The Learning Ladder Child Care Center, LLC

Critical Incidents and Required Notifications

“1103.C.1. Based on record review and interview at 4:15 p.m., S1 failed to provide documentation that the Department was notified within 24 hours of the following critical incident: On 12/18/2025, at 11:00 a.m., S1 was notified by S25 that C1, age two-years-old, lost his balance and fell on his arm. C1 was taken to the doctor and it was determined his arm was popped out of socket and fractured.”

Rule 1103.A.-C.

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

“1807.B. Based on record review at 4:00 p.m., S1 failed to have documentation of eligible staff CCCBC determination available for S25 (DOH 12/18/2025) on the center’s CCCBC roster at all times. This was not corrected prior the Specialist departure.”

Rule 1807.B.

Orientation Training

“1719.B. Based on observations at 11:00 a.m., S1 failed to have documentation that S20 and S21 completed the DCFS online Mandated Reporter training within seven days of the first day present at the center. S20’s first day present at the center was 10/22/2025, but the Mandated Reporter Training was completed on 11/17/2025. S21’s first day present at the center was10/27/2025, but the Mandated Reporter Training was completed on 11/07/2025.”

Rule 1719.A.-C.

Rest Time - Minimum Child to Staff Ratio

“1711.F. Based on observations at 1:50 p.m. S1 failed to ensure the required staff was present in the building during rest time to satisfy child/staff ratio. The Specialist observed 5 staff and 44 children (9 infants, ten 1-year-old, and twenty-five 2 to 3-year old children) present, two additional staff was needed to meet the ratios of the children present at the center.”

Rule 1711.F.

CPR and First Aid Certifications

“1723.F Based on observation at 2:45 p.m., S1 failed to ensure S14 (DOH 10/8/2025) had current CPR/PFA certification approved by the Department prior to assuming sole responsibility for any children. The Specialist observed S14 supervising 25 children ages two to three-year-old during nap time. This was not corrected as S14 then went into the classroom with 8 two-year-olds.”

Rule 1723.F.

Room Capacity

“1903.D.5. Based on observations at 1:50 p.m., S1 failed to ensure the number of children using a room was exceeded based on the 35 square feet per child requirement. The Specialist observed that Classroom 2 can accommodate 8 children, but 9 were present.”

Rule 1903.D.5.

Orientation Training

Rule 1719.A.-C.

Room Capacity

“1903.D.5. Based on observations at 11:15 a.m., S1 failed to ensure the number of children using a room was exceeded based on the 35 square feet per child requirement. The Specialist observed that Classroom 2 can accommodate 8 children, but 10 were present.”

Rule 1903.D.5.

Orientation Training

“1719.A.B. Based on observations at 11:30 a.m., S1 failed to have documentation that S3 completed the LDE Key Training Module 1 and the DCFS online Mandated Reporter training within seven days of the first day present at the center. S3’s first day present at the center was 6/24/2025. The DCFS Online Mandated Reporter training and the LDE Key Training Module 1 have not been completed as of today.”

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.F Based on observation at 9:00 a.m., S1 failed to ensure S3 (DOH 6/24/2025) had current CPR/PFA certification approved by the Department prior to assuming sole responsibility for any children. The Specialist observed S3 supervising eight children ages two to three years old. This was corrected when S6 transitioned to the classroom at 9:50 a.m.”

Rule 1723.F.