Little Blessings of Milton

Hand Washing

Rule 1911.K.

Health Services - Parental Notification

Rule 1915.B.&C.

Tornado Drills

“1921.E.: Based on record review at 12 p.m., S1 failed to have documentation of tornado drills that were conducted at least once during the months of March and April 2025. This could not be corrected during the inspection.”

Rule 1921.E.

Critical Incidents and Required Notifications

“1103.A.-C.: Based on record review/interview on 9/9/2024, at 11:30 a.m., S10 failed to immediately notify O1 and the Department within 24 hours of the following critical incident: On 8/29/2024, between 7:45 a.m.-7:55 a.m., O2 reportedly observed S2 push C1, one-year-old, to the floor and drag and pull C1 by the upper arm across the floor. S1 notified O1 and the Department on 9/9/2024.”

Rule 1103.A.-C.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review/interview on 9/9/2024, at 11:30 a.m., the daily attendance record for Staff and Owners, failed to be maintained to include S10’s arrival and departure time while in the center on 8/29/2024.”

Rule 1507.B.

Behavior Management Policy

“1509.8.A.a.b.: Based on record review/interview on 9/9/2024, at 12 p.m., although the childcare center has developed and implemented a behavior management policy prohibiting physical and corporal punishment, S2 (Date of Hire: 2/9/2024) used this prohibited method of discipline. On 8/29/2024, between 7:45 a.m.-7:55 a.m., S2 dragged C1, one-year-old, by his upper arm across the floor, while seated, back into the classroom to prevent him from leaving the classroom.”

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

Required Staffing - Director/ Director Designee

“1707.A.1.2.: Based on observation/record review on 9/9/2024, at 10:45 a.m., there failed to be a qualified Director who is an on-site full time staff person at the center during the day time hours of operation (prior to 9:00 p.m.) and responsible for planning, managing, and controlling the center’s daily activities, as well as responding to parental concerns and ensuring that minimum licensing requirements are met. S9’s last day present in the childcare center was 8/28/2024.”

Rule 1707.A.1.&2.

Strings and Cords

“1901.M.: Based on observation on 9/9/2024, at 10:45 a.m., strings and cords failed to be inaccessible to children under age four. The Specialist observed a loose CD cord hanging, within reach of 6, one-year-old, children in S4’s classroom. The cord was removed prior to the Specialist leaving the classroom.”

Rule 1901.M.

Staff Personal Belongings

“1901.P.: Based on observation on 9/9/2024, at 10:47 a.m., the personal belongings of center staff were accessible to children. Specialist observed S5’s purse on the classroom floor where there were 12, two-to-four-year-old, children present. S5 removed the purse prior to the Specialist leaving the classroom.”

Rule 1901.P.

Care of Children - Diapers

“1911.A.: Based on observation on 9/9/2024, at 11:35 a.m., S4 failed to change C3, one-year-old, diaper when it was wet. The Specialist observed C3’s diaper sagging and weighing down her shorts. S4 changed C3’s wet diaper prior to the Specialist leaving the classroom.”

Rule 1911.A.

Orientation Training

“1719.B.C.: Based on record review at 10 a.m., S1 lacked documentation that 2 of 10 staff, S4 and S9, received the required orientation with 7 and 30 calendar days of first day present at the center. S4’s first day present was 4/5/2024 and completed the LDE Key Training Module 3 on 5/13/2024 and S9’s first day present was 2/15/2024 and completed the LDE Key Training Module 1 on 3/12/2024.”

Rule 1719.A.-C.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.B.: Based on record review at 10 a.m., S1 lacked documentation that 1 of 9 staff, S3, completed the online child abuse and neglect Mandated Reporter Training provided by DCFS annually in 2023. S3’s most recent Mandated Reporter Training certificate is dated 12/1/2022.”

Rule 1727.A.-C.

Health Services - Parental Notification

Rule 1915.B.&C.

