Miles of Smiles Child Care Center

Room Capacity

“1903.D.5. Based on observations at 9:55 a.m., S6 failed to ensure the number of children using a room did not exceed the 35 square feet per child requirement. Specialist observed seven 5 to 7-year-old children in Classroom #4, which can accommodate 5 children. This was corrected when S6 and S2 combined their classes in Classroom #1.”

Rule 1903.D.5.

Emergency Medical Treatment

“1515.A.2.: Based on record review at 11 AM, S1 failed to ensure 3 of 11 children’s records had documentation of a signed and dated parental authorization to secure emergency medical treatment. C2, 11-months, C7, 1-year-old, and C11, 9-months-old, lacked this emergency medical treatment authorization. This could not be corrected prior to the Specialist’s departure.”

Rule 1515.A.2.

Orientation Training

“1719.B. Based on record review at 11 AM, S1 lacked documentation that 1 of 8 staff, completed the DCFS Online Mandated Reporter Training within seven days of their first day present at the center and prior to having sole responsibility for any children. -S3, (first day working 4/2/2026), should have completed the DCFS Online Mandated Reporter Training by 4/9/2026; this was not corrected prior to the Specialist’s departure.”

Rule 1719.A.-C.

End-of-Day Check

“1901.C.: Based on record review at 11 AM, S1 failed to ensure the center’s end of day check included the time of the visual check and the signature of the staff conducting the visual check for 3/27/2026 and 3/30/2026 - 4/2/2026. This could not be corrected.”

Rule 1901.C.

Apparatus or Equipment

“1907.A.1. Based on observations at 9:20 a.m., S4 failed to ensure the manufacturer’s restraint device was used while the equipment was occupied by a child. Specialist observed C1, 3-months-old, in a bouncer unrestrained. This was corrected when she was removed from the bouncer.”

Rule 1907.A.1.-2.

Continuing Education Training

“1721.A.-C.: Based on record review at 11:15 a.m., S1 failed to ensure staff members obtained a minimum of 12 clock hours of training annually. S1 had 6.5 continuing education hours. This could not be corrected.”

Rule 1721.A.-C.

CPR and First Aid Certifications

“1723.A.&B.: Based on record review and interview at 11:15 a.m., S1 failed to ensure 1 of 3 staff present on the premises and accessible to the children had current certification in infant and child CPR through training approved by the Department. S5 failed to have the current certification. This could not be corrected.”

Rule 1723.A.&B.

Pediatric First Aid

“1723.C.: Based on record review and interview at 11:15 a.m., S1 failed to ensure 1 of 3 staff present on the premises and accessible to the children had current certification in Pediatric First Aid through training approved by the Department. S5 did not have the current certification. This could not be corrected.”

Rule 1723.C.

Room Capacity

“1903.D.5.: Based on observations and interview at 11:15 a.m., S4 failed to ensure the number of children using a room did not exceed the 35 square feet per child requirement. Room #4 can accommodate 5 children, but 7 were present. This was not corrected prior to the Specialist’s departure.”

Rule 1903.D.5.

General Liability Insurance Policy

“1503.A.-C.: Based on observations, interview and record review at 10:00 a.m., S1 failed to ensure the center had documentation of a current general liability insurance policy. The centers previous policy expired on 12/11/2024. This was not corrected prior to the Specialists departure.”

Rule 1503.A.-D.

Daily Attendance Records - Staff and Owners

“1507.B.: Based on record review, observations, and interview at 10:00 a.m., S1 failed to ensure the daily attendance records reflected the staff members and owners on the premises at any given time as S1 was present at the center, but was not signed in. This was corrected prior to the Specialists departure.”

Rule 1507.B.

Room Capacity

“1903.D.5: Based on observations and record review at 10:00 a.m., S1 failed to ensure the number of children using a room shall be based on the 35 square feet per child requirement, as 10 2-4 year-olds were in room 4 which has a licensed capacity of 5. This was not corrected prior to the Specialists departure.”

Rule 1903.D.5.

Daily Attendance Records - Staff and Owners

“Based on record review, observations, and interview at 1:30 p.m., S4 failed to ensure the daily attendance records reflected the staff members and owners on the premises at any given time as S8 did not clock in after returning from lunch and S4 did not sign in after returning to the center. This was not corrected prior to the Specialists departure.”

Rule 1507.B.

Child to Staff Ratio

“Based on observations at 1:30 p.m., S7 failed to ensure minimum child to staff ratios were met at all times as S7 was supervising 6, 9-months-old to 1-year-olds. There needed to be one additional staff present. This was not corrected prior to the Specialists departure.”

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

Supervision

“1713.A.B.C.: Based on observations and interview at 12:23 p.m., S4 failed to ensure children were supervised at all times and not left alone in any room as 5, 1-year-olds, were left alone and unsupervised during rest time in the classroom. This was corrected about 5-10 minutes later once S8 arrived.”

Rule 1713.A.&B.&C.

Orientation Training

“Based on record review and interview at 1:30 p.m., S4 failed to ensure within 30 calendar days of the first day present at the center and prior to assuming sole responsibility for any children each new staff member complete the LDE Key Orientation Training Modules 2 and 3. S7, DOH 7/25/2024, should have completed Modules 2 and 3 by 8/25/2024. This was not corrected prior to the Specialists departure.”

Rule 1719.A.-C.

Infant - Bibs

“1909.G. Based on observations at 12:23 p.m., S7 failed to ensure a bib was not worn by any child while asleep, as C1, 9-months-old was observed with a bib on while asleep. This was corrected prior to the Specialist’s departure.”

Rule 1909.G.

Pacifier Attached

“Based on observations at 12:30 p.m., S7 failed to ensure no pacifiers were attached to the clothing of children as C1, 9-months old and C2, 1-year-old, both had their pacifiers attached to their clothing. This was corrected prior to the Specialists departure.”

Rule 1911.G.

Orientation Training

“1719.B.: Based on observations, record review, and interview at 11:00 a.m., S1 failed to ensure within seven calendar days of the first day present at the center, and prior to assuming sole responsibility for any children, each staff member shall complete the DCFS online Mandated Reporter Training. S7 (DOH 4/11/2024) should have completed the DCFS online Mandated Reporter Training by 4/18/2024. This was not corrected while Specialist was present.”

Rule 1719.A.-C.

CPR and First Aid Certifications

“1723.F.: Based on record review and interview at 11:00 a.m., S1 failed to have documentation that 1 of 11 staff members received within 90 calendar days from the date of hire and prior to assuming sole responsibility for any children, current certification in pediatric first aid and CPR. S10 (DOH 7/24/2023) failed to have documentation of CPR and First Aid Certifications.”

Rule 1723.F.