Cited finding
The educator did not have a medication consent form for one child.
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Home › MA › West Barnstable › Seixas, Larissa A
West Barnstable MA 02668 · License #P-182299 · Home-based · Family Child Care
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The educator did not have a medication consent form for one child.
Current consent for administered medications
Children's Records
Persons on Premises
Space (indoor / outdoor hazards)
A selection of the children's records were reviewed, one child needs proof of an updated physical.
Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
The educator's assistant did not have documented time in/out from 03/31-04/06.
The outdoor gate at the bottom of the stairway was broken. The rod on the back of the door was broken.
Progress Reports
Five of the children's records were reviewed, one child needs an annual update form and another child needs an updated physical.
Five of the children's progress reports were reviewed, one child needs an updated progress report and two children need a completed progress report.
The educator did not have an evacuation drill documented for the month of November.
The educator did not have a life-saving medication easily and readily on the premises available for the child
Space (indoor / outdoor hazards)
Children's Records
Emergency Preparedness
Injury Prevention
Supervision
A child had a coin battery in their hand. Licensor observed it and asked the child for it. The child gave the battery to the licensor. The licensor had to inform the assistant who was in close proximity to the child that the child had the battery in their hand.
The back exit storm door closer was broken. The outdoor area gates were unlocked. One gate allowed access to the remainder of the yard to include a trampoline, deck stairs, a fire place and leaf blower. The other gate was opened to the underground pool, the pool was covered. The pool cover had sitting water on top of it.
Attendance Logs
Emergency Preparedness
The staff record did not include the assistant's training certificates or proof of immunizations.
Staff Records
Progress Reports
The attendance for today did not include two children who were present, as well as the assistant.
Three of the children's progress reports were reviewed, one child needs an updated progress report.
The educator did not have an evacuation drill documented for the month of August. The educator documented the drill during the visit.
Staff Records
The side exit route was being obstructed by an unraveled water hose. The front door exit route was being obstructed by a large work van.
The educator did not have a completed staff record for the assistant staffing the program. The record did not include the assistant's medical form or completed trainings. The assistant's license and CPR/First Aid certificate was also not printed but the assistant was able to show licensor on their phone an electronic copy.
The child-specific required posting did not include a life-saving medication for a child, as well as two additional the (REDACTED) to.
Children's Records
Attendance Logs
Progress Reports
Required Postings - Child Specific
Administration
Current consent for administered medications
Space (health risks)
Exit Safety
Six of the children's records were reviewed. One child needs proof of lead testing, and one child needs an annual update form.
The educator did not have the attendance completed for today for the children present.
Six of the children's progress reports were reviewed; two children need an updated progress report.
The regular assistant was unaware of the location of the children's records and was unaware of how to accurately document the attendance. The regular assistant was receiving orientation and assistance from a household member.
The educator did not have a written parental consent for an (REDACTED) for a child with a food allergy.
In the refrigerator in the licensed space there were several bottles/cans of alcohol in reach of the children. The refrigerator has a lock but it was not locked allowing access to the children. A bag with a dirty diaper was hanging from the outside back exit door.
This follow-up visit inspection recorded no violations or advisories.
Attendance Logs
The educator did not have an individual health care plan for a child with asthma.
Current consent for administered medications
There are seven child who did not have an updated progress report.
Evacuation Logs
The educator did not have an asthma inhaler on the premises for a child with asthma.
First Aid Kit
The attendance did not reflect four of the children who were present. The educator is not accurately documenting the time in/out of the school aged children.
Progress Reports
Space (health risks)
In the refrigerator in the licensed space there were several bottles/cans of alcohol in reach of the children. An air freshener was observed to be in reach of the children.
Suitable barriers
Individual Health Care Plans
Safe Sleep
The educator does not have a medication consent form for a child who requires an inhaler for their asthma.
Space (indoor / outdoor hazards)
Injury Prevention
The educator has not documented their assistants attendance since 4/14/25.
The educator did not have the child specific required posting for two children with an allergy and one child with medication for asthma.
Napping Materials
The educator did not have the assistant's medical form or trainings completed.
