Gethsemane Christian Academy

Requests for CCCBC-Based Determinations of Eligibility

“1811.A.&B.: Based on record review at 12:40 p.m., S1 failed to have documentation of a CCCBC-based determination of eligibility (CCCBC) for S14 prior to them being present in the childcare facility and performing services at the center when children were present. S14’s date of hire was 1/05/2026; she was present at the center from 2/16/2026 to 9/08/2026.”

Rule 1811.A.&B.

CCCBC-Based Determinations of Eligibility for Child Care Purposes Required for Volunteers and Staff

“1807.B.: Based on observation and record review at 10:40 a.m., a CCCBC-based determination of eligibility for child care purposes from the Department failed to be obtained for S10 (DOH: 01/03/2026), prior to being present at the center or performing services. S10’s CCCBC-based determination status was “indeterminable”. S10 left the center at 10:50 a.m.”

Rule 1807.B.

CPR and First Aid Certifications

“1723.A.B.: Based on observation and record review at 10:00 a.m., S1 failed to have documentation that 2 of 18 staff, S4 and S7, on the premises and accessible to children, has a current certification in Infant, Child, and Adult CPR through training approved by the Department. S4 and S7 is scheduled to complete this training on 01/27/2026.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on observation and record review at 10:00 a.m., S1 failed to have documentation that 2 of 18 staff, S4 and S7, on the premises and accessible to children, has a current certification in Pediatric First Aid through training approved by the Department. S4 and S7 is scheduled to complete this training on 01/27/2026.”

Rule 1723.C.

CCCBC-Based Determinations of Eligibility for Child Care Purposes Required for Volunteers and Staff

“1807.B.: Based on record review at 10:30 a.m., S1 failed to have documentation of eligibility on the center’s CCCBC roster at all times for S9. S9’s first day working in the center was 12/05/2025. This was corrected during the inspection.”

Rule 1807.B.

Requests for CCCBC-Based Determinations of Eligibility

“1811.A.: Based on observation and record review at 09:45 a.m., S1 failed to have documentation of CCCBC-based determination of eligibility to be requested and obtained for S11, at least once during a five-year period. S11’s CCCBC expired on 01/07/2026 and she was present in the childcare center on 01/08/2026, 01/09/2026, and 01/23/2026. S11 departed the childcare center at 10:00 a.m.”

Rule 1811.A.&B.

Orientation Training

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.F.: Based on observation and record review at 9 a.m., S1 failed to ensure S22 had a current certification in pediatric first aid and CPR within 90 calendar days from the date of hire on 9/30/2025, and prior to assuming sole responsibility for 7 children, aged 2-years-old. This was corrected when S11, who is certified, entered the classroom.”

Rule 1723.F.

Critical Incidents and Required Notifications

Rule 1103.A.-C. From a complaint.

Behavior Management Policy

Rule 1509.A.8.a.&b. From a complaint.

Infants - Car Seats

“1909.D.: Based on observation, record review, and interview at 8:58 a.m., S9 and S10 allowed C1 and C2, 2-months-old, to sleep in a swing. S10 stated that C1 and C2 were asleep in the swings for approximately 20 minutes prior to the Specialist entering the classroom. S10 corrected and placed C1 and C2 on their backs in their cribs.”

Rule 1909.D. From a complaint.

Infant - Bibs

“1909.G.: Based on observation at 8:58 a.m., S9 and S10 allowed C1 and C2, 2-months-old, to wear a bib while asleep. S10 removed the bibs prior to the Specialist leaving the classroom.”

Rule 1909.G. From a complaint.

Daily Attendance Records - Children

“1507.A.: Based on observation and record review on 8/5/2025, at 10:30 a.m., S2 failed to ensure the center’s daily attendance record for children accurately reflected the children on the child care premises as there were 42 children present and 39 were signed in on the record. This was corrected during the inspection. The attendance record from 7/28/2025 to 8/4/2025 failed to include 1 arrival time, 15 departure times, and the first and last name to whom the children were released to 16 times.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review on 8/5/2025, at 3:30 p.m., S1 failed to maintain documentation of a daily attendance record for staff to include the departure time 20 times from 7/1/2025 to 7/29/2025. This could not be corrected.”

Rule 1507.B.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.B.: Based on record review on 8/5/2025, at 12 p.m., S1 failed to ensure 3 of 13 staff, S5, S9, and S10, completed the online child abuse and neglect Mandated Reporter Training provided by DCFS annually in 2024. This could not be corrected.”

