Cited finding
Emergency medications readily available
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Home › MA › Ayer › Ayer Kiddie Depot
License #P-169736 · Center · Center-Based Care
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Emergency medications readily available
During the visit, the child's [REDACTED] was not easily accessible while outside, as it was in the classroom.
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Data synced from Massachusetts Department of Early Education and Care on Jul 10, 2026 · Source records · Report an error
Emergency Evacuation - R Apr 2025
During the visit, it was learned that the Licensee conducts staff observations by viewing live camera footage. There wasn't documentation of observations on site. Supervision must include in-person observation of educators while working with children at least every two months by a staff member with a lead teacher, site coordinator, or higher qualifications.
Injury Prevention
Staff Supervision
During the visit, it was learned that educators use a waterless bottle warmer to warm breast milk. Per the EEC bottle-warming policy, programs caring for infants must not use bottle-warming appliances to warm infant bottles.
There wasn't evidence of the Director holding practice evacuation drills with all groups of children and all educators from each floor level of the approved space at least monthly. There wasn't documentation of dates, times, exit routes used, the number of children evacuated, or the effectiveness of each drill.
During the visit, an unqualified educator supervised three infants on the playground.
Ratios
At the time of the visit, the following was noted: 1. The Toddler Classroom was staffed with one certified educator and one assistant educator; the certified educator left the classroom, leaving an unqualified educator out of the ratio with eight toddlers. 2. An assistant educator was supervising a child in the hallway bathroom. An assistant educator must always work under the direct supervision of at least a qualified educator.
Attendance Recording and Group Sizes/Ratios
Opportunities to foster independence and self help skills
There wasn't evidence of a sufficient quantity and variety of materials and equipment to engage all toddlers present in the program.
Current consent for administered medications - R Apr 2025
Outdoor Space - R Apr 2025
Indoor Space
The electric cord in the School-age classroom wasn't safely secured.
There wasn't adequate depth of an impact-absorbing material (mulch), around playground equipment.
A child with chronic medical concerns did not have a signed medical consent on file.
This monitoring outside differential licensing cycle visit inspection recorded no violations or advisories.
Through a review of Individual Health Care Plans the following was found: [REDACTED] needs did not have a completed IHCP. Another child had a signed consent form for [REDACTED] however the program did not have the medication.
Individual Health Care Plan (IHCP) - R Apr 2025
Emergency Evacuation Logs
The program has not been conducting practice evacuation drills.
While reviewing a random number of Individual Health Care Plans (IHCP's)it was noted that not all of the required regulated information was on at least two of the plans, and there was no evidence of parent consent on one.
Allergies, medical info, special diets, emergency medications; privacy protected
Staff Records - R Apr 2025
Through a review of eight staff files the following was noted: 1) One file did not have evidence of an application or resume 2) Two files did not have evidence of the date that the applicant was interviewed. 3) Four files did not have evidence that two verbal references were completed 4) Four files for staff who have been employed at the program more that’s 6 months did not have evidence of current First Aid certification. 5) Six files did not have evidence of current professional qualifications(PQ) registries. 6) Four files for staff members who have been employed for more than a year, did not have current annual evaluations 7) All staff files did not have evidence that bi-monthly observations and supervision are being consistently completed. 8) One file did not have evidence that the staff member was orientated to the program prior to providing care to the children.
Documentation of medication administration; Current consent for medications
During an inspection of the infant/toddler and preschool playgrounds and outdoor facility, the following was noted: 1) The impact absorbing poured tiles in the infant/toddler playground were beginning to lift, potentially causing a tripping hazard to children. 2) A gas pipe that has been installed at the program within the infant/toddler playground was exposed and accessible to children. 3) The metal door to the entrance of the program had rust on the lower portion of the door that is accessible to the children.
Protection from windows, stairwells, and kitchen.
Medication Storage; Medication Container/Label
Individual Health Care Plan (IHCP) - R Apr 2025
Emergency medications readily available
Evacuation procedures posted at each exit; Exit signs and diagrams as required
Equipment is clean, safe, secured, and poses no hazard.
Playground free from hazards; fenced if applicable
At the time of the visit, there was one tall book shelf in the school age classroom that was found unsecured.
At the time of the visit, the Licensing Specialist observed a window opened for ventilation in the school age classroom on the 2nd floor. The screen to this window had a hole in it.
Although the allergy posting was protected in a manner that protected the privacy of the children, it was not current to the children enrolled in each classroom. The posting in the toddler classroom listed that three children in that classroom had chronic health needs, however that was not the case.
At the time of the visit, evacuation procedures were not posted at all exits. One evacuation procedure was not posted next to one of the exits in the 2nd floor gross motor classroom, and one procedure was not posted next to one of the exits in the preschool classroom.
For children who were prescribed emergency medications, there no evidence that the program had a signed medication consent on file for such.
On the day of the visit a [REDACTED] label for two medications [REDACTED] for a school age child was not current and an [REDACTED] that was prescribed for another school age child was not stored in it's original box with the [REDACTED] label affixed to it.
Through a review of children’s emergency medications it was learned that a medication prescribed to a child in care was not available at the program during the visit time.