The outdoor stairway in the outdoor play space space did not have a barricade, barricading the stairway.
Exit Safety
The evacuation route through the back of the home was not clear. The stairs had sand and debris from construction being done on the home.
The basement did not have a smoke or carbon monoxide detector installed. Under the sink in the bathroom there were plastic bags and diaper cream accessible. In the outdoor space, the gate to the outside of the fenced in play area was open allowing access to the remainder of the yard with hazards including but not limited to building materials and a trampoline. The gate to the inground pool was open allowing access to the pool.
The educator is not alternating exits on a monthly basis when conducting the evacuation drills.
All of the children's records were reviewed. Four children need updated annual forms, four children need updated physicals.
One of the pack and plays being used for napping materials did not have the original mattress and the other had the original mattress but was broken.
Children's Records
Required Postings - Child Specific
Staff Records
The first aid kit did not include all of the children's medical emergency cards.
Persons on Premises
A five month old was observed to fall asleep in a pack and play with a soft mattress and playmat. A piece of plywood was under the original mattress.
In the bathroom under the sink, plastic bags were accessible, hand sanitizer on top of the sink and a trash can with no lid. In the playroom, the toy kitchens were not secured posing a tipping hazard.
The six children present record's were reviewed. Three children did not have their annual update form, three children did not have current physicals, three children did not have their lead testing and one child did not have their vaccines.
Progress Reports
Childrens Records - R Apr 2025
Chipping and Peeling Paint
Infection Control/Hand Washing - R Apr 2025
Space (indoor / outdoor hazards) - R Apr 2025
Space (health risks) - R Apr 2025
All of the children's progress reports were reviewed, four of the children required an updated progress report.
The stairwell leading to the outdoor space was observed to have chipping and peeling paint.
The educator was observed to change a child's diaper and not wash the child's hands after diapering.
In the outdoor area, the two gates of the fenced in area were open to the remainder of the yard with hazards. In the fenced in area, their was broken wood pieces, small rocks which could pose a chocking hazard exposed from the lifted grass, a flipped over basketball hoop and an aluminum tube. The bottom of the stairs did not have a gate.
The second exit has several hoses and wires in the exit path causing an obstruction.
The children's records were reviewed, there were three children's progress reports which were not observed to be completed.
Exit Safety
Progress Reports
Space (indoor / outdoor hazards) - R Apr 2025
In the bathroom, there was a small plastic trash bag roll and an air freshener accessible to the children. In the outdoor space, there is a slide which measures over 18 inches and does not have a fall zone.
One child’s file was missing the annual update.
Parent Handbook
There were cleaning products accessible to children in the cabinet under the sink in the bathroom . There were plug in fresheners accessible to children in the playroom.
There was peeling paint by the stairway leading to outdoor space.
Indoor Hazards
Chipping and Peeling Paint
There was no written plan for emergency situations.
The water temperature from the faucet n the bathroom exceeded 120 degrees. It was 125 degrees.
Electric outlets covered, no frayed electrical cords
The windows didn’t have screens.
There was a gas can accessible to children at the front exit.
Children’s attendance were documented appropriately. However, the assistant’s attendance was incomplete.
There was one uncovered outlet. The educator covered the outlet during the visit.
First Aid Kit is not set up to take outside. Children’s emergency cards were missing from the kit.
Emergency Preparedness - R Apr 2025
Attendance Logs
Water Temperature
Windows
Outdoor Playspace - Hazards
Parent handbook was not completed.
Children's Records - R Apr 2025
First Aid Kit (FCC)
The Educator didn’t have a first aid kit in the new space, as required.
The Licensor didn’t observe an emergency list posted, as required.
Outdoor Playspace - Hazards
First Aid Kit (FCC)
Required Postings - R Apr 2025
Exits (two exits)
Electric outlets covered, no frayed electrical cords
Indoor Hazards
Both exits didn’t have the exit sign posted, as required.
All outlets were not covered and accessible during today’s visit, as required.
Five shelves weren’t bolted and could pose a tipping hazard.
The Educator is covering the entire play area with artificial turf but this hasn’t been completed. There are some areas were cement is accessible.