Little Blessings Learning Academy

General Liability Insurance Policy

“1503.C. Based on record review on 09/23/2026 at 3:00 p.m., 11 of 11 children files reviewed had documentation that parents signed the following statement “I assume all financial responsibility for any treatment or injuries sustained by my child while he/she is in childcare” waiving the provider’s responsibility.”

Rule 1503.A.-D.

Daily Attendance Records - Children

“1507.A.1. Based on record review on 09/24/2026, at 12:00 p.m., S1 failed to ensure the daily attendance log for children included the name of the person to whom the children were released on 09/24/2026 for 47 of 95 children.”

Rule 1507.A.

Child to Staff Ratio

“1711.A.B.D.E. Based on observations on 09/23/2026 at 11:43 a.m., S1 failed to meet the required child to staff ratio for infants. The Specialists observed S5 caring for 10 children, ages 10-months to 1-years-old, alone. The required ratio for infants is 5 children per 1 staff person. One additional staff was needed to meet ratio. Ratio was met at 12:00 p.m. when S1 walked into the room.”

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

Non-vehicular Excursions - Minimum Child to Staff Ratio

“1711.I. Based on record review on 09/23/2026 at 2:20 p.m., S1 failed to ensure records of non-vehicular, off-site activities included the time, list of staff and other adults for the non-vehicular excursion on 10/31/2025, 02/13/2026, and 04/09/2026.”

Rule 1711.I.

Staff Records - Retention

“1715.C. Based on record review on 09/23/2026 at 2:30 p.m., S1 failed to have all current staff names and hire dates maintained in the LDOE electronic system, EdLink. S3, and S19 were not entered.”

Rule 1715.B.&C.

Independent Contractors Records

“1717.A. Based on record review on 09/23/2026 at 2:45 p.m. S1 failed to provide documentation on file for Independent Contractors, O1, O2, O3, O4, and O5, that included person’s name, address, phone number, list of duties performed while at the center.”

Rule 1717.A.

Orientation Training

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.A.&B. Based on record review on 09/23/2026 at 1:30 p.m., S1 failed to have documentation that 3 of 12 staff on premises and accessible to the children have current certification in infant and child CPR through training approved by the Department. S3, S6 and S10 did not have documentation of this certification.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C. Based on record review on 09/23/2026 at 1:30 p.m., S1 failed to have documentation that 3 of 12 staff on premises and accessible to the children have current certification in pediatric first aid through training approved by the Department. S3, S6 and S10 did not have documentation of this certification.”

Rule 1723.C.

CPR and First Aid Certifications

“1723.F Based on record review and observations on 09/24/2026 at 12:54 p.m., S1 failed to ensure S19 (DOH 09/08/2026) had current PFA certification approved by the Department prior to assuming sole responsibility for any children. The Specialists observed S19 supervising 5 children, 5 to 9 - months - olds. This was corrected prior to Specialist departure.”

Rule 1723.F.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A. Based on record review on 09/24/2026 at 2:30 p.m., S1 failed to have documentation that S6 and S16 completed the online child abuse and neglect Mandated Reporter Training provided by DCFS between June 1 and August 31 of the calendar year. S6 completed the online child abuse and neglect Mandated Reporter Training on 09/01/2026, and S16 completed the online child abuse and neglect Mandated Reporter Training on 05/28/2025.”

Rule 1727.A.-C.

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

“1807.B. Based on record review on 09/24/2026 at 1:30 p.m., S1 failed to have documentation of eligible staff CCCBC determination available for S12 on the center’s CCCBC roster at all times. This was corrected prior the Specialists departure.”

Rule 1807.B.

CCCBC-Based Determinations of Eligibility for Visitors and Contractors

Rule 1807.C.

Equipment

“1901.G. Based on observations during the walk-through on 09/23/2026 and 09/24/2026, S1 failed to have all of the center equipment used by children maintained in a safe condition and in good repair. The Specialist observed the children’s outdoor metal jungle gym broken and rusted in several places, an outdoor plastic caterpillar that was broken and cracked, and an outdoor seating area with ripped covers that exposed the cushioned foam material.”

Rule 1901.G.&H.

