Mary Jo’s Play Place and Learning Center

Daily Attendance Records - Children

“1507. A.: Based on record review at 11:45 a.m., S1 failed to ensure the center’s daily attendance record for children accurately reflected the children on the child care premises at any given time. On 09/18/2026, S1 failed to sign out 3 children on the daily attendance log. On 09/21/2026, S1 failed to sign out 1 child, and failed to sign in two children for the afternoon as they were signed out in the afternoon.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review and interview at 11:45 a.m., S3 failed to maintain the center’s staff daily attendance record, as it failed to accurately reflect persons on the child care premises at any given time. S3 was present at the center, but was not signed in on today, 09/23/2026. S3 signed in prior to the Specialist’s departure.”

Rule 1507.B.

Supervision

“1713.A.&B.&C.: Based on observation at 11:38 a.m. and 12:43 p.m., S2 failed to have children supervised at all times. At 11:38 a.m., S2 brought a child to wash her hands, and left her class with 6 children ages two to four-years-old, unattended for approximately one minute. At 12:43 p.m., S2 left the classroom to grab a blanket in the back classroom and left her class with 7 children ages two to four-years-old unattended for approximately 20 seconds.”

Rule 1713.A.&B.&C.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.-C.: Based on record review and interview at 12:30 p.m., S1 failed to have documentation that 1 of 6 staff, S1, completed the online child abuse and neglect Mandated Reporter Training provided by DCFS between June 1 and August 31, 2026. S1’s first day working at the center was 03/09/2026. Her mandated reporter training date is 03/10/2026, and S1 stated she is unsure if she retook the training, and cannot currently access it.”

Rule 1727.A.-C.

Items That Can be Harmful to Children

“1901.J.K.: Based on observation at 11 a.m., S2 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a can of disinfectant spray in the two to four-year-old classroom accessible to the children on a low shelf. S2 removed the chemicals prior to the Specialist’s departure.”

Rule 1901.J.&K.

Strings and Cords

“1901.M.: Based on observation at 11 a.m., S2 failed to keep strings and cords inaccessible to children under age 4. The Specialist observed a cord hanging from the window unit accessible to the children in the two to four-year-old classroom. S2 moved the shelf in front of the cord to make it inaccessible to the children prior to the Specialist’s departure.”

Rule 1901.M.

Free of Hazards

“1903.C.: Based on observation and interview at 11 a.m., S1 failed to keep the indoor area free of hazards. The Specialist observed the door broken off and leaning against the doorframe in the two to four-year-old classroom. S1 removed the door out of the room prior to the Specialist’s departure.”

Rule 1903.C.

Apparatus or Equipment

“1907.A.1.-2.: Based on observation at 11:38 a.m., S2 failed to use the manufacturer’s restraint device when C2, two-years-old, was in the high chair. C2 attempted to climb out, and S2 removed her from the high chair.”

Rule 1907.A.1.-2.

Awake Children

“1911.D.: Based on observation at 11:35 a.m., S2 failed to keep awake children out of a high chair for more than 30 consecutive minutes. The specialist observed C1, two-year-old, in the high chair in the classroom for 35 consecutive minutes watching television. S2 removed C1 upon the Specialist’s request.”

Rule 1911.D.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation at 11:30 a.m., S1 failed to have bottle formula/breast milk for infants labeled with the children’s name. The Specialist observed 3 bottles for the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Daily Attendance Records - Children

Rule 1507.A.

Daily Attendance Records - Staff and Owners

Rule 1507.B.

Continuing Education Training

Rule 1721.A.-C.

Medication Management Training

“1725.A.-C.: Based on record review and interview at 12:30 p.m., S1 failed to have two staff members trained in medication administration whether the early learning center administers medication or not. S1 completed the training, but there was no documentation available showing another staff member was trained in the certification. S1 stated S5 took the medication administration class, but she does not have the certificate at the center for review.”

Rule 1725.A.-C.

