Cited finding
The water temperature was tested and measured over 120 degrees.
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Home › MA › Hyannis › De Sousa, Andrezza
License #P-187202 · Home-based · Family Child Care
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The water temperature was tested and measured over 120 degrees.
Water Temperature
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Staff Records
The assistants record did not include their medical form.
The first aid kit did not include tape, a thermometer and tweezers. One of the children's emergency cards was missing.
In the outdoor space, a sofa chair was broken and accessible in the space.
Exits (evacuation route)
Outdoor Playspace - Hazards
Ongoing Professional Development
Children's Records
Equipment, materials and furnishings - Play Materials
Stairways
Space (indoor / outdoor hazards)
The educator did not provide notice to the Department regarding their change of space with the construction within their living room/kitchen area.
Required Postings - Child Specific
First Aid Kit (FCC)
In the documents provided by the assistant, the educator has 20 hours of ongoing professional development documented. The educator needs to provide documentation of at minimum thirty hours of ongoing professional development.
The gate at the bottom of the stairway was not closed, allowing access to the stairway.
Notifications to EEC:
Evacuation Logs
Persons on Premises
Progress Reports
The educator has not documented an evacuation drill since May and is not alternating exits on a monthly basis.
An individual without a background record check was doing construction on the second floor of the home during childcare hours.
Five of the children's progress reports were reviewed, all of the children needed an update progress report.
The five children's records were reviewed, one child needs an annual update form and one child needs an updated physical.
In the playroom, two screws were protruding outside of the wall and a piece of the mirror on the wall was broken.
The flooring leading to the front door exit is unfinished posing a tripping hazard to the children.
The educator does not have the required posting for a child with a medication allergy.
The educator has active constructive occurring in the licensed space to include the living room/kitchen. The following hazards were observed, unfinished flooring, construction materials, tools, section of open ceiling exposing insulation, open access to unlicensed space which includes open walls and ceiling with insulation exposed and hanging wires. In the bathroom, a mop with sitting water was accessible and the trash can was rusted. The educator is licensed for ten children, even though the educator only has five children enrolled the current playroom space being solely utilized for the children does not measure enough for ten children in activity space. The educator would need to utilize the licensed living room for additional space which there is current construction occurring.
This re-activate provider visit inspection recorded no violations or advisories.
Indoor Space - safe, clean, in good repair
Stairways
Space (health risks)
Exit Safety
The educator proposed to license an additional room to the license. The enclosed deck is an addition to the home. The space is unfinished with exposed plywood and not furnished for child care.
The stairway in the front of the home and stairway on the proposed additional space did not have a handrail installed on the stairway.
There are sections of the home undergoing construction. The walls of the second floor were removed exposing the inside of the second floor home, there were building materials, insulation, woods, loose cords, ladders and tools accessible on the outside of the home.
Progress reports were reviewed the nine enrolled children and were not completed or up to date.
Parent Handbook
Progress Report
Records were reviewed for the nine enrolled children. All the nine children did not have their medical information (immunization and physical) up to date. Also, records were incomplete or missing Annual Updates, Permission (General Permission- (Basic Transport) and Permission - (Transport to Medical Facility and Receive Emergency Medical Treatment). One child was missing an enrollment packet. *Educator's yard is not approved for outdoor play. Educator has an Alternative Playspace Agreement currently in place. Permissions to take the children out of the premises must be complete and signed by the parents.
Attendance Logs
Children's Records
Educator did not notify the EEC about ongoing construction in the program. Upon the licensor's arrival, it was observed that construction was taking place both indoors and outdoors. During the visit, licensor was informed by the assistants that the construction had been ongoing for at least two months. According to EEC regulation 7.04(15)(f) - Notification of Change in Program Space, the licensee is required to notify the Department, when possible, at least 30 days prior to any changes in the space used by the program. If the licensee is unable to provide 30 days' notice, they must notify the Department by phone immediately upon learning of the impending change.
Annual Registration in Professional Qualifications Registry (PQR)
Notifications to EEC:
CPR/First Aid - R Apr 2025
Infection Control/Individual Towel
Space (health risks) - R Apr 2025
Provider does not have current First Aid, provider’s first aid expired on 10/3/23. The two assistants present also did not have current first aid certification. The provider and the two assistants are scheduled to complete the course on 12/9/23.
Space (indoor / outdoor hazards) - R Apr 2025
All of the children's progress reports were reviewed. Seven children require an updated progress report.
Progress Reports
Space (health risks) - R Apr 2025
Diapering & Toileting - R Apr 2025
Infection Control/Hand Washing - R Apr 2025
This investigation inspection recorded no violations or advisories.
The first aid kit was missing a instant cold pack.
Provider did not have a gate barricading the bottom of the stairs.
First Aid Kit (FCC)
Refrigerator Temperature
Stairways
The refrigerator temperature measured 30 degrees under the minimum 32 degrees.
This technical assistance visit inspection recorded no violations or advisories.
Exits (evacuation route)
Provider’s dog’s vaccination was not up to date and expired in September 2022.
There was a smoke detector missing from the downstairs space and the one on the first floor was tested and not functioning.
Annual Registration in Professional Qualifications Registry (PQR)
Provider has completed ongoing professional development but does not have the 1/3 hours in diverse learners.
Refrigerator Temperature
There was a carbon monoxide detector missing from the downstairs space and the one on the first floor was tested and not functioning.
Ants were observed in the kitchen trash.
There were few outdoor play materials observed. Also, more indoor play materials are needed,
One kitchen draw latch wasn’t working exposing cords, tools and other hazards. Loose cords in the living room and in the basement level were observed. Loose cords can cause strangulation. Diapering creams and lotions were accessible in the basement level in bins. The diapering table wasn’t bolted and could cause a tipping hazard. The shelf where nap items are stored in the basement level wasn’t bolted and could cause a tipping hazard.