Outdoor - Enclosed

“1903.E.5. Based on observations on 09/23/2026 during the walk-through, S1 failed to ensure the outdoor play space lacked enclosure 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 Specialists were able to open the side gate by pulling it. The locking mechanism on the gate had a lock that prevented handle to be lifted to open/close properly.”

Rule 1903.E.5.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2 Based on observation on 09/23/2026 at 11:43 a.m., S1 failed to ensure the center’s cribs were free of toys or other soft or loose bedding (including comforters, blankets, sheets, bumper pads, pillows, stuffed animals and wedges) while the child was in the crib. The Specialists observed 9 children in their cribs with blankets during nap time. On 09/24/2026, the Specialists observed one child in a crib, sleeping, with a blanket.”

Rule 1907.E.2.

Pacifier Attached

“1911.G Based on observations on 09/23/2026 during the walk-through, S1 failed to ensure a pacifier was attached to a child. The Specialists observed 2 of 6 children with attached pacifiers on their clothing. On 09/24/2026, the Specialists observed one child being held by S1 with a pacifier attached to their clothing.”

Rule 1911.G.

Health Services - Observation

“1915.A. Based on record review on 09/23/2026 at 3:25 p.m., Although S1 documented observations when something was observed on children upon arrival to the center, there failed to be results including an explanation from parent and/or child documented for the following dates 08/06/2026, 08/07/2026, 09/09/2026, 09/10/2026, 09/11/2026, 09/14/2026, 9/15/2026, 09/16/2026, 09/17/2026, 09/18/2026, and 09/23/2026.”

Rule 1915.A.

Field Trip Visual Vehicle Check

“2107-B.1.-3. Based on record review on 09/23/2026 at 2:00 p.m. S1 failed to provide documentation that a face-to-name count was conducted prior to leaving facility for destination, when destination is reached, before departing destination for return to facility, and upon return to facility to ensure that no child was left, visual check times of when the vehicle was checked, and the signature of the person completing the visual check on the trip dated 12/18/2025.”

Rule 2107-B.1.-3.

CPR and First Aid Certifications

“1723.A.B.:Based on record review/interview at 10:00 a.m., S1 failed to have documentation that 2 of 21 staff members have current certification in infant, child, and adult CPR through training approved by the Department. S7 and S20 failed to have the infant, child, and adult CPR through training approved by the Department. S1 stated that a class is scheduled to be completed by 10/6/2025.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C Based on record review/interview at 10:00 a.m., S1 failed to provide 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. The Specialist observed that 2 out of 21 staff members, S7 and S20 , did not have current certification in Pediatric First Aid through training approved by the department.”

Rule 1723.C.

Medication Management Training

“1725.A.-C. Based on record review/interview at 10:45 a.m., S1 failed to have at least two staff members trained in medication administration whether the early learning center administers medication or not. S1 stated, she and S2 will be completing Medication Management training online on 10/2/2025.”

Rule 1725.A.-C.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A. Based on record review at 10:15 a.m., S1 failed to provide documentation that all staff completed the online child abuse and neglect Mandated Reporter Training provided by DCFS. The Specialist observed that 6 out of 21 staff members did not have Mandated Reporter training. S1(Expiration date: 9/24/2025), S7(Expiration Date: 2/5/2025), S12( Expiration Date: 9/27/2025), S15 (Expiration Date: 11/1/2023), S16 (Expiration Date: 6/11/2024), S17 (Expiration Date: 9/28/2025, and S21( Expiration Date: 9/27/2025) did not have Mandated Reporter training.”

Rule 1727.A.-C.

Bottled Formula/Breast Milk Properly Labeled

“1919.J. Based on observations/interviews at 9:30 am, S3 and S4 failed to have bottle formula/breast milk for infants labeled with the child’s name. The Specialist observed 4 out of 6 infants without labeled bottles. The Specialist informed S3 and S4 that bottles should be labeled for all children.”

Rule 1919.J.

Electronic Devices Policy

“1509.A.9.: Electronic Devices Policy- Based on observations/interviews on 5/22/2025 at 9:15 a.m., S3 and S4 failed to follow the Electronic Devices Policy. The Specialist observed television programming displayed in an infant classroom.”

Rule 1509.A.9.