Daily Attendance Records - Children

“1507. A.: Based on record review at 9:45 a.m., S1 failed to ensure the center’s daily attendance record for children accurately reflected the children on the child care premises at any given time. The Specialist observed 21 children present and 19 children were signed in on the log. S1 corrected this at 10 a.m.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review and interview at 10 a.m., S5 failed to maintain the center’s staff daily attendance record, as it failed to accurately reflect persons on the child care premises at any given time. S6 signed in on 03/31/2026, from 7:00 a.m. to 5:00 p.m., and the Specialist was present on 03/31/2026, from 9:15 a.m. to 12 p.m.; S6 was not present at all during the Specialist’s visit.”

Rule 1507.B.

CPR and First Aid Certifications

“1723.A.&B.: Based on record review of staff files at 10:30 a.m., S5 failed to have documentation that 5 of 6 staff on the premises and accessible to the children have current certification in infant and child CPR through training approved by the department. S2, S3, S4, S5, and S6 failed to have the certification. S1 stated there is an infant and child CPR training scheduled for 06/05/2026.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review of staff files at 10:30 a.m., S5 failed to have documentation that 5 of 6 staff on the premises and accessible to the children have current certification in Pediatric First Aid through training approved by the department. S2, S3, S4, S5, and S6 failed to have the certification. S1 stated there is a Pediatric First Aid training scheduled for 06/05/2026.”

Rule 1723.C.

Medication Management Training

“1725.A.-C.: Based on record review and interview at 10:30 a.m., S5 failed to have at least one staff member on the premises trained in medication administration. The two staff members trained in medication administration were absent from the center, and there was no documentation available showing any staff members present at the center had the required certification.”

Rule 1725.A.-C.

Items That Can be Harmful to Children

“1901.J.K.: Based on observation at 9:30 a.m., S1 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a pair of adult scissors on a low shelf accessible to the children in the two and three-year-old classroom. S1 removed the scissors immediately and picked them up out of reach of the children.”

Rule 1901.J.&K.

Strings and Cords

“1901.M.: Based on observation at 9:30 a.m., S2 failed to have strings and cords inaccessible to children under age 4, The Specialist observed an iPad charger hanging from a low shelf accessible to the children in the infant and one-year-old classroom. S2 picked up the cord out of reach of the children upon request from the Specialist.”

Rule 1901.M.

Health Services - Observation

“1915.A.: Based on record review and interview at 9:45 a.m., S1 failed to document observations, when something is observed, and noted on children upon arrival to the center. Results including an explanation from parent and/or child failed to be documented. The Specialist observed the last documented observation was completed on 05/14/2026. S1 stated they have checked the children, but have been forgetting to document the observations.”

Rule 1915.A.

Infants Held While Bottle Fed

“1919.H.: Based on observation at 9:30 a.m., S4 failed to hold an infant to bottle feed them. The Specialist observed C1, eight months old, lying down in the crib holding and drinking a bottle on her own.”

Rule 1919.H.

Daily Attendance Records - Staff and Owners

Rule 1507.B.

Outdoor - Crawlspaces

“1903.E.6.: Based on observation at 9:15 a.m., S1 failed to have crawlspaces on the playground inaccessible to children. The Specialist observed broken lattice that leads to underneath the center. S1 stated she forgot about the lattice being broken and will call someone today to come fix it as soon as possible.”

Rule 1903.E.6.

Infants Held While Bottle Fed

“1919.H.: Based on observation at 9:15 a.m., S4 failed to hold an infant to bottle feed them. The Specialist observed C7, ten months old, lying down in the crib holding and drinking a bottle on her own.”

Rule 1919.H.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation 9:30 a.m., S1 failed to have bottle formula/breast milk for infants labeled with the children’s name. The Specialist observed 2 of 3 bottles in the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Child to Staff Ratio

“1711.A.&B.&D.&E.: Based on observation at 9:45 a.m., S1 failed to meet the required child to staff ratio for children of the following ages: 6 children ages seven-months-old to five-years-old with 1 staff. The required ratio for children of this age is 5 children per 1 staff person. S1 stated the infant was a drop in and was not expected to be at the center today. The ratio was met at 10:15 a.m. when S3 arrived to the center.”

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

Items That Can be Harmful to Children

“1901.J.K.: Based on observation at 10:15 a.m., S1 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a can of Lysol in the three and four-year-old classroom, as well as a bottle of Fabuloso in the hallway accessible to the children. S1 removed the chemicals prior to the Specialist’s departure.”

Rule 1901.J.&K.

