Creative Steps Enrichment Center, LLC

C.Based on the record review at 10:00 a.m., S3 failed to have at least two staff members trained in medication administration and at least one staff member on the premises during the hours of operation. The Specialist observed that the medication administration certificates for S1, S2, S3, S6, S7, and S8 had expired on July 6, 2025. Corrective Action: Effective 9/4/2025, S3 stated that she will set a calendar reminder 30 days before the expiration of training to ensure compliance with this regulation.

Based on record review at 12:00 p.m., S1 failed to obtain a CCCBC-based determination of eligibility for childcare purposes from the Department for staff members before being present or performing services at the center when children are present. The Specialist observed S7 (DOH 2/10/2025) failed to have eligible CCCBC documentation prior to being present at the center or performing services.

C.: Based on the record review/interview, S1 failed to have proof of current commercial liability insurance for the operation of the center to ensure medical coverage for children in the event of an accident or injury. The Specialist observed that the expiration date of the last insurance was 1/11/2023.

Based on the record review at 11:20 a.m., S2 failed to maintain documentation of a daily attendance record including the time of arrival and departure. The Specialist observed that there was no attendance documentation for S2, the director, at all on the center premises.

1707.A. 12.: Based on record review and interview at 12:30 p.m., the center failed to have a qualified Director/Director Designee, who is an on-site full-time staff person at the center during the daytime hours of operation (before 9:00 p.m.) that is 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. S2, the Director, failed to show proof of being on-site.

Based on record review at 12:30 p.m., S2 failed to have documentation on file for Independent Contractor, O1, that included the person's name, address, phone number, list of duties performed while at the center documentation CCCBC-based determination of eligibility for child care purposes from the department.

Based on record review at 11:30 a.m., S2 failed to have documentation that 2 of 8 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S5 (DOH 3/27/2024) and S8(1/24/2022) failed to have the current certification in CPR.

Based on record review at 11:30 a.m., S2 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. S5 (DOH 3/27/2024) and S8(1/24/2022) failed to have the current certification.

C Based on interviews on 12/18/2024 at 11:30 a.m., S2 failed to have at least two staff members trained in medication administration whether the early learning center administers medication or not. S3 stated she has been emailing back and forward with S2 to email certificates to confirm medication training through the provider.

.: Based on the record review/interview of staff files at 11:30 a.m., S2 failed to have documentation that 6 of the 8 staff, S1 (DOH 1/24/2022), S2 (DOH 1/24/2022), S3 (DOH 3/8/2022), S4 (DOH 1/24/2024), S6 (DOH 1/20/2022), and S7 (4/14/2023) did not complete the online child abuse and neglect Mandated Reporter Training provided by DCFS annually.

Based on record review S2 failed to have a CCCBC-based determination of eligibility for child care purposes from the department for independent contractor before the person being present at the center or performing services as evidence.The center did not have documentation of the paid, adult staff member not otherwise counted in child-to-staff ratios who accompanied independent contractor O1 at all times while on the center premises. O1 provided services on 11/8/2024, 11/18/2024,12/2/2024, 12/9/2024, and 12/6/2024.

Based on observation at 1:20 p.m., S2 failed to ensure the indoor area was free of hazards. Building two, used for aftercare, had missing floor tiles, loose decorations that were out on the floor , uncovered electrical outlets, and the air conditioner chord hanging, that were all accessible to children.