Lil Hearts and Hands

Child to Staff Ratio

“1711.D.3.&4.: Based on observations at 9:30 a.m., S1 failed to ensure child to staff ratio was met for the following group of children: 30 children, ages 2-to-3-years-old, with 2 staff, S5 and S6. The required number of staff to meet child to staff ratio for this group of children was 3. This was not corrected prior to the specialist leaving the classroom.”

Rule 1711.A.&B.&D.&E.

Orientation Training

“1719.B.: Based on record review at 10 a.m., S1 failed to provide documentation that 1 of 9 staff, S8 (DOH: 3/24/2026), received orientation within seven days of the first day present at the center. S8 failed to complete and have documentation for verification of Mandated Reporter training; Mandated Reporter training has not been completed, and should have been completed on or by 3/31/2026.”

Rule 1719.A.-C.

Orientation Training

“1719.B.: Based on record review at 1 p.m., S1 failed to provide documentation that 1 of 15 staff, S13, received orientation within seven days of the first day present at the center and prior to having sole responsibility for any children. S13 failed to have documentation for completion of the DCFS Mandated Reporter training.”

Rule 1719.A.-C.

CCCBC-Based Determinations of Eligibility for Visitors and Contractors

“1807.C.: Based on record review at 3:30 p.m., S1 failed to ensure a CCCBC-based determination of eligibility for child care purposes from the Department failed was obtained for each independent contractor, O1, O2, O3, and O4, prior to them being present at the center or performing services; S1 failed to have documentation of the staff member not otherwise counted in child to staff ratios who accompanied O1, O2, O3, and O4 at all times while on the center premises.”

Rule 1807.C.

End-of-Day Check

“1901.C.: Based on record review at 3 p.m., S1 failed to document that the entire center and play yard was checked after the last child departed to ensure that no child was left unattended at the center. Per center records, the last visual check of the center was completed on 3/26/2026.”

Rule 1901.C.

Critical Incidents and Required Notifications

“1103.A.5.C.1.2.: Based on record review and interviews at 11 a.m., S1 failed to notify the Department and DCFS within 24 hours of the following critical incident: On 9/9/2025, at 8:02 p.m., S1 received notification that O1 observed an unknown staff grab and fling C2, 2-year-old, by the arm at pickup earlier that day. The Specialist was unable to validate the allegation.”

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

CPR and First Aid Certifications

“1723.A.B.: Based on record review at 12 p.m., S1 failed to have documentation that 4 of 13 staff on the premises and accessible to children had a current certification in infant, child, and adult CPR through training approved by the Department. S5, S6, S7, and S12 failed to have the current certification. A class has not been scheduled.”

Rule 1723.A.&B. From a complaint.

Pediatric First Aid

“1723.C.: Based on record review at 12 p.m., S1 failed to have documentation that 4 of 13 staff on the premises and accessible to children had a current certification in pediatric first aid through training approved by the Department. S5, S6, S7, and S12 failed to have the current certification. A class has not been scheduled.”

Rule 1723.C. From a complaint.

CPR and First Aid Certifications

“1723.F: Based on record review and observations at 10 a.m., S1 failed to have documentation that S8 (DOH: 9/10/2025), S9 (DOH: 8/13/2025), and S10 (DOH: 9/22/2025) had a current certification in CPR and pediatric first aid within 90 days from the date of hire and prior to S8 assuming sole responsibility for 7 one-year-old children and S9 and S10 assuming sole responsibility for 8 infants-to-1-year-old children.”

Rule 1723.F. From a complaint.

Health Services - Observation

“1915.A.: Based on observations and record review at 10:15 p.m., S2 failed to document observations, when something was observed complete with an explanation from the parent and/or child, noted on children upon arrival to the center. The Specialist observed C1, 9-months-old, with a forehead injury covered with a bandage that failed to be documented. This was corrected during the inspection.”

Rule 1915.A. From a complaint.

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

“Based on record review at 11:15 a.m., a CCCBC-based determination of eligibility for childcare purposes from the Department failed to be obtained for S5 and S7, prior to them being present at the center or performing services. According to center records, S5 and S7s CCCBC-based determination of eligibility expired on 4/2/2024; both staff worked from 4/2/2024, until present, without a CCCBC-based determination of eligibility. S5 and S7 left the center premises at 11:20 a.m.”

Rule 1807.B.

Daily Attendance Records - Children

“Based on record review at 9:30 a.m., the center’s daily attendance record for children failed to accurately reflect the children on the childcare premises at any given time as 89 children were present and 83 children were signed in on the log. The log was not corrected prior to Specialist leaving the center.”

Rule 1507.A.

Electronic Devices Policy

“Based on observations/record review, S1 failed to follow the center’s Electronic Devices Policy as time allowed for electronic device activities for children ages 2 and above exceeded 2 hours per day with the exception that television, DVD, or video viewing shall be limited to no more than one hour per day. Specialist observed a group of 37 children, 5-to-12-year olds, engaged in electronic device activities from 9 a.m. until 12 p.m.”

Rule 1509.A.9.

Child to Staff Ratio

“Based on observations at 9 a.m., S1 failed to meet the required child to staff ratio for the following group of children: 15 children, ages 3-to-4-years-old, with 1 staff (S3). Children were shuffled around among classrooms, resulting in 13 children in S3’s group, satisfying ration requirements.”

Rule 1711.A.&B.&D.&E.

Posted Child to Staff Ratio in Classroom

“Based on observations at 9 a.m., the Department’s form noting required child/staff ratios failed to be posted in each room included in the center’s licensed capacity. S1 corrected this issue prior to Specialist leaving the center by ensuring ratio requirements were posted in all licensed classrooms.”

Rule 1711.C.

Field Trip - Record

“Based on record review, S1’s record of a field trip taken on 5/26/2023, was incomplete as it failed to include: the presence of each child each time the children entered or exited the vehicle, any other adults who attended the field trip, and the time of departure/time of arrival back at the facility.”

Rule 2105.E.

Field Trip Visual Vehicle Check

“Based on record review, documentation of the visual check of the vehicle used for a field trip taken on 5/26/2023, was incomplete as failed to include: the signature of the person conducting the check, the time the vehicle was checked, and the number of children present prior to leaving for and upon returning from the destination.”

Rule 2107-B.1.-3.

Daily Attendance Records - Children

“Based on record review at 9:30 a.m., the center’s daily attendance record for children failed to accurately reflect the children on the child care premises at any given time as 61 children were present and 55 children were signed in on the log. S5 corrected the attendance log prior to Specialist leaving the center and all children present were signed in and accounted for.”

Rule 1507.A.

CPR and First Aid Certifications

“Based on record review at 10 a.m., S1 failed to have documentation that all staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department.”

Rule 1723.A.&B.

Pediatric First Aid

“Based on record review at 10 a.m., S1 failed to have documentation that all staff on the premises and accessible to the children have current certification in pediatric first aid through training approved by the Department.”

Rule 1723.C.

End-of-Day Check

“Based on record review at 11:30 a.m., S1 failed to document that the entire center and play yard is checked after the last child departs each day to ensure that no child is left unattended at the center. According to center records, the last end-of-day check was completed on 3/23/2023. S1 stated the checks were completed, just not documented; the log was corrected prior to Specialist leaving the center.”

Rule 1901.C.