Cited finding
2 children's physicals are expired.
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Home › MA › Dorchester › Alvarado, Juana
License #P-176155 · Home-based · Family Child Care
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2 children's physicals are expired.
Children's Records
Five enrollment packets expired Two enrollment packets missing Three medical forms expired One medical form is missing
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
The educator is missing a child's [REDACTED] medication, and seven emergency cards expired
The licensor observed the children and assistants attendance logs are not documented with arrival and departure times.
Chipping and Peeling Paint
The educator is missing the carbon monoxide detector.
The educator's CPR and First aid expired 3/2/2025.
Progress Reports
The licensor observed water damage, mold, and chipping/peeling paint on the bathroom ceiling/wall.
Individual Health Care Plans
The educator could not provide the staff record for one of her assistants for review. Certified assistant [REDACTED] PQR expired on 1/28/25
Carbon Monoxide Detectors
CPR/First Aid - R Apr 2025
The educator is missing the individual health care plan for a child with [REDACTED].
Attendance Logs
First Aid Kit (FCC)
At the time of the visit, the educator could not provide the licensor with the children's progress report for review.
Children's Records - R Apr 2025
Required Postings - Child Specific - R Apr 2025
Staff Records
The educator is missing the required posting for a child with asthma
Screen on window in the baby room is torn. Wooden colored toy cube holder is not secured and could pose a tipping hazard.
Space (indoor / outdoor hazards) - R Apr 2025
1 enrollment packet is incomplete, 1 emergency card is not present and 1 physical is expired.
Children's Records - R Apr 2025
Refrigerator Temperature
Refrigerator temperature is 52 degrees Fahrenheit.
Two children’s medical records are due for update and one child does not have a medical record on file.
The educator has not documented the assistant’s attendance for the past two weeks.
Children's Records - R Apr 2025
The diaper changing mat is not impervious to water and it is stained with dark spots.
Diapering & Toileting - R Apr 2025
Attendance Logs
The children’s emergency cards are due for update.
First Aid Kit