Restrooms - Supervision

“1713.G.: Based on observations, on 5/22/2025, at 9:00 a.m.., S1 and S3 failed to maintain close proximity or accompany children while they were walking to the classroom. The Specialist observed one, four-year-old, (C1), wandering in the hallway near the front office, out of S1 and S3s sight. S1 and S3 did not provide adequate supervision for C1 while the child walked to the front of the center.”

Rule 1713.G.

Outdoor - Crawlspaces

“1901.J.K.: Items That Can be Harmful to Children- Based on observation/ interview on 5/22/2025 at 10:00 a.m., S1 failed to ensure items that can be harmful to children, such as: crawlspaces and mechanical, electrical, or other hazardous equipment shall be made inaccessible to children. The Specialist observed exposed electrical wires on the playground.”

Rule 1903.E.6.

Apparatus or Equipment

“1907.A.1.-2.: Apparatus or Equipment: Based on observations on 5/22/2025 at 9:45 a.m., S1 failed to ensure a manufacturer’s restraint device was available to be used by children in a one-year-old classroom. The Specialist observed a feeding table with one restraint device attached to the seating, other seats did not have any restraint devices attached. There were no footrest attached to the feeding table.”

Rule 1907.A.1.-2.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2.: Cribs Free of Toys and Other Soft or Loose Bedding: Based on observations on 5/22/2025 at 9:30 a.m., S3 and S4 failed to ensure center’s cribs were free of toys or other soft or loose bedding (including comforters, blankets, sheets, bumper pads, pillows, stuffed animals and wedges. The Specialist observed cribs with blankets and loose bedding.”

Rule 1907.E.2.

Infant - Bibs

“1909.G.: Infant Bibs: Based on observations on 5-22-2025 at 9:30 a.m., S3 and S4 allowed a bib to be worn by a child while asleep. The Specialist observed two infants sleep with bibs on.”

Rule 1909.G.

Pacifier Attached

“1911.G.: Pacifier Attached- Based on observation on 5/22/2025 at 9:45 a.m., S3 and S4 failed to ensure pacifiers were not attached to a child. The Specialist observed three infants with pacifiers attached to their clothing.”

Rule 1911.G.

Bottled Formula/Breast Milk Properly Labeled

“1919.J. Based on observations/interviews on 5/22/2025 at 9:30 am, S3 and S4 failed to have bottle formula/breast milk for infants labeled with the child’s name. The Specialist observed 4 out of 5 infants without labeled bottles. The Specialist informed S3 and S4 that bottles should be labeled for all children.”

Rule 1919.J.

Critical Incidents and Required Notifications

“1103.A.5.C.1.2.: Based on record review and interviews at 12 p.m., S1 failed to notify the Department and Child Welfare within 24 hours or the next business day of the following critical incident : On 12/4/2024, O1 informed S1 that C1, four-years-old, stated S5 hit him. S5 denied the allegations.”

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

Programs, Movies and Video Games Policy

“1509.A.9.: Electronic Devices Policy- Based on observations/interviews on 3-27-2025 at 10:00 a.m., S2 and S3 failed to follow the Electronic Devices Policy. The Specialist observed television programming displayed in an infant classroom.”

Rule 1509.A.11.

CPR and First Aid Certifications

“1723.A.B.: Based on record review at 11:45 p.m., S1 failed to have documentation that 4 of 16 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S7 (DOH:9-9-2015) and S14 (DOH: 9-9-2016), S15 (DOH: 5-8-2020), S16 (DOH:10-1-2018) failed to have the current certification. S1 stated she will schedule a class for 4/15/2025.”

Rule 1723.A.&B.

Pediatric First Aid

“1723. C.: Pediatric First Aid: Based on record review at 11:45 p.m., S1 failed to have documentation that 2 of 23 staff on the premises and accessible to children have current certification in Pediatric First Aid through training approved by the Department. S7( DOH:9-9-2015) and S14 (DOH: 9-9-2016), S15 (DOH: 5-8-2020), S16 (DOH:10-1-2018) failed to have the current certification. S1 stated she will schedule a class for 4/15/2025.”

Rule 1723.C.

