children's Records
The educator's PQR#9766689 expired on 02/05/25.
Progress Reports
The bathroom did not have individual or disposable towels for hand drying.
Annual Registration in Professional Qualifications Registry (PQR)
Playground Safety - Fallzones
Medication Administration Policy
Infection Control/Hand Washing
A toilet training chair was on the floor in the outdoor space. The toilet training chair had urine inside of it. It had not been emptied into the toilet or disinfected.
Medication Administration Policy
Diapering & Toileting - R Apr 2025
Children's Records - R Apr 2025
All of the progress reports were reviewed. Two children required an updated progress report and one progress report was unable to be located.
The educator did not have a medication consent form completed and signed by the parent for a prescribed medication for one of the children.
The epinephrine auto-injection prescribed to a child for an allergy was on the premises but had expired on 06/20/2024.
Exit Safety
Staff Records
Supervision of children
Indoor Hazards
The educator does not have a complete staff record for her assistant.
A toddler was observed to be sleeping in the bedroom with the door closed and not ajar.
In the playroom, an extension cord with several electrical outlets were accessible to the children. Two topical ointments were on top of the diaper changing station accessible to the children. The educator has requested to license the kitchen in which the following hazards were observed in the kitchen drawers which were accessible, tile grout, plastic bags, sharp utensils, scissors, a screw driver, grater and a blender with a blade.
Notifications to Parents - Written
The educator did not provide the parents with a written notification of the change to the household composition.
The educator does not have an alternate location outside of the premises listed on their emergency plan.
The educator did not have a child's epinephrine auto-injector on the premises required for a diagnosed allergy.
CPR/First Aid - R Apr 2025
Required Postings - Child Specific - R Apr 2025
Parent Handbook
Required Postings - R Apr 2025
Provider has an outdoor slide which measures over 18 inches without a fall zone.
In the bathroom, the cabinet under the sink was unlocked allowing access to cleaning supplies. The base heater in the bathroom was rusted.
The water temperature was tested 127 degrees.
First Aid Kit (FCC)
Indoor Hazards
Water Temperature
Outdoor Playspace - Hazards
The first aid kit was missing the children’s emergency cards.
All of the children's records were reviewed, four children need updated medical physicals, one child needs page six and seven of the enrollment packet, one child needs an annual update form, and one child has several sections of the enrollment packet not completed.
Several toys were observed to have sitting water in them and an umbrella with several loose pieces was on the floor.
The assistant has not documented their in/out time for staffing the program since 04/01/2026.
An (REDACTED) infant was observed sleeping in the pack-and-play, with a pillow and a blanket draped over it. The educator immediately removed the items upon being addressed.
All of the children's records were reviewed. Two children did not have a date of admission on their enrollment packet, one child did not have page six and seven completed, one child did not have page seven completed, three children did not have annual enrollment forms, three children did not have up to date physicals and one child did not have lead testing. The medication consent on file for one child was not the correct consent, did not include the parent's signature or date.
All of the progress reports were reviewed, one child did not have a progress report, one child's progress report was over due and one child's progress report was not dated.
The slide in the outdoor play space measured over 18 inches in height. The slide did not have an approved fall zone.
The epi pen prescribed for one child's allergy had expired on 05/03/2025.
Progress Reports
Indoor Hazards
Required Postings - Child Specific - R Apr 2025
All of the children's records were reviewed. Two children require an annual update form, two children required proof of immunizations, one child had several sections of their enrollment packet incomplete and one child did not have proof of lead testing.
The educator wants to add the kitchen to their license. There were several drawers in the kitchen which had sharp knives, utensils and medication accessible. The oven knobs were not covered. In the bedroom, a wire which measured more than six inches was not secured.
The children's allergy posting did not include the name of the emergency medication, the location of the emergency medication and was not in a manner that protects the privacy of the child.
The back exit in the playroom was being obstructed by a large chair. The chair covered the entire exit, not allowing access.
Childrens Records - R Apr 2025
Emergency Preparedness - R Apr 2025
Injury Prevention
Space (indoor / outdoor hazards) - 1
Space (health risks) - 1
The parent handbook did not reflect a clear child guidance policy.
The educator did not have their required posting.
The educator did not have the child specific allergy posting for three children.
All of the children's records were reviewed. One of the children did not have their vaccines and lead testing on file. One child did not have their medication permission form completed and one child did not have their emergency card correctly completed.
The educator’s First Aid/CPR expired on 2/12/24.
In the outdoor space, several toys had sitting water, the gate to the rest of the yard with hazards was open and the ride on jeep had electrical wiring exposed from the bottom accessible to the children.
In the bathroom, the cabinet under the sink had a bag with cleaning spray accessible. In the bedroom, there were several wires not secured and in reach of the children.