Rule 1727.A.-C.

Requests for CCCBC-Based Determinations of Eligibility

“1811.A.: Based on observation and record review on 8/5/2025, at 10:30 a.m., S1 failed to request and obtain a CCCBC-based determination of eligibility for S19, (Date of Hire: 4/11/2024), at least once during a five-year period. S19’s CCCBC-Based Determination expired on 10/19/2024 and was allowed to continue working in the early learning center until she was terminated on 2/14/2025 for violating center policies.”

Rule 1811.A.&B.

Outdoor - Enclosed

“1903.E.5.: Based on observation on 8/5/2025, at 11 a.m., S1 failed to ensure the outdoor play space was enclosed with a permanent fence or other permanent barrier in a manner that protects children from traffic hazards, prevents children from leaving the premises without proper supervision, and prevents contact with animals or unauthorized persons. The Specialist observed the two gates on the side playground were broken and unable to latch closed, with one of the gates unattached and hanging at its hinge. This was not corrected during the inspection.”

Rule 1903.E.5.

Outdoor - Crawlspaces

“1903.E.5.: Based on observation on 8/5/2025, at 11 a.m., S1 failed to ensure the crawlspaces and mechanical, electrical, or other hazardous equipment were inaccessible to children. The Specialist observed an air conditioning unit with an open gate, unable to latch, while there were 12 children, ages 4-to-6-years-old, on the playground with S9. S1 corrected the gate on 8/11/2025.”

Rule 1903.E.6.

Health Services - Parental Notification

“1915.B.: Based on record review and interview on 8/11/2025, at 3 p.m., S1 failed to ensure documentation was completed for an incident involving C1’s (5-years-old) unusual behavior. Per staff interviews, on 7/17/2025, between 12:30 p.m. and 2:27 p.m., after 35 minutes of C1 screaming, running, and throwing classroom materials, S9 contacted O1 by Facetime to inform of C1’s uncontrollable behavior. S1, S2, and S10 were all called to assist S9 with C1’s behavior in the classroom and the hallway.”

Rule 1915.B.&C.

Food Service and Nutrition - Menu

“1919.B.: Based on observation and record review on 8/5/2025, at 11:50 a.m., S2 failed to ensure the menu substitutions or additions were posted, written or electronically, on or near the menus as the menu posted and dated 2024, listed spaghetti w/ meat sauce, sliced bread, corn, and mixed fruits, and the children were served pepperoni pizza, baby carrots, and orange slices. The menu was updated during the inspection.”

Rule 1919.A.&B.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.B.: Based on record review at 1 p.m., S1 lacked documentation that 4 of 20 staff, S1, S2, S14, and S20, completed the online child abuse and neglect Mandated Reporter Training provided by DCFS annually in 2023.”

Rule 1727.A.-C.

Infant - Bibs

“1909.G.: Based on observation at 9:19 a.m., S11, S12, and S13 allowed C1, four-months-old, to wear a bib while asleep. This was corrected prior to the Specialist leaving the classroom.”

Rule 1909.G.

Proper Lifting of a Child

“1911.I.J.: Based on observation at 11:40 a.m., S3 failed to lift C2, one-year-old, using proper lifting techniques, and lifted C2 by one arm.”

Rule 1911.I.&J.

Pediatric First Aid

“1723.C.: Based on observation/record review at 10 a.m., 1 (S21) of 16 staff members on the premises and accessible to the children failed to have current certification in Pediatric First Aid through training approved by the Department. S21 is scheduled to complete the training on 2/5/2024.”

Rule 1723.C.

Infant - Bibs

“1909.G.: Based on observation at 10:06 a.m., S18 and S15 failed to remove a bib worn by C11, infant, while asleep.”

Rule 1909.G.

Critical Incidents and Required Notifications

“1103.A.C.D. Based on interviews on 8/24/2023, at 1:30 p.m., S1 failed to notify DCFS Child Welfare and the Department within 24 hours of the following critical incident: On 8/3/2023 at approximately 11 a.m., O1, notified S1, on 8/3/2023, at approximately 10:15 a.m., C1, one-year-old, FaceTime’d her three times on an iPad from inside the classroom. During one of the video calls, O1 heard a staff person use a loud tone and profane language in front of children. S11 and S13 reportedly stated to the children, “Sit,” and “C-Sit.””