Diapering/Toileting
The Educator is not currently certified in Basic First Aid as required, as required.
The Educator didn’t have the Assistant’s physical, on file.
The Licensor observed creams, gloves and plastic gloves accessible in the bathroom. The Licensor observed household cleaning products accessible in the kitchen closet. A bookshelf in the basement level is not bolted and could pose a tipping hazard.
There was no place for personal items such as coats, hats, etc. Also, the diapering items were not labeled, as required.
Indoor Hazards
Evacuation Logs
Heating Safety - Heating sources
Exits (evacuation route)
First Aid Kit (FCC)
The exit route in the front of the home had building materials accessible, roofing materials, loose cords and pieces of insulation.
Ongoing Professional Development
Space (health risks) - R Apr 2025
The attendance log did not have the arrival time for one child and for the regular assistant.
Educator's Parent Handbook was not up to date
Educator have not completed the 10 hours required for ongoing professional development in diverse learning.
The following hazards were observed and accessible to the children, including but not limited to: KITCHEN: - Empty and packed boxes were on the floor, posing a tipping hazard. - Cabinet drawers were observed not secured containing inside batteries, plastic bags, cell phone charges. BATHROOM: - A bucket containing with a mop was accessible.
Space (indoor / outdoor hazards) - R Apr 2025
Educator's PQR #9678193 expired on 12/29/24.
The certified assistant for 10 children did not have a current CPR/First Aid certification, as it expired on 12/10/20240.
No individual or disposable towels were available in the bathroom during the visit. According to EEC regulation7.11(10)(c), Hands must be dried with individual or disposable towels or automatic hand blow-dryers. The use of common towels is prohibited.
The following hazards were observed and accessible to the children, including but not limited to: LIVING ROOM: - Empty and packed boxes were on the floor, posing a tipping hazard. - Packed boxes were placed on top of the shoe rack, creating a risk of falling onto children. - Dirty dog pads on the floor. - A security camera wire was plugged in, with the cord lying on the floor in the entrance pathway, posing a tripping hazard. - A large construction tool, which appeared to be a professional drill machine with a sharp and pointed end, was on the floor, posing a significant safety risk. - A vacuum cleaner accessible to the children. - A plastic bag containing trash was on the floor. BATHROOM: - A bucket containing a dirty mop was accessible. - A large, opened bag of ice melt salt was accessible.
Upon the Licensor's arrival, it was observed that construction was taking place in the outdoor space. Several hazards were observed in the front yard, which it's the pathway of both entrances to the program (the living room and playroom entrances). These hazards included, but were not limited: - Construction debris scattered throughout the yard. - The fence surrounding the outdoor play area was down and laying on top of the outdoor equipment obstructing the area. - A large hole was observed in the ground, where an addition to the house appears to be under construction. The hole leads to what seems to be a basement area.
Attendance Logs
Evacuation Logs
CPR/First Aid - R Apr 2025
The attendance log for today did not have the date and two children present were not documented on the attendance log. The attendance for the two assistants staffing the program was not documented for today.
The provider has not completed or documented a fire drill since August 2023.
The assistant was observed to conduct diapering changing without a covering on the changing surface.
The assistant was observed to not wash the child's hands or their hands after diapering.
The baseboard heater in the playroom and living room were observed to be broken.
In the bathroom, a bottle of cleaning liquid, plastic bags, aerosol spray and detergent pods were accessible. In the kitchen, a lighter was observed to be accessible in one of the drawers. In the playroom, a stapler and staples were observed to be accessible in a drawer.
Pets licensed/vaccinated/safe
Smoke Detectors
Carbon Monoxide Detectors
Water Temperature
Indoor Hazards
Ongoing Professional Development
The refrigerator temperature was at 28 degrees. The temperature is required to be between 32-40 degrees.
The basement bulkhead exit route was not clear. There were boxes and various items in obstruction of the path.
The water temperature was tested and was at 138 degrees. The temperature is required to be under 120 degrees.
In the basement space there were disinfecting wipes accessible in reach to the children as well as in the bathroom and in the kitchen. The heating boards throughout the home were open and some broken accessible to the children. In the bathroom in which the children use there were air freshener accessible to the children.
Provider’s PQR #9678193 Provider’s PQR expired in September 2022.
CPR/First Aid - R Apr 2025
Equipment, materials and furnishings - Play Materials
Staff Records
Supervision of children
Pets licensed / vaccinated / safe
Napping Materials
Pest Elimination
Indoor Hazards
Outdoor Playspace - Hazards
The Licensor observed potty chairs in the basement level. There is no bathroom in the basement level. The Educator explained that after each use she would run upstairs to empty the potty chairs in the upstairs bathroom leaving the child care children alone in the basement level.
The immunization records for the Educator's dog are not up to date, as required.
The Licensor observed potty chairs in the basement level near the microwave. Toileting can’t be done near food preparation. Also, there is no toilet in the basement level to empty the potty chairs, once used. There is no privacy for potty training in the basement level.
One mat was observed ripped. The Educator will need 10 napping items to increase her licensing capacity.
Loose fencing with sharp edges was observed on the deck gate entrance.
The Licensor observed loose cords in the living room accessible to the children. The cords could pose a strangulation hazard.
Electric outlets covered, no frayed electrical cords
Personal items
The fire drill log that the Educator is currently using to document the drills has missing information and doesn’t have the smoke detector section that is required.
The first aid kit is missing an instant coldpack.
One electric baseboard in the basement level has exposed grates that are sharp accessible to the children.
The Licensor observed that the second exit via the basement has a hot water heater accessible. The Licensor observed bleach and detergents accessible, as well. Lastly, two metal poles have a barricade that is loose exposing the metal.