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Home › MA › Marstons Mills › Ramalho De Almeida, Milaine
License #P-250420 · Home-based · Family Child Care
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Complaint outcomes are not published by Massachusetts EEC.
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Disinfectant wipes, gloves and plastic bags were accessible under and on the side of the diaper changing table. A mop bucket with dirty water was accessible in the kitchen.
The educator was present with nine children when licensor arrived to the visit. The educator reported their assistant had stepped out quickly and was returning. The assistant left per security camera at 9:36 am and returned at 9:49 am. There were nine children present, five children are under the age of two years old.
The educator was outside on the porch with one child when licensor arrived to the visit. The remaining children were inside of the program. The educator was engaged in a tasks that unnecessarily diverted their attention from supervising the children. Four of the children were in the licensed bedroom in playpens with the door closed. The educator was not in sufficient proximity to the children in which they would have been able to intervene quickly when necessary. The educator was not providing direct supervision of the (REDACTED) in care who has been enrolled for less than six weeks.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Adult-Child Ratios
Hand Hygiene
Space (health risks)
Staff Record
Children's Records
Emergency Preparedness
Supervision
Five of the children’s records were reviewed. One child needs proof of lead testing and an annual update form and one child needs an updated physical.
The educator is not documenting they are alternating exits on a monthly basis when conducting evacuation drills.
The educator did not have their assistant's training or medical documentation in their staff record.
The educator, assistant, and the children did not wash their hands with liquid soap and running water before or after handling/eating food. The educator did not wash the child’s hands or their hands after diapering the children.
In the outdoor space, there were over a dozen of deflated balloons with strings on the ground. On one of the stairs leading to the outdoor space, a section was disconnected and exposing nails.
Two of the A.C. units had cords which measure over six inches and were loose and not secured. In the kitchen, two drawers were not locked allowing access to a sharp knife, lighter, cleaning supplies and trash bags. On the changing stattion, there were various objects unrelated to diapering including a safety kit with screws.
Attendance Logs
Space (indoor / outdoor hazards) - R Apr 2025
Space (health risks) - R Apr 2025
The attendance log for last week's attendance did not have the dates documented. The attendance for today was not complete with no sign in time or date for any of the children present.
Porches and Decks
The educator has requested to license the deck, the deck fencing is an entrapment hazard measuring at 4 inches between each post.
First Aid Kit (FCC)
The first aid kit was missing a gauze roller bandage.
Provider is not documenting the date, time in and time out of times she has utilized an assistant.
Provider is not documenting she is alternating exits used on a monthly basis.
Persons on Premises
Evacuation Logs
Indoor Hazards
Outdoor Playspace - Hazards
Ongoing Professional Development
The cabinet under the sink in the bathroom had a safety lock but it was broken allowing access to person hygiene items.
This progress visit inspection recorded no violations or advisories.
Childrens Records - R Apr 2025
Emergency Preparedness - R Apr 2025
The first aid kit was missing scissors and the children’s emergency cards.
Space (indoor / outdoor hazards) - 1
First Aid Kit
Refrigerator Temperature
Records were reviewed for all three enrolled children. One of the children need proof of immunizations.
The Educator did not have a written emergency preparedness plan documented in the Parent Handbook. Please send proof of plan.
This change of space visit inspection recorded no violations or advisories.
Provider had several toys with sitting water.
Provider does not have the required 30 hours in ongoing professional development with 10 hours in diverse learners. Provider is in need to complete 5 hours in diverse learners.
There was no thermometer in the refrigerator. Discussed the temperature must be between 32 and 40 degrees.
The trash in the bathroom was accessible to the children.