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Children's Records
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Home › MA › Hyannis › Ramos Barros, Lorena Adrielle
License #P-243468 · Home-based · Family Child Care
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When they operate
Schedule type not published.
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Children's Records
Progress Reports
Heating source protected; Portable heaters, portable radiators prohibited.
Persons on Premises
Four of the children's records were reviewed. One child needs proof of a recent physical.
Four of the children's progress reports were reviewed, one child needs a completed progress report.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
A portable heater was in use during childcare hours.
The educator did not have completed attendance for the assistant for 03/02 and 03/03/2026.
Water Temperature
Indoor Space - Square Footage (1 - 10 children)
The educator will be licensing the entire basement space. The licensed space measures 297 square feet. The educator would need a minimum of 350 square feet of activity space for the capacity of ten children.
The water temperature was tested and measured over 120 degrees.
Progress Reports
Equipment Safety
Children's Records - R Apr 2025
During the visit, the Licensor observed an (REDACTED) child seated in a highchair that was missing a safety strap. The child was unstrapped and attempted to climb out of the chair.
Parent Handbook was not updated missing Licensor information.
Parent Handbook
Records were reviewed for the eight children present in the program during this visit. Updates are needed for two children's medical information. One child's enrollment form is incomplete, missing required permissions, and another child does not have an enrollment form on file.
Staff Records
CPR/First Aid - R Apr 2025
Progress Reports
Space (health risks) - R Apr 2025
The provider had not documented the assistant's attendance since 02/21/2024.
Provider’s CPR/First Aid expired on 02/21/2024. The provider's assistant has current CPR/First Aid which expires on 2/27/2025.
Four of the enrolled children require an updated progress report.
In the infant/toddler area, the grey foaming on the wall was observed to be ripped posing a chocking hazard.
This follow-up visit inspection recorded no violations or advisories.
Safe Sleep
A (REDACTED) infant was observed to be asleep in the bouncer with a bib and a pacifier with a string attached to his bib.
In reviewing a select number of children's records, one child is missing a physical, immunizations and lead testing and another child is in need of an updated physical. Provider reported both of these children have their physicals scheduled.
Nutrition
Children's Records
Space (health risks) - R Apr 2025
Provider was observed to begin heating a bottle of milk in the microwave.
This investigation inspection recorded no violations or advisories.
Indoor Hazards
The dates of the evacuation drills were not listed.
Outdoor Space - Square Footage
Staff Records
Evacuation Logs
Provider requested capacity of 10. There was no documentation of a licensed assistant to work with the provider. Please document the name of regular or certified assistant and when the assistant will be available to start working at program.
Blind strings in the playroom were hanging within reach of children. A liquid air freshener jar was within reach of children near the bathroom sink.
Required Postings - R Apr 2025
Space (indoor / outdoor hazards) - R Apr 2025
The Educator hasn't posted the required emergency list.
The Licensor observed loose camera cords and television cords in the living room. The cords could pose a strangulation hazard. Two desks located in the hallway contained hazards in the draws that were accessible. Diapering creams and plastic gloves were observed accessible in the diapering table. Two slides were observed on grass with no ground surfacing, as required. Small rocks were observed accessible in the play area. Trampoline poles and broken fence were observed outside the fenced area.
This investigation inspection recorded no violations or advisories.
A (REDACTED) was given a bottle to feed herself during nap time. Educator’s must hold infants while feeding a bottle.
Childrens Records - R Apr 2025
The Assistant who was present during today’s visit has her CPR certification that is just over a year old. The Assistant stated that she has a scheduled CPR class for March 16, 2020.
CPR/First Aid - R Apr 2025
Progress Reports
Required Postings - Child Specific - R Apr 2025
First Aid Kit
Tooth brushing
Progress reports were reviewed for the eight children present in the program, and five children require updates.
A drawer in the kitchen had candles, matches and tooth picks which were accessible to the children.
Provider is requesting capacity of 10. Please submit documentation of outdoor space measurements to ensure that there is 750 square feet per child in current space.
Space (indoor / outdoor hazards) - 1
Care of young children - Feeding Infants and Toddlers
Napping Materials
Two children are missing medicals. The (REDACTED) child didn’t have a child care booklet completed, as required. One child with a documented (REDACTED) didn’t have the individual health care form completed by the physician, as required.
One child who has been enrolled for over 6 months didn’t have a progress report completed, as required.
One child has a (REDACTED). The (REDACTED) is posted but not covered for privacy, as required.
There is one child with a (REDACTED). There was no (REDACTED) at the program, as required.
The Assistant couldn’t locate the tooth brushes. The children didn’t brush their teeth today.
There was one climber that measured more than 18 inches and is placed on grass. There was no ground surfacing, as required.
A (REDACTED) old was observed sleeping on a cot. Children under 15 months have to sleep in a playpen or approved crib.