Cited finding
The first aid kit did not include one of the children's emergency cards or thermometer.
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Home › MA › East Falmouth › Dayanne Guimaraes Ramos Pinheiro
East Falmouth MA 02536 · License #P-260991 · Home-based · Family Child Care
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The first aid kit did not include one of the children's emergency cards or thermometer.
All of the children's records were reviewed, two children with allergies did not have an individual health care plan.
In the indoor space, a charging wire was loose and accessible to the children. The first aid kit included two epi-pens which were accessible to the children under the sink in the bathroom. In the outdoor space, a large tarp was hanging over the fence with sitting water and two other toys also had sitting water.
First Aid Kit (FCC)
Progress Reports
Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Evacuation Logs
Children's Records
Required Postings - Child Specific
Medication Administration Policy
Current consent for administered medications
Space (health risks)
All of the children's progress reports were reviewed, five of the children enrolled need a new or upgraded progress report.
The educator is not documenting the length of time of the evacuation drills.
The educator did not have the child specific posting for two children with allergies.
The educator did not have an epi-pen prescribed to a child with a food allergy. The educator had the tester epi-epn.
The educator did not have a medication consent form for two children with allergies.
The educator provided care for more than the maximum number of children indicated on their license on the following dates: 10/06/2025, 10/17/2025, 11/26/2025, and 12/08/2025. The educator provided care for seven children and the educator's licensed capacity is for six children
The educator was observed to use a napping mat as a diapering surface for diapering the children. Diapering surfaces cannot be used for any other purposes.
Attendance Logs
Program Capacity
Diapering & Toileting
Indoor Hazards
Heating Safety - Heating sources
Hand Hygiene
The educator did not have the attendance documented for today. The educator completed the attendance for today during the visit. The educator is not accurately documenting the time in/time out time for two children who attend school part time during the day and return to the program. The educator did not document the attendance of one child present in the program on 10/06/25, 10/17/25 and 12/08/25.
In the bathroom, the cabinet under the sink had a safety lock but it was not functioning allowing access to personal hygiene items, air freshener, lotions and cough drops.
The radiator in the kitchen was not properly barricaded. The current barricade has large enough openings for the children to access the radiator.
The educator did not wash the children's hands after diapering.
Equipment, materials and furnishings - Play Materials
The wooden play kitchen was not secured posing a tipping hazard. The corners of the toy storage shelves were not protected.
The radiators are not properly barricaded. The barricaded has large enough openings for the children to access the radiator.
Carbon Monoxide Detectors
Smoke Detectors
Heating Safety - Heating sources
The educator does not have a carbon monoxide detector installed on the basement level. The carbon monoxide detectors on the first floor were tested and functioning.
The educator does not have a smoke detector on the basement level. The smoke detector on the first floor was tested and functioning.
Children's Records
The educator did not have the required emergency posting for a child with a food allergy.
In reviewing all of the children's records, three children did not have an annual form.
In the bathroom under the sink, there were various cleaning supplies and sprays accessible.
First Aid Kit
Required Postings - Child Specific
Space (health risks) - 1
Care of young children - Feeding Infants and Toddlers
The first aid kit was missing two emergency medical cards and one card was incomplete.
The children were observed to drink milk out of bottles without being held.
All of the children’s records were reviewed, one child did not have a lead testing and one child had an expired physical.
The outside fenced in square footage did not meet the minimum requirements of 450 squared feet.
Space (health risks) - 1
Space (indoor / outdoor hazards) - 1
The first aid kit was missing the scissors and instant cold pack.
The educator is not alternating exits on a monthly basis while completing the evacuation drills.
The educator was observed to go to the second floor of the home with her child and left the other children on the first floor unattended. The second floor is not licensed space.
In the bathroom, disinfectant Clorox wipes were accessible on top of the toilet.
The outdoor fenced in area had a slide which measured over 18 inches and did not have the appropriate ground surfacing. The fence height did not meet the minimum height requirement of four feet.
Childrens Records - R Apr 2025
First Aid Kit
Evacuation Logs
Supervision
Outdoor Space - Square Footage