Cited finding
The exit on the first floor did not have an exit sign posted.
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Home › MA › Teaticket › Ingram, Heidi
License #P-175876 · Home-based · Family Child Care
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The exit on the first floor did not have an exit sign posted.
Children's Records
Injury Prevention
Emergency Preparedness
Current consent for administered medications
Two of the children's records were reviewed, one child did not have an individual health care plan for a food allergy.
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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 did not have an epi-pen on the premises, easily and readily available for a child with a food allergy.
The educator did not have a medication consent form for a child with an epi-pen prescription.
Adult-Child Ratios
Handwashing
The stairs to the first floor were not barricaded. There were children under 3 years old The educator has been cited for this twice before.
Safe Sleep
EEC Licensor observed the assistant changing a diaper when she arrived. The assistant did not wash her hands or the child’s hands after diapering. The educator was also observed changing a diaper; she did wash her hands but did not wash the child’s hands at the sink with soap and running water. She did wipe the child’s hands with a wet wipe.
Stairways
Children's Records
Children's Records - R Apr 2025
Required Postings - Child Specific - R Apr 2025
Emergency Preparedness - R Apr 2025
Provider did not conduct an evacuation drill for the month of January 2024.
The provider did not have exit signs posted at the exit doors.
First Aid Kit
One child enrolled has a medication allergy, the provider did not have the child specific posting.
The provider reported their pet could not receive immunizations due to allergic reaction. The provider was asked to provide documentation from the pets vet.
In the living room space, there was a hanging phone charging wire accessible to the children and a cleaning spray.
Progress Reports
Two of the children's progress reports were not up to date.
Space (health risks) - R Apr 2025
The Educator did not have documentation of the emergency preparedness plan. Please send proof of plan.
Emergency Preparedness - R Apr 2025
This investigation inspection recorded no violations or advisories.
The Licensor observed two cords in the kitchen area that are accessible and could pose a hazard to the children. The Licensor observed a shelf in the infant area that wasn’t bolted and could pose a tipping hazard.
The Educator has one dog. Please forward the dog’s current health records.
Indoor Space - free of hazards
Pets
Records for the 10 enrolled children were reviewed. Two of the children's records did not have proof of current physical, immunizations, and lead screening.
The certified assistant was alone with 7 children when licensor first arrived. None of the children were school-aged. She reported the educator had run to the store to get milk. The educator arrived about 10 minutes after licensor arrived. The educator has been cited for this before.
There was a (REDACTED) observed to be sleeping in a bouncy seat with blanket on top of him.
Evacuation Logs
The assistant was observed to change the children's diaper and not wash the children's hands after diapering.
Pets licensed / vaccinated / safe
Handwashing
All of the children's records were reviewed. One child did not have their lead testing.
The first aid kit was missing the children’s emergency medical cards.