Food Allergies and Special Diets

“1919.C.: Based on record review at 9:30 a.m., C1 and C2’s food allergies failed to be posted in the food preparation area. Corrected during inspection.”

Rule 1919.C.

Tornado Drills

“1921.E.: Based on record review at 11:30 a.m., S1 failed to have documentation tornado drills conducted at least once during the months of March and April 2024.”

Rule 1921.E.

Daily Attendance Records - Children

Rule 1507.A.

Daily Attendance Records - Staff and Owners

Rule 1507.B.

Daily Attendance Records - Visitors

“1507.E.: Based on observation/record review on 7/13/2023, at 12:30 p.m., the center’s visitor’s daily attendance record failed to accurately reflect when a visitor was on the child care premises as O1 was present in the infant classroom with S12 and not signed in on the visitor log. O1 corrected.”

Rule 1507.E.

Child Records and Cumulative Files

“1515.A.1.f.: Based on record review on 7/13/2023, at 2 p.m., the cumulative file for 6 (C1, C2, C14, C15, C16, and C18) of 7 children failed to include the date of admission. 3 (C16, C17, and C18) of 5 children’s cumulative files failed to include special dietary needs, restrictions or food allergies or intolerances. C16, two-years-old, and C17, one-year-old, are served water, and C18, two-years-old, is served Lactaid, instead of milk, and there is no written statement in file.”

Rule 1515.A.1.

Special Diets

“1515.A.1.f.: Based on record review on 7/13/2023, at 2 p.m., the cumulative file for 8 (C1, C2, C14, C15, C16, C18, C19, and C20) of 8 children failed to include the date of admission. 3 (C16, C17, and C18) of 5 children’s cumulative files failed to include special dietary needs, restrictions or food allergies or intolerances. C18, two-years-old, and C17, one-year-old, are served water, and C16, two-years-old, is served Lactaid, instead of milk, and there is no written statement in file.”

Rule 1515.A.4.

Child to Staff Ratio

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

Staff Records and Personnel Files

Rule 1715.A.1,3.&4.

Photo Identification

“1715.A.2.: Based on record review on 7/13/2023, at 12:30 p.m., there failed to be a copy of a state or federal government issued photo identification available for review for S14, S16, S17, S18, S19, and S20. Based on record review on 7/28/2023, at 12:45 p.m., there failed to be a copy of a state or federal government issued photo identification available for review for S24 and S26.”

Rule 1715.A.2.

Orientation Training

Rule 1719.A.-C.

Medication Management Training

“1725.A.-D.: Based on observations/record review on 7/28/2023 at 11 a.m., the early learning center failed to have at least two staff members trained in medication administration and at least one trained staff member on the premises during the hours of operation.”

Rule 1725.A.-C.

End-of-Day Check

“1901.C.: Based on record review on 7/13/2023, at 12:30 p.m., there failed to be documentation the entire center and play yard were checked after the last child departed to ensure no child was left at the center. The end of day check failed to include the time of visual check and signature of the staff conducting the visual check on 7/3/2023, and 7/5/2023-7/10/2023.”

Rule 1901.C.

Infants - Car Seats

“1909.D.: Based on observation on 7/13/2023, at 12:30 p.m., S12 and S13 failed to obtain written authorization from a physician as required for an infant to sleep in a car seat or other similar device. Specialist observed C15, Infant, asleep in a bouncy chair on the floor. S12 stated staff spoke with the parent to provide a physician authorization, but is uncertain it was received.”

Rule 1909.D.

Daily Reports for Infants

“1911.E.: Based on record review on 7/13/2023 at 12:30 p.m., S12 and S13 failed to provide daily written or electronic reports, kept current throughout the day, for 4 of 4 infants. The written daily infant reports, dated 7/11/2023, for four infants were observed in the infant classroom and failed to be provided to the parents daily.”

Rule 1911.E.

Hand Washing

“1911.K.: Based on observation on 7/13/2023, at 2:45 p.m., staff failed to wash their hands using soap as needed. S17 changed a child’s diaper and failed to wash hands with soap. Staff corrected.”