Free of Hazards

“1903.C.: Based on observations at 10:15 a.m., S1 failed to have the indoor area be free of hazards. The Specialist observed all four of the burners on the stove turned on with the kitchen door open, making the stove and kitchen area accessible to the children. S1 and S2 stated the oven was turned on due to the heating not working properly and the center being cold. The kitchen door was closed prior to the Specialist’s departure.”

Rule 1903.C.

Outdoor - Enclosed

“1903.E.5.: Based on observation at 10 a.m., S1 failed to have the play yard enclosed. The Specialist observed the fence latch broken and open on the playground that leads out to the road. S1 stated they have been unable to get the fence fixed and have not been using the playground.”

Rule 1903.E.5.

Outdoor - Crawlspaces

“1903.E.6.: Based on observation at 10 a.m., S1 failed to have crawlspaces on the playground not inaccessible to children. The Specialist observed broken lattice that leads to underneath the center. S1 stated she has been unable to get the lattice repaired and the children have not been on the playground.”

Rule 1903.E.6.

Awake Children

“1911.D.: Based on observation at 10:15 a.m., S2 failed to have an awake child in a high chair for less than 30 consecutive minutes. The Specialist observed a one-year-old child in a high chair at 9:30 a.m., and she was still in the high chair at 10:15 a.m. S2 removed the child out of the high chair upon the Specialist’s request. S2 stated the child likes to climb and that is why she was in the high chair.”

Rule 1911.D.

Health Services - Observation

“1915.A,: Based on observation at 10 a.m., S1 failed to document observations, when something is observed, and noted on children upon arrival to the center. Results including an explanation from parent and/or child were not documented. The last day observations were documented was on 12/12/2025. S1 stated they have checked the children, but have been forgetting to document the observations.”

Rule 1915.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review and interview at 10:45 a.m., S1 failed to maintain accurate documentation of a daily attendance record for all Staff and Owners, to include their time of arrival. S1 and S3 failed to sign in the morning of 12/01/2025. S1 corrected this prior to the Specialist’s departure.”

Rule 1507.B.

Items That Can be Harmful to Children

“1901.J.K.: Based on observation at 10:15 a.m., S1 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a can of disinfecting wipes and air freshener on a low shelf in the hallway accessible to the children. S1 removed the chemicals prior to the Specialist’s departure.”

Rule 1901.J.&K.

Strings and Cords

“1901.M.: Based on observation at 10:15 a.m., S1 failed to have strings and cords inaccessible to children under age 4. The Specialist observed a cord hanging from a fan in the three-year-old classroom. S1 picked the cord up prior to the Specialist’s departure.”

Rule 1901.M.

Free of Hazards

“1903.C.: Based on observations at 10:15 a.m., S1 failed to have the indoor area be free of hazards. The Specialist observed 5 outlets uncovered in the three-year-old classroom and in the hallway accessible to the children. S1 corrected this prior to the Specialist’s departure.”

Rule 1903.C.

Outdoor - Enclosed

“1903.E.5.: Based on observation at 10:30 a.m., on 12/01/2025, S1 failed to have the play yard enclosed. The Specialist observed the fence latch broken and open on the playground that leads out to the road. S1 stated the fence was broken over the weekend, and she will temporarily tie the posts together until the fence can be repaired on 12/04/2025.”

Rule 1903.E.5.

Outdoor - Crawlspaces

“1903.E.6.: Based on observation at 10:30 a.m., S1 failed to have crawlspaces on the playground not inaccessible to children. The Specialist observed broken lattice that leads to underneath the center. S1 stated she has someone coming to repair the lattice on 12/04/2025.”

Rule 1903.E.6.

Infants - Positioning Devices

“1909.C.: Based on observation at 11:45 a.m., S1 failed to have written authorization from a physician available for 1 infant to use a positioning device. C1, eight-months-old, was in the crib with a boppy pillow. S1 removed the pillow immediately upon the Specialist’s request.”

Rule 1909.C.

Daily Attendance Records - Children

“1507. A.: Based on record review at 1 p.m., S1 failed to ensure daily attendance log for children included the time of arrival and departure of each child and the name of the person to whom the child was released. The Specialist observed the daily attendance log for 10/16/2025, which failed to include departure times or the name of the person to whom the children were released for 4 children, as there were 21 children present and 25 children signed in on the attendance log.”

