Little Starrs Center 2

Based on record review and interviews at 11:00 a.m., S1 failed to notify Child Welfare within 24 hours of the following critical incident: On 09/17/2025, S17 called S1 and stated she quit because S16 hit a child. S17 did not know the date, time, or the name of the child it was that S16 supposedly hit. S17 did not observe S16 hit the child, however, she informed S1 that S16 told her she whipped a child in the hallway. S17 stated to S1 that it could have happened on 09/15/2025, however, S17 was not present at the center on that day. S1 reported the incident to Child Welfare on…

Based on observations/interviews on at 9:30 a.m., S4 failed to follow the Electronic Devices Policy. The Specialist observed television programming displayed and being watched by children in a one-year-old classroom. Corrective Action: Effective 4/16/2025, S2 stated she will implement lesson plans with activities for staff to address downtime in the classroom, to ensure compliance with this regulation.

: Based on record review at 10:00am, S2 failed to have a personnel file for S13, which include an application or staff information form containing the following information: name, date of birth, home address and phone number, training, work experience, educational background, hire date and first day onsite working with children or Upon termination or resignation of employment, the last date of employment and reason for leaving. Corrective Action: Effective 4/16/2025, S2 stated she will implement a checklist of information needed for New Hire and…

1719:A C Based on record review at 10:00 am, S2 failed to have documentation that S13 completed LDE Key Training Modules 1, 2, 3 and DCFS online mandated reporter training within 7 days of the first day present at the center S14s hire date was 4/7/2025. DCFS mandated reporter training was not completed for S14. Corrective Action: Effective 4/16/2025, S2 stated she will implement these trainings into a New Hire packet, to ensure compliance with this regulation.

Based on record review at 12:00 p.m., S2 failed to provide documentation that all staff on the premises and accessible to the children have current certification in infant and child CPR and Adult CPR through training approved by the department. The Specialist observed 2 out of 14 staff did not have CPR training. S13 and S14 did not have CPR training. Corrective Action: Effective 4/16/2025, S2 stated she will schedule CPR classes before staff are put on the schedule, to ensure compliance with this regulation.

1723. C.: Pediatric First Aid: Based on record review at 12:00 p.m., S1 failed to provide documentation that all staff on the premises and accessible to the children have current certification in Pediatric First Aid training approved by the department. The Specialist observed 2 out of 14 staff did not have Pediatric First Aid. S13, and S14 did not have the required Pediatric First Aid training. Corrective Action: Effective 4/16/2025, S2 stated she will schedule CPR classes before staff are put on the schedule, to ensure compliance with this regulation.

1727.A. Based on record review at 1:00 p.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 14 staff had Mandated Reporter training. S3,S7, S8, S10, S11, S13 and S14 did not have Mandated Reporter training. Corrective Action: Effective 4/16/2025, S2 stated she will implement this training into the New Hire packet which will include a yearly reminder to staff, to complete updated training, to ensure compliance with this regulation.

Based on Record Review at 12:30 p.m., S2 failed to ensure documentation of a CCCBC-based determination of eligibility (CCCBC) was conducted. The Specialist observed 4 out of 14 staff did not have CCCBC eligibility conducted. S3 (DOH 3/31/2025), S8 (DOH 3/31/2025 ), S10 (DOH 3/11/2025 ), S11(DOH 3/25/2025 ), and S14 (DOH 4/7/2025) worked on the center premises without a CCCBC-based determination of eligibility. Corrective Action: Effective 4/16/2025, S2 stated she will submit applications before the staff members start date, to ensure compliance with this regulation.

: Based on observation/interview at 9:45am, S4 failed to provide written authorization from a physician for infants as required, for an infant to sleep in a different sleeping position. The Specialist observed one infant, C1 (5 Months) sleeping in a crib on his stomach. Corrective Action: Effective 4/16/2025, S2 stated she will make sure all staff are aware of policies and requirements in the infant room, to ensure compliance with this regulation.

: Based on observations/record review on 12/16/2024, at 12:00 p.m, the Specialist observed, S1 failed to maintain accurate and complete records of sign in/ sign out attendance for the Director, S12. S12 has not signed in or out since 11/18/2024.

1727.A. Based on record review at 12:20 p.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 5 out of 10 staff had Mandated Reporter training. S5,S6,S7,S8 and S9 did not have Mandated Reporter training.