Rule 1911.K.

Medication Authorization - Required Container/Packaging

“1917.B. Based on record review on 7/13/2023, at 1:30 p.m., C1’s prescribed Epinephrine single-dose syringe to be administered at the center for onset of anaphylaxis was not in the original pharmacy container with the complete pharmacy label.”

Rule 1917.B.

Infants Held While Bottle Fed

“1919.H.: Based on observation on 7/13/2023, at 12:30 p.m., S12 failed to hold, C14, Infant, while being bottle-fed. C14 was seated in a bouncy chair on the floor and the bottle was propped on a blanket. C14 was unable to hold the bottle with both hands.”

Rule 1919.H.

Tornado Drills

“1921.E.: Based on record review on 7/13/2023, at 2:30 p.m., there failed to be documentation of tornado drills conducted at least once during the month of May and June 2023.”

Rule 1921.E.

Critical Incidents and Required Notifications

Rule 1103.A.-C.

Child Records and Cumulative Files

Rule 1515.A.1.

Emergency Medical Treatment

“1515.A.2.: Based on record review/interview on 5/3/2023 at 12 p.m. there failed to be a written authorization signed and dated by the parent to secure emergency medical treatment for 2 of 10, C1, two-years-old and C2, one-year-old, children’s records reviewed.”

Rule 1515.A.2.

Child to Staff Ratio

“1711.A.&B.&D.&G.: Based on observation on 5/5/2023 at 1:15 p.m., S1 failed to meet the required child to staff ratio for children. Specialist observed S1 as the sole staff person supervising 1, one-year-old, and 6, infants. The required ratio for children of this age is 5 children per 1 staff person. 1 additional staff person was needed at all times to meet child to staff ratio. Ratio was corrected when S8 entered the classroom.”

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

Rest Time - Minimum Child to Staff Ratio

“1711.H.1.: Based on observation 5/5/2023 at 1 p.m., there was insufficient staff present on the premises during rest time to satisfy child to staff ratios and available to assist as needed. Specialist observed 4 staff (S1, S7, S8, and S11) present with 6 infants, 14, one-year-old children, 26, two-to-four-year old children. Rest time ratio was corrected when S4, S5, and S9 arrived at 1:25 p.m. 2 additional staff needed to be present on the premises at all times to meet rest time ratio.”

Rule 1711.F.

Supervision

“1713.A.B.&C.: Based on observation on 5/3/2023 at 3:54 p.m., staff failed to supervise a child at all times. Specialist observed S11, eleven-years-old, walk into the kitchen from the hallway and there was no staff present. Specialist alerted staff in the office and they removed S11 from the kitchen.”

Rule 1713.A.&B.&C.

Staff Records and Personnel Files

“1715.A.1.&3.: Based on record review on 5/3/2023 at 12 p.m., staff records for S4, S5, and S10 failed to have an application or information form that included their training, work experience, and educational background. Staff corrected by completing a Staff Information form.”

Rule 1715.A.1,3.&4.

Orientation Training

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.A.&B.: Based on observation/record review on 5/3/2023 at 2 p.m., all staff on the premises and accessible to the children failed to have a current certification in infant, child, and adult CPR through training approved by the Department. Staff are scheduled to complete training on 5/4/2023.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on observation/record review on 5/3/2023 at 2 p.m., all staff on the premises and accessible to the children failed to have a current certification in Pediatric First Aid through training approved by the Department. Staff are scheduled to complete training on 5/4/2023”

Rule 1723.C.

Strings and Cords

“1901.M.: Based on observation on 5/3/2023 at 11:15 a.m., strings and cords were accessible to children under age 4. Specialist observed two radio cords hanging from a shelf and within reach of 13, one-year-old children in S4 and S11’s classroom. Staff corrected prior to Specialist leaving classroom.”

Rule 1901.M.