Rule 1507.A.

Supervision

“1713.A.B.C.: Based on observation at 1 p.m., S2 failed to have her three-year-old classroom be under supervision at all times. When the Specialist arrived to the center at 1 p.m., the three-year-old classroom with 8 children were asleep with no staff member supervising them. S2 was in the cafeteria area with 2 children waiting for them to finish eating. S2 brought the children to the classroom and supervision was met at 1:02 p.m.”

Rule 1713.A.&B.&C.

CPR and First Aid Certifications

“1723. F.: Based on record review of staff files at 1:30 p.m., S1 failed to ensure that S3 (DOH 10/15/2025) and S4 (DOH 10/16/2025) had current certification approved through the Department in Adult and Infant CPR and Pediatric First Aid within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. S1 stated she has an Adult and Infant CPR and Pediatric First Aid class scheduled for 10/18/2025.”

Rule 1723.F.

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

Rule 1807.B.

Daily Attendance Records - Children

“1507. A.: Based on record review at 8:45 a.m., S1 failed to ensure daily attendance log for children included the time of arrival and departure of each child and the name of the person to whom the child was released. The Specialist observed the daily attendance log for 09/16/2025, which failed to include departure times or the name of the person to whom the children were released for 6 children, as there were 17 children present and 23 children signed in on the attendance log.”

Rule 1507.A.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review and interview at 9 a.m., S1 failed to maintain documentation of a daily attendance record for all Staff and Owners, to include their time of arrival and departure. When the Specialist requested to see documentation of daily attendance records, S1 stated S5 took the attendance records for S1 and S5 with her and would be bringing them back when she returns later today.”

Rule 1507.B.

Free of Hazards

“1903.C.: Based on observations at 9 a.m., S1 failed to have the indoor area be free of hazards. The Specialist observed a fan turned on in the hallway accessible to the children. S1 removed the fan prior to the Specialist’s departure.”

Rule 1903.C.

Health Services - Observation

“1915.A.: Based on record review/interview at 9 a.m., S1 failed to document observations, when something is observed, and noted on children upon arrival to the center. Results including an explanation from parent and/or child were not documented. The Specialist observed the last documentation of observations for the two-year-old classroom was on 08/26/2025. The last documentation of observations for the three-year-old classroom was on 09/08/2025.”

Rule 1915.A.

Items That Can be Harmful to Children

“1901.J.K.: Based on observation at 10 a.m., S1 failed to have items that can be harmful to children kept in a locked cabinet or other secure place that ensured they are inaccessible to children. The Specialist observed a can of Lysol on a low shelf in the three-year-old classroom, and a bucket of disinfectant outside on the playground accessible to the children. S1 removed the chemicals prior to the Specialist’s departure.”

Rule 1901.J.&K.

Critical Incidents and Required Notifications

Rule 1103.A.-C.

Daily Attendance Records - Children

“1507. A.: Based on record review on 6/9/2025, at 9:00 a.m., S1 failed to ensure daily attendance log for children included the time of arrival and departure of each child and the name of the person to whom the child was released. The Specialist observed daily attendance log for 6/5/2025, which did not include departure times for 3 children and also did not include the name of the person children released to for 7 children.”

Rule 1507.A.

Behavior Management Policy

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

CPR and First Aid Certifications

“1723.F.: Based on record review and interview on 6/23/2025, at 9:00 a.m., S1 failed to have documentation for S5 within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. S5 (DOH 6/23/2025), was observed with sole responsibility of four 2-year-old children.”

Rule 1723.F.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A. Based on record review at 9:30 a.m. on 6/23/2025, S1 failed to provide documentation that all staff annually completed the online child abuse and neglect Mandated Reporter Training provided by DCFS. The Specialist observed that 1 out of 6 staff had Mandated Reporter training. S4 did not have Mandated Reporter training.”

Rule 1727.A.-C.

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

“1807. B.: Based on record review, interviews on 6/9/2025, at 10:45 a.m., S1 failed to obtain a CCCBC-based determination of eligibility for child care purposes from the Department for each staff member and shall have documentation of said determination available on the CCCBC roster at all times for inspection upon request by the department. S1 did not have S3’s CCCBC-based determination of eligibility for child care purposes available on the CCCBC roster.”

