Miles of Smiles Childcare

Based on record review and interview at 11:10 a.m., 1 of 11 staff, S5, failed to complete the online child abuse and neglect Mandated Reporter Training provided by DCFS annually in 2025. Corrective Action: Effective 01/30/2026, S1 stated staff will complete annual training one month prior to expiration date, to ensure compliance with this regulation.

1711.A.B.D.&E.: Based on observation at 8:50 a.m., S1 failed to ensure the required child-to-staff ratio was met for children of the following ages: 9 children, aged 1 to 2-years-old, with 1 staff, S15. The required ratio for children of this age is 7 children per 1 staff person. One additional staff person was needed at all times to meet the required child-to-staff ratio. The ratio was corrected when S6 entered the classroom with S15. Corrective Action: Effective 10/27/2025, S1 stated she will keep all 1-year-old children in the classroom and not transition until they turn age 2, to…

Based on observation at 8:37 a.m., S4 and S5 failed to ensure a crib was free of soft or loose bedding (including a blanket) while the infant was in the crib. The Specialist observed a loose blanket covering C1, 10-months-old, while asleep in the crib. S4 corrected prior to the Specialist leaving the classroom. Corrective Action: Effective 10/27/2025, S1 stated she will review this regulation and tucking blankets tightly with all staff at the next scheduled meeting on 11/5/2025, to ensure compliance with this regulation.

Based on observation and record review at 8:39 a.m., S4 and S5 failed to have written authorization from a physician, as required, to allow C2, 3-months-old, to sleep in a floor bouncer. According to the daily infant report, C2 fell asleep at 8:20 a.m. C2 was placed in his crib prior to the Specialist leaving the classroom. Corrective Action: Effective 10/27/2025, S1 stated she will review this regulation with all staff at the next scheduled meeting on 11/5/2025, to ensure compliance with this regulation.

Based on observation and record review at 8:53 a.m., S6 failed to ensure documentation was complete for an observation to include an explanation from the parent and/or child upon arrival at the center. The Specialist observed a bruise on C3's, 2-years-old, right cheek. S6 noted the bruise on the record; however, the explanation the record came in with it. The parent was contacted, and an explanation was provided and added during the inspection. Corrective Action: Effective 10/27/2025, S1 stated she will review this regulation with all staff at the next scheduled meeting on 11/5/2025,…

Based on observation at 9:30 a.m., S8 and S15 failed to meet the required child to staff ratio for children of the following ages: 15 children, ages 2-to-3-years-old, with 1 staff, S15. S8 brought a child inside to the restroom and left S15 with the remaining children on the playground. The required ratio for children of this age is 11 children per 1 staff person. Ratio was corrected when S2 met S15 outside on the playground. Corrective Action: Effective 8/12/2025, S1 stated she will review child to staff ratio requirements with S8. S1 will reinforce the walkie-talkies must be…

Based on observation and record review at 9:30 a.m., S1 failed to ensure S15 had a current certification in pediatric first aid and CPR within 90 calendar days from the date of hire on 7/30/2025, and prior to assuming sole responsibility for 15 children, ages 2-to-3-years-old. This was corrected when S2 met S15 on the playground. Corrective Action: Effective 8/12/2025, S1 stated she will keep all children combined in one classroom with a trained staff until the new staff obtain their CPR and PFA training, to ensure compliance with this regulation.

Based on record review at 10 a.m., S1 failed to obtain a CCCBC-based determination of eligibility for child care purposes from the Department for S15 prior to her first day present at the center or performing services on 7/30/2025. S15 received a CCCBC-based determination of eligibility on 7/31/2025. Corrective Action: Effective 8/12/2025, S1 stated staff will not be scheduled to start working in a classroom until they receive a CCCBC-based determination of eligibility, to ensure compliance with this regulation.

Based on observation at 10:15 a.m., S1 failed to ensure staff met the required child to staff ratio for children. Upon arrival, the Specialists observed S5 in S1's office with an infant while S4 was in the classroom alone with 7 infants. Child to staff ratio was immediately corrected when S5 returned to the classroom. The required ratio for children of this age is 5 infants per 1 staff person. Two staff were needed at all times to meet the child to staff ratio. Corrective Action: Effective 6/25/2025, S1 stated she will conduct a staff coaching with staff and reiterate the…

Based on observation at 10:23 a.m., S3 failed to ensure the manufacturer's restraint device was used when the feeding table was occupied by 4 children, age 1-year-old. This was corrected during the inspection. Corrective Action: Effective 6/25/2025, S1 stated she will coach staff to communicate to her that if the restraint devices are missing, to notify her so they can be ordered or replaced. She will review with staff that children are to be strapped at all times, to ensure compliance with this regulation.

Based on record review at 12:15 p.m., S1 failed to ensure tornado drills were conducted at least once during the months of April and May 2025. Corrective Action: Effective 6/25/2025, S1 stated she will scheduled the drill dates and set a Google calendar reminder to complete the drills during the months of March, April, May, and June, to ensure compliance with this regulation.

Based on observation/record review at 10 a.m., S1 failed to ensure S9 (Date of Hire: 11/07/2024) and S10 (Date of Hire: 03/25/2025) has a current certification in pediatric first aid and CPR within 90 calendar days from the date of hire and prior to assuming sole responsibility for 11, 3-to 4-year-old, children. This was corrected during the inspection. The staff are scheduled to complete this training on 04/08/2025. Corrective Action: Effective 4/7/2025, S1 stated she will restructure the staff schedules with newly hired staff so there will always be a trained staff in the…

Based on record review at 1 p.m., information regarding food allergies and special diets for C8 and C9, 1-year-old, and failed to posted in the food preparation area. S1 failed to have a signed and dated authorization from the parent to post C2, C4, and C6, 2-years-old, food allergies and dietary restrictions in public view in S7 and S8's classrooms. This was corrected during the inspection. Corrective Action: Effective 4/7/2025, S1 stated she will conduct a more thorough review of the child's enrollment forms to ensure all are signed and dated and included the child's file and when…

Based on record review/interview at 12 p.m., S1 failed to have documentation of a tornado drill conducted at least once during the month of March 2025. This could not be corrected during the inspection. Corrective Action: Effective 4/7/2025, S1 stated she will add a monthly tab to her licensing binder for the forms to be placed once the drills are completed, to ensure compliance with this regulation.