Free of Hazards

“1903.C.: Based on observations on 5/3/2023 at 11:10 a.m., the indoor and outdoor area were not free of hazards. Specialist observed a teething necklace around C2’s, two-years-old, neck. Staff removed prior to the Specialist leaving the classroom. Specialist observed a 3-inch metal pipe/stake and rebar protruding from a wooden beam, buried in pea gravel, under the playset on the side play yard.”

Rule 1903.C.

Infant - Bibs

“1909.G.: Based on observation on 5/5/2023 at 1:15 p.m., S1 allowed a bib to be worn by an infant while asleep in a crib. S1 removed the bib.”

Rule 1909.G.

Hand Washing

“1911.K.: Based on interview on 5/3/2023 at 11:27 a.m., staff failed to wash the children’s hands with soap and water as needed. S10 brought 8, two-to-three-year old, children in from outside and sat them around the table for lunch to be served. When questioned if the children washed their hands, S10 stated she usually Germ-X’s the children’s hands after coming inside. S10 corrected by having the children wash hands with soap and water at the sink.”

Rule 1911.K.

Health Services - Observation

Rule 1915.A.

Health Services - Parental Notification

“1915.C.: Based on record review on 5/3/2023 at 4:30 p.m., staff failed to have documentation of immediate notification to the parent when the following occurred to a child: - On 4/17/2023 at 10:45 a.m., C3, one-year-old, fell and hit the back of his head and the parent was notified at 4:33 p.m., and - On 4/25/2023 at time unknown, C3 fell and hit his face causing a scrape on his chin and the parent was notified on 4/26/2023 at 4 p.m.”

Rule 1915.B.&C.

Medication Authorization - Required Container/Packaging

“1917.B.: Based on record review on 5/3/2023 at 12:20 p.m., C1’s, two-years-old, single dose EpiPen injectable syringe was in a Ziploc bag, labeled with C1 and C9’s name, and failed to include the prescription EpiPen’s original pharmacy container with complete pharmacy label.”

Rule 1917.B.

Emergency Medication Plan and Records

“1917.K.: Based on record review/interview on 5/3/2023 at 12:20 p.m., C1’s, two-years-old, Emergency Medication administration records for prescription EpiPen and non-prescription Benadryl failed to include the signature and date of signature of the parent, signature of administering staff member, S1, and phone contact with O1 after administering the emergency medication Benadryl on 4/26/2023 at 11:15 a.m.”

Rule 1917.K.

Food Service and Nutrition - Menu

“1919.A.&B.: Based on observation on 5/3/2023 at 12 p.m., the current weekly menu listing specific food items served for each day of the week failed to be prominently posted, written or electronically. S1 corrected by prominently posting the menu with substitutions in the lobby hallway.”

Rule 1919.A.&B.

Food Allergies and Special Diets

“1919.C.: Based on record review on 5/3/2023 at 12:15 p.m., although there is posted information with children’s allergies and special diets, the posted list failed to include C1’s, two-years-old, dairy allergy and C3’s, one-year-old, milk allergy. S1 corrected. On 4/26/2023 at 11:15 a.m., S10 failed to prevent C1 from accidentally ingesting milk after it was spilled into her lunch plate.”

Rule 1919.C.

Food Service and Nutrition - Choking Hazards

“1919.D.2.: Based on observation on 5/3/2023 at 11:29 a.m., thick chunks of half-sliced sausages, larger than what can be swallowed whole, were served to children under age 4. Staff corrected by cutting the meat into smaller pieces.”

Rule 1919.D.2.

Evacuation Pack

“1921.C.: Based on observations on 5/3/2023 at 4 p.m., the childcare center’s evacuation pack failed to include a list of area emergency numbers and emergency contact information and emergency medical authorization forms for all enrolled children.”

Rule 1921.C.

Tornado Drills

“1921.E.: Based on record review on 5/3/2023 at 4 p.m., S1 failed to have documentation of tornado drills that were conducted at least once per month during the months of March and April 2023.”

Rule 1921.E.