Rule 1807.B.

Strings and Cords

“1901. M.: Based on observation on 6/9/2025, at 8:45 a.m., S1 failed to have strings and cords inaccessible to children under the age 4. During the walk-through of the center, the Specialist observed several cords on the classroom floor coming from under a door, as well as cords on the hallway floor.”

Rule 1901.M.

Daily Attendance Records - Staff and Owners

Rule 1507.B.

Items That Can be Harmful to Children

Rule 1901.J.&K.

Strings and Cords

“1901.M.: Based on observation at 9:30 a.m., S1 failed to have strings and cords inaccessible to children under age 4. During the walk-through of the center, the Specialist observed a cord on the floor coming from under a door, as well as a cord hanging from a radio in the two and three two-year-old classroom. S1 picked the cords up prior to the Specialist’s departure.”

Rule 1901.M.

Daily Attendance Records - Staff and Owners

“1507.B.: Daily Attendance Records - Staff and Owners - Based on record review and interview at 12:00 p.m. S1 failed to maintain documentation of a daily attendance record for all Staff and Owners, to include their time of arrival and departure. When the Specialist requested to see documentation of Daily Attendance records, S1 stated that she was unable to pull up attendance records for staff due to the centers Brightwheel account being temporarily deactivated. S1 stated that the Brightwheel representative stated that their account would be reactivated in 24 hours.”

Rule 1507.B.

Child Neglect and Abuse Mandatory Reporter Training

“1727.A.B.: Child Neglect and Abuse Mandatory Reporter Training: Based on record review/interview at 12:00 p.m., S1 failed to ensure all staff members completed the Mandated Reporter training annually. 4 of 7 staff members, S1 (DOH 03/01/2023), S2 (DOH 03/01/2023), S3 (08/02/2023) and S7 (03/01/2023) did not have current certification. S1 stated each staff member will have proof of Mandated Reporter Training by 05/16/2025.”

Rule 1727.A.-C.

Health Services - Parental Notification

“1915.B.C.: Health Services - Parental Notification - Based on observation/record review/interview at 12:00 p.m., S1 failed to have complete and accurate documentation of parents being notified of incidents, injuries, accidents, illnesses, and unusual behaviors. Documentation of previous incident reports provided indicated that incident reports were filled out by staff at the center, but reports given failed to include the time of parent notifications, and parent signatures indicating that they were notified of the incidents that occurred at the center.”

Rule 1915.B.&C.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review/interview at 9:45 a.m., on 02/11/2025, the center staff’s daily attendance records failed to accurately reflect persons on the child care premises at any given time. The Specialist observed S1 was already signed out for 4:38 p.m. on 02/11/2025, and was signed in at 7:08 a.m. on 02/12/2025. S5 was signed in at 9:09 a.m., and out at 4:00 p.m. on 02/11/2025. S1 stated they got the dates mixed up and will ensure to fix the times.”

Rule 1507.B.

Free of Hazards

“1903.C.: Based on observations at 10 a.m., on 02/11/2025, S1 failed to have the outdoor playground areabe free of hazards. The Specialist observed a rusted saw tool on the ground by the fence, a long screw sticking out of the fence, and rusted soil tillers on the porch accessible to the children.”

Rule 1903.C.

Strings and Cords

“1901.M.: Based on observation on 01/13/2025, at 9:45 a.m., strings and cords were accessible to children under age 4. The Specialist observed a cord and plug hanging from a phone and accessible to the children in the infant room, and also a cord from a refrigerator, accessible to the children in the two-year-old classroom.”

Rule 1901.M.

Free of Hazards

“1903.C.: Based on observations on 01/13/2025, at 10:00 a.m., S1 failed to have the outdoor playground area be free of hazards. The Specialist observed the previous old fence with chicken-wire down on the playground. The new fence contained screws sticking out that are accessible to the children.”

Rule 1903.C.

Outdoor - Crawlspaces

“1903.E.6.: Based on observation on 01/13/2025, at 10:00 a.m., S1 failed to have crawlspaces on the playground not inaccessible to children. The Specialist observed two boards broken on the bottom of the fence, to the left side of the playground. The left fence is leaning and beginning to separate, creating an open space between the fence boards.”