End-of-Day Check

“1901.C.: End-of-Day Check-Based on record review at 11:00 a.m., S1 failed to have documentation that the entire center and play yard was checked after the last child departed to ensure that no child is left unattended at the center for 03-21-2025, 03-24-2025, 03-25-2025 and 03-26-2025.”

Rule 1901.C.

Infants - Positioning Devices

“1909.C.: Infants - Positioning Devices: Based on observation/interview at 10:00am, S1 failed to provide written authorization from a physician for two infants to use a positioning device. The Specialist observed two infants sleeping in a swing.”

Rule 1909.C.

Health Services - Observation

“1915.A. Health Services - Observation: Based on record review at 10:00 a.m., S1 failed to provide documentation of observations being documented when something is observed, noted on all children upon arrival to the center on 3-27-2025.”

Rule 1915.A.

End-of-Day Check

“1901.C.: End-of-Day Check-Based on record review on 2-13-2025 at 12:00 p.m., S1 failed to provide documentation of End-of-Day-Check. Results including date and signature of Staff member completing check has not been documented. The Specialist observed that the End-of Day-Check has not been completed since 2-5-2025.”

Rule 1901.C.

Items That Can be Harmful to Children

Rule 1901.J.&K.

Awake Children

“1911.D.: Awake Children-Based on observation on 2-13-2025 at 11:40 a.m., S6 failed to ensure awake children did not remain in a crib, baby bed, swing, high chair, carrier or playpen for more than 30 consecutive minutes. The Specialists observed 2 one-year-old children standing in cribs during rest time.”

Rule 1911.D.

Health Services - Observation

“1915.A. Health Services - Observation: Based on record review on 2-13-2025 at 11:35 a.m., S1 failed to provide documentation of observations being documented when something is observed, noted on children upon arrival to the center. Results including an explanation from parent and/or child were not documented. The Specialist observed that daily observations had not been completed by S6, S7, S8, S9 and S10 since 2-12-2025.”

Rule 1915.A.

Critical Incidents and Required Notifications

“1103.A.C. Based on record review/interview(s) at 12:30 a.m., S1 failed to notify the Department and Child Welfare within 24 hours of the following critical incident: On 6/5/2024, S24 informed S1 that O1 complained about welt marks on C1’s arm. O1 accused an adult of the injuries to C1’s arm. S1 suggested C1 go to the ER and she would pay for it.”

Rule 1103.A.-C.

Supervision Participation

“1713.E.F.: Based on record review and interviews on 08/27/2024, S7 (DOH 02/27/2024) failed to supervise children at all times. On 06/05/2024 at approximately 2:00 p.m., S7 was responsible for supervising a group of seven children ages 1-year-old in the classroom. S7 was listening to music with one earbud in her ear while her back was facing the children unaware of C2 ( 1-year-old) scratching C1 on the arm. S7 was placed on a 1-week suspension.”

Rule 1713.E.&F.

CPR and First Aid Certifications

“1723.AB: Based on record review at 2:30 p.m., S1 failed to have documentation that 2 of 23 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S7 (DOH 2/27/2024) and S12 (DOH 11/15/2024) failed to have the current certification.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review at 2:30 p.m., S1 failed to have documentation that 2 of 8 staff on the premises and accessible to children have current certification in Pediatric First Aid through training approved by the Department. S7 (DOH 2/27/2024) and S12 (DOH 11/15/2024) failed to have the current certification.”

Rule 1723.C.

CPR and First Aid Certifications

“1723.AB: Based on record review at 2:30 p.m., S1 failed to have documentation that 2 of 23 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S14 (DOH 8/19//2024) and S15 (8/19/2024) failed to have the current certification.”

Rule 1723.F.

CPR and First Aid Certifications

“Based on record reviewinterview at 1145 am S14 DOH 06272023 failed to have current certification in pediatric first aid and CPR within 60 calendar days from the date of hire and prior to assuming sole responsibility for any children S7 S12 S14 S17 are scheduled to complete the pediatric first aid and CPR training on 10232023”

Rule 1723.F.

Tornado Drills

“Based on record reviewinterview at 1130 am S1 failed to have documentation of tornado drills that were conducted at least once per month during the months of March April May and June S1 stated she could not find any tornado drills documented for 2023”

Rule 1921.E.