Cited finding
Current consent for administered medications
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Home › MA › Lawrence › Toledo, Altagracia
License #P-183220 · Home-based · Family Child Care
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Current consent for administered medications
Individual Health Care Plans
The educator needs an individual health care plan for a child with a diagnosed allergy.
The educator needs the parental authorization for a prescribed Epi-Pen.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
This monitoring visit inspection recorded no violations or advisories.
This monitoring visit inspection recorded no violations or advisories.
1. Two children’s records reviewed had expired enrollment papers. 2. One child’s record reviewed had an expired physical . 3. One child record reviewed did not have a current and completed individual health care plan for a diagnosed medical condition.
The refrigerator temperature tested 28*F degrees below the minimum of 32*F degrees allowed per regulation.
The educator did not have evidence of age appropriate activities or a weekly curriculum plan with age appropriate activities.
Progress Reports
The licensor observed that educator did not exercise good judgement when she had an unapproved person helping/interacting with the children, during this visit.
Attendance Logs
Staff Records
Space (health risks) - R Apr 2025
Exit Safety
Allergy List
The educator did not have a completed individual health care plan for a child [redacted] .
Progress Reports
1. There is a TV/cable cord accessible to children in the activity room. 2. There is a speaker cable accessible to children in the daycare room. 3. The educator’s [redacted] left [redacted] handbag accessible to children in the activity room.
The educator and the certified assistant, Yojanny Soto has an expired First Aid training on 8/15/2022.
This monitoring visit inspection recorded no violations or advisories.
The [REDACTED] left her handbag inside a child's cubicle accessible to children.
Space - Toxic Substances
There was a Lysol spray and 2 antibacterial bottles accessible to children in the daycare room.
Indoor Space - free of hazards
Children's Records - R Apr 2025
Refrigerator Temperature
Supervision - Judgement
Evidence of plan for developmentally appropriate curriculum and activities
The educator did not have an accurate attendance at the time of this visit. The educator had 4 children’s arrival times documented but another 4 children present were not documented.
The educator did not have current progress reports as required. 7 children’s records reviewed did not have documentation of progress reports.
The assistant record, has an expired physical and expired CPR on 2/12/2023
The educator did not have an up to date allergy list posted. A child [redacted] was not documented on the allergy list at the time of this visit.
CPR/First Aid - R Apr 2025
Evacuation log
One child’s record reviewed did not have current progress report at the time of this visit.
Childrens Records - R Apr 2025
Attendance
1. The educator did not document evacuation practices for the month of May, June, July and August, and using both exit doors. 2. The educator is not documenting the monthly alarm testing of all alarms for this year.
The educator did not have an attendance records for the certified assistant at the time of this visit.
There is a large TV standing up against the wall in the secondary exit accessible to children. At the bottom of the interior stairway exit.