Rule 1903.E.6.

Bottled Formula/Breast Milk Properly Labeled

“1919.J.: Based on observation on 01/13/2025, at 9:45 a.m., S1 failed to have bottle formula/breast milk for infants labeled with the children’s name. The Specialist observed 3 bottles in the infant classroom with no names or identification on the bottles. The bottles were labeled prior to the Specialist’s departure.”

Rule 1919.J.

Critical Incidents and Required Notifications

“1103.A.-C.: Based on observation/interview at 11:45 a.m., on 10/17/2024, S1 failed to notify the Department within 24 hours of the following critical incident: On 10/15/2024, S1 found her back fence on the play yard, down and was notified that a vehicle ran into the fence the night before on 10/14/2024. S1 stated she was unaware she needed to report the structural damage to the Department.”

Rule 1103.A.-C.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review/interview at 12 p.m., on 10/17/2024, S5 failed to maintain documentation of a daily attendance record kept at the center to include her time of arrival and departure. The Specialist observed there were no attendance records at the center for 10/14/2024-10/17/2024, and S1 stated she has been present every day. S1 stated S5 has her attendance for this week in a binder in S5’s vehicle.”

Rule 1507.B.

Child to Staff Ratio

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

CPR and First Aid Certifications

“1723.F.: Based on record review/interview at 12 p.m., on 10/17/2024, S3 (DOH 05/28/2024) failed to have current certification in pediatric first aid and CPR within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. S1 stated the instructor rescheduled the class due to the hurricane, and the new class for CPR and First Aid is scheduled for 10/19/2024.”

Rule 1723.F.

Outdoor - Enclosed

“1903.E.5.: Based on observation at 11:45 a.m., on 10/27/2024, S1 failed to have the play yard closed. The Specialist observed 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 Specialist observed part of the back fencing down and the children were playing on the playground. S1 stated she first saw the fence was down on 10/15/2024.”

Rule 1903.E.5.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2.: Based on observation at 11:30 a.m., on 10/17/2024, S1 failed to have cribs free of loose blankets while the child was in the crib. The Specialist observed an infant in the crib with two loose blankets. S2 removed the blankets upon request by the Specialist, prior to the end of the visit.”

Rule 1907.E.2.

Infant - Bibs

“1909.G.: Based on observation at 11:30 a.m., on 10/17/2024, S1 permitted a bib to be worn by a child while asleep. The Specialist observed one infant in a crib asleep with a bib on. S2 removed the bib immediately upon the Specialist’s request, prior to the end of the visit.”

Rule 1909.G.

Daily Reports for Infants

“1911.E.: Based on record review/interview at 12:15 p.m., on 10/17/2024, S2 failed to have a daily written or electronic report for 5 of 5 infants.”

Rule 1911.E.

CPR and First Aid Certifications

“Based on record review at 2 p.m., on 09/09/2024, S4 (DOH 05/28/2024) failed to have current certification in pediatric first aid and CPR within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children. S1 stated she was unaware that S4 failed to have the certification. S1 schedule a CPR and Pediatric First Aid class for 09/10/2024.”

Rule 1723.F.

Daily Attendance Records - Children

“1507.A. Based on record review at 12:15 a.m., S2 failed to ensure the daily attendance log for children included the time of arrival and departure of each child and the name of the person to whom the child was released to for 10 of 25 children on 4/29/2024 and the departure of each child and the name of the person to whom the child was released for 3 of 14 children on 4/30/2024.”

Rule 1507.A.

Daily Attendance Records - Visitors

“1507.E. Based on record review/observation at 11:00 a.m. S2 failed to ensure the visitor’s daily attendance record accurately reflected when a visitor was on the child care premises. Specialist observed O1 in the classroom with S3 and was not signed in on the visitors log for 6/4/2024.”

Rule 1507.E.

Orientation Training

“1719.A.-C. Based on record review/observation at 11:00 a.m. S2 failed to have documentation that S4 (DOH 5/3/2024) and S6 (DOH 5/8/2024) completed LDE Key Training Module 1 and the DCFS online Mandated Reporter Training within seven days of the first day present at the center and prior to having sole responsibility for any children. Specialist observed S4, alone with 10 children ages four to six-years old, and S6 alone with 4 infants.”