Rule 1103.A.-C.

Electronic Devices Policy

“1509.A.9.: Based on interviews on 8/24/2023 at 1:30 p.m., although the childcare center has an electronic device policy that prohibits electronic device activities for children under age two, on 8/3/2023, at approximately 10 a.m., S7, S11, and S12, allowed one-year-old children to view a video on the classroom iPad.”

Rule 1509.A.9.

Special Diets

“1515.A.4.:Based on record review on 8/23/2023, at 2:15 p.m., the childcare center failed to have a written statement from a healthcare provider for C6, one-year-old, who requires a special diet for medical reasons due to a milk and dairy allergy.”

Rule 1515.A.4.

CPR and First Aid Certifications

“1723.A.&B.: Based on observation/record review on 8/23/2023, at 10 a.m., all staff on the premises of the childcare center and accessible to children failed to have a current certification in infant, child, and adult CPR through training approved by the Department. S16 (Date of Hire: 08/03/2021) and S17 (Date of Hire: 01/09/2023) failed to have this certification.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on observation/record review at on 8/23/2023, 10 a.m., all staff on the premises of the childcare center and accessible to children failed to have a current certification in Pediatric First Aid through training approved by the Department. S16 (Date of Hire: 08/03/2021) and S17 (Date of Hire: 01/03/2023) failed to have this certification.”

Rule 1723.C.

Requests for CCCBC-Based Determinations of Eligibility

“1811.A.&B.: Based on record review on 8/23/2023 at 12 p.m., S1 failed to request and obtain a CCCBC-based determination of eligibility (CCCBC) from the Department conducted at least once during a five-year period for S9. S9’s CCCBC eligibility expired on 5/19/2023 and was present or performing services at the center while children were present from 5/19/2023 to 8/10/2023. S9 obtained a new CCCBC-based determination of eligibility for childcare purposes on 8/11/2023.”

Rule 1811.A.&B.

Strings and Cords

“1901.M.: Based on observations on 8/23/2023, at 9:45 a.m., strings and cords failed to be inaccessible to children under age four. Specialist observed projector cords loose and hanging within reach of 6, three-year-old children, in S3, S4, and S5’s classroom and 9, three-year-old children, in S8, S9, and S10’s classroom. Staff corrected.”

Rule 1901.M.

Free of Hazards

“1903.C.: Based on observations on 8/23/2023, at 9:43 a.m., the indoor area was not free of hazards. Electrical wall receptacles in S3, S4, and S5’s, three-year-old, classroom and S11 and S12’s, one-year-old, classroom were missing safety covers. Staff corrected.”

Rule 1903.C.

Health Services - Parental Notification

Rule 1915.B.&C.

Emergency Medication Plan and Records

“1917.K.: Based on record review on 8/23/2023, at 1 p.m., there failed to be an updated written plan of action for C1’s emergency medication, EpiPen and Benadryl. The written plan of action available for review is dated 4/6/2022.”

Rule 1917.K.

Food Allergies and Special Diets

“1919.C.: Based on record review on 8/23/2023, at 10 a.m., information regarding food allergies and special diets of children failed to be posted in the food preparation area and include C1’s, three-years-old, food allergy to shellfish, seafood, and nuts, C3’s, one-year-old, food allergy to oatmeal, and C6’s, one-year-old, food allergy to dairy and cow’s milk. S16 and S17 corrected.”

Rule 1919.C.

Non-vehicular Excursions - Parental Authorization

“2109.A.:Based on record review/interviews on 8/24/2023 at 1:30 p.m., S1 failed to obtain written parental authorization for all non-vehicular excursions. Staff stated on 8/3/2023, at approximately 10 a.m., one-year-old children in S11 and S12’s classroom were taken outside to the front driveway of the childcare center to visit inside the library book mobile. S1 stated the children visit the library book mobile monthly.”

Rule 2109.A.

Non-vehicular Excursions - Records

“2109.B.: Based on record review/interviews on 8/24/2023 at 1:30 p.m., S1 failed to maintain a non-vehicular excursion activity log for the children to include the date, time, list of children, staff and other adults, and type of activity. Staff stated on 8/3/2023 at approximately 10 a.m., the one-year-old children in S11 and S12’s classroom were taken outside to the front driveway of the childcare center to visit inside the library book mobile. S1 stated the children visit the library book mobile monthly.”

Rule 2109.B.