Rule 1719.A.-C.

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

“1807.B. Based on record review at 10:45 a.m. S2 failed to provide documentation that a CCCBC-based determination of eligibility for child care purposes from the department was obtained for S6 (DOH 5/8/2024) and O1 prior to the person being present at the center or performing services. S6 was on premises 4/24/2024, 4/25/2024, 4/26/2024, 4/29/2024, 4/30/2024, 5/1/2024, 5/2/2024, 5/3/2024, 5/6/2024, and 5/7/2024. S6 became eligible on 5/8/2024. O1 was on premises on 6/4/2024. O1 left the premises at 11:09 a.m.”

Rule 1807.B.

Strings and Cords

“1901.M. Based on observation at 10:20 a.m., S2 failed to ensure strings and cords were not accessible to children under age 4. Specialist observed a television cord hanging on the floor in the infant room. S6 immediately moved the cord behind the shelf.”

Rule 1901.M.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2. Based on observation at 10:25 a.m., S2 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. Specialist observed an infant sleeping on a pillow in a crib. S6 immediately removed the pillow from the crib.”

Rule 1907.E.2.

Pacifier Attached

“1911.G Based on observation at 10: 25 a.m., S2 failed to ensure pacifiers were not attached to a child. Specialist observed a pacifier attached to an infants clothes. S6 immediately unattached the pacifier.”

Rule 1911.G.

Daily Attendance Records - Children

“1507.A. Based on record review at 12:15 a.m., S2 failed to ensure the daily attendance log for children included the time of arrival and departure of each child and the name of the person to whom the child was released to for 10 of 25 children on 4/29/2024 and the departure of each child and the name of the person to whom the child was released for 3 of 14 children on 4/30/2024.”

Rule 1507.A. From a complaint.

Daily Attendance Records - Visitors

“1507.E. Based on record review/observation at 11:00 a.m. S2 failed to ensure the visitor’s daily attendance record accurately reflected when a visitor was on the child care premises. Specialist observed O1 in the classroom with S3 and was not signed in on the visitors log for 6/4/2024.”

Rule 1507.E. From a complaint.

Orientation Training

“1719.A.-C. Based on record review/observation at 11:00 a.m. S2 failed to have documentation that S4 (DOH 5/3/2024) and S6 (DOH 5/8/2024) completed LDE Key Training Module 1 and the DCFS online Mandated Reporter Training within seven days of the first day present at the center and prior to having sole responsibility for any children. Specialist observed S4, alone with 10 children ages four to six-years old, and S6 alone with 4 infants.”

Rule 1719.A.-C. From a complaint.

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

“1807.B. Based on record review at 10:45 a.m. S2 failed to provide documentation that a CCCBC-based determination of eligibility for child care purposes from the department was obtained for S6 (DOH 5/8/2024) and O1 prior to the person being present at the center or performing services. S6 was on premises 4/24/2024, 4/25/2024, 4/26/2024, 4/29/2024, 4/30/2024, 5/1/2024, 5/2/2024, 5/3/2024, 5/6/2024, and 5/7/2024. S6 became eligible on 5/8/2024. O1 was on premises on 6/4/2024. O1 left the premises at 11:09 a.m.”

Rule 1807.B. From a complaint.

Strings and Cords

“1901.M. Based on observation at 10:20 a.m., S2 failed to ensure strings and cords were not accessible to children under age 4. Specialist observed a television cord hanging on the floor in the infant room. S6 immediately moved the cord behind the shelf.”

Rule 1901.M. From a complaint.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2. Based on observation at 10:25 a.m., S2 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. Specialist observed an infant sleeping on a pillow in a crib. S6 immediately removed the pillow from the crib.”

Rule 1907.E.2. From a complaint.

Pacifier Attached

“1911.G Based on observation at 10: 25 a.m., S2 failed to ensure pacifiers were not attached to a child. Specialist observed a pacifier attached to an infants clothes. S6 immediately unattached the pacifier.”

Rule 1911.G. From a complaint.

Child to Staff Ratio

“1711.A.B.D.G.: Based on observations/record review on 4/17/2024 at 1:30 p.m.[,] S1 failed to meet the required child to staff ratio for children in the center. S3, S4 and S5 failed to have a CCCBC, resulting in their inability to be counted in ratio. Specialist observed 24 children present (3 infants, 12 one-year-olds, and 9 two to three-year-olds). Two additional staff were needed to satisfy ratio.”

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

Supervision

“1713.A.B.C.: Based on observation on 4/17/2024 at 12:45 p.m.; S1 failed to ensure children were under supervision at all times. Upon S6 opening the door of the center for Specialist to enter, S6 walked out of the door and went to her car. S6 came back into the center approximately 2 minutes later. While completing the walkthrough, Specialist discovered that S6 left 5 children, ages 1, alone in the back classroom. Supervision was corrected at 1:05 p.m. when S6 and Specialist reached S6s classroom.”

Rule 1713.A.&B.&C.

Staff Records and Personnel Files

“1715.A.1 Based on record review on 4/17/2024 at 1:30 p.m., S1 failed to have documentation of a hire date and the first day on-site working with children for S3, S4 and S5.”

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

CPR and First Aid Certifications

“1723.A.B.: Based on record review on 4/17/2024 at 1:45 p.m., S1 failed to have documentation that 0 of 7 staff on the premises and accessible to the children have current certification in infant and child CPR through training approved by the department. S1, S2, S3, S4, S5, S6 and S7 failed to have the current certification. A class has been scheduled for 4/17/2024.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review on 4/17/2024 at 1:45 p.m.; S1 failed to have documentation that 0 of 7 staff on the premises and accessible to the children have current certification in Pediatric First Aid through training approved by the department. S1, S2, S3, S4, S5, S6 and S7 failed to have the current certification. A class has been scheduled for 4/17/2024.”

Rule 1723.C.

CPR and First Aid Certifications

“1723. F. Based on observations/interview on 4/17/2024 at 1:25 p.m., S1 failed to have current certification in pediatric first aid and CPR prior to S3, S4 and S5 assuming sole responsibility for any children. Specialist observed S3 supervising 5 children (age one-year-old), S4 supervising 5 children (5 months to one-year-old), and S5 supervising 9 children (ages two and three-years-old”

Rule 1723.F.

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

“1807.B.: Based on record review on 4/17/2024 at 1:25 p.m.; S1 failed to provide documentation that a CCCBC-based determination of eligibility for child care purposes from the department was obtained for S3, S4, and S5 prior to the person being present at the center or performing services. S3, S4 and S5 were on premises on 4/15/2024, 4/16/2024 and 4/17/2024. S3, S4 and S5 left premises at 1:30 p.m. on 4/17/2024.”

Rule 1807.B.

End-of-Day Check

“1901.C.: Based on record review on 4/22/2024 at 1:00 p.m., S1 failed to have document that the entire center and play yard was checked after the last child departed on 4/08/2024, 4/09/2024 and 04/10/2024 to ensure that no child is left unattended at the center.”

Rule 1901.C.

Free of Hazards

“1903.C.: Based on observations on 4/17/2024 at 12:50 p.m. ; S1 failed to ensure the indoor area was free of hazards as Specialist observed two uncovered electrical outlets S9s classroom.”

Rule 1903.C.

Outdoor - Enclosed

“1903.E.5.: Based on observations on 4/17/2024 at 1:30 p.m.; 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. Specialist observed a broken locking mechanism on the gate facing Lessard Street preventing the gate from locking.”

Rule 1903.E.5.

Cribs Free of Toys and Other Soft or Loose Bedding

“1907.E.2.: Based on observations on 4/17/2024 at 1:15 p.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. Specialist observed a bottle in the crib with a sleeping infant. S2 removed the bottle at 1:16 p.m. Specialist also observed an infant with a loose blanket in another crib. S2 removed the blanket at 1:17 p.m.”

Rule 1907.E.2.

Evacuation Pack

“1921.C.: Based on observations on 4/22/2024 at 1:45 p.m., S1 failed to have an evacuation pack that contained the following: a list of area emergency phone numbers, a list of emergency contact information and emergency medical authorization for all enrolled children, an emergency pick up form, first aid supplies, hand sanitizer, wet wipes, and tissue, diapers for children who are not toilet trained and plastic bags for diapers, a battery powered flashlight and radio and batteries or a crank flashlight and crank radio, and disposable cups and bottled water.”

Rule 1921.C.