Stewart Educational & Developmental Child Care Center

Based on record review at 12:45 p.m., S1 failed to provide documentation that S6 (first day present 9/29/2025), completed LDE Key Orientation Module 1 within seven days of the first day present at the center. Corrective Action: Effective 10/21/2025, S1 stated she will set a reminder to have new staff completed LDE Key Orientation Module 1 within 7 days of the first day present at the center and prior to having sole responsibility for any children to ensure compliance with this regulation.

2. Based on record review on 08/25/2025, at 1:30 p.m., S1 failed to notify the Department and DCFS within 24 hours of the following critical incident: On 08/20/2025, O3 informed S1 that O1 alleged S2 hit C1, 2-years-old, on the head. O3 inquired about the allegation. On 08/20/2025, O2 visited the center to inquire about the allegation. S1 failed to notify the Department and DCFS of the allegation. The allegation was not valid. Corrective Action: Effective 08/25/2025, S1 stated she will retrain all of staff on mandated reporting to ensure compliance with this regulation.

1507.A. Based on record review on 08/25/2025, at 12:00 p.m., S1 failed to maintain documentation of a daily attendance record for children to include arrival and departure times for the following days: 08/20/2025 and 08/21/2025. Corrective Action: Effective 08/25/2025, S1 stated she will check the childrens daily attendance log daily to ensure parents are signing the children in and out to ensure compliance with this regulation

Based on record review on 08/25/2025, at 12:15 p.m., S1 failed to maintain documentation of a daily visitors log to include the arrival and departure time on 08/20/2025 of O2 and O3s presence at the center. Corrective Action: Effective 08/25/2025, S1 stated she will check the visitors daily attendance log daily to ensure all visitors are signing in and out to ensure compliance with this regulation.

1509.A.9. Based on observations on 08/25/2025, at 12:30 p.m., S1 failed to ensure children under the age of two years old were not allowed to use prohibited electronic devices. The Specialists observed three one-year-old children in S3s classroom watching Gracies Corner on a laptop. S3 turned off the laptop during the walk through. Corrective Action: Effective 08/25/2025, S1 stated she will retrain all staff on electronic devices to ensure compliance with this regulation.

1727.A.B. Based on interviews on 08/25/2025, at 10:45 a.m., S1 failed to have documentation that 1 of 5 staff, completed the annual Online Child Abuse and Neglect Mandated Reporter Training provided by DCFS. S3's training expired on 05/31/2025. Corrective Action: Effective 08/25/2025, S1 stated she will set a reminder to have staff complete the required training yearly to ensure compliance with this regulation.

1811.A.2 Based on record review on 09/12/2025, at 9:55 a.m., S1 failed to have documentation that a CCCBC-based determination of eligibility (CCCBC) was obtained for S2 (DOH 09/08/2020). S2s CCCBC expired on 09/03/2025. S2 was present and working in the center on the following dates: 09/03/2025, 09/04/2025, 09/05/2025, 09/08/2025, 09/09/2025, 09/10/2025, 09/11/2025 and 09/12/2025. S2 left premises at 10:15 a.m. Corrective Action: Effective 09/12/2025, S1 stated she will check the CCCBC roster daily to make sure staff are eligible and not expired, to ensure compliance with the regulation.

1901.M. Based on observations on 08/25/2025, at 10:05 a.m., S1 failed to have all strings and cords were inaccessible to children under age 4. The Specialists observed S3 to have a lap top cord crossing over the classroom floor accessible to 3 1- year- old children. Corrective Action: Effective 08/25/2025, S1 stated she will ensure all classrooms are cleared of cords at the beginning of each day to ensure compliance with this regulation.

1901.P. Based on observations on 08/25/2025, at 10:15 a.m., S1 failed to ensure the personal belongings were inaccessible to children. The Specialists observed S4s grocery bag and small tote sitting in a baby bouncer accessible to 3 1- year- old children. Corrective Action: Effective 08/25/2025, S1 stated she will set retrain all staff on putting away personal belongings to ensure compliance with this regulation.

1915.A. Based on record review/interview on 08/25/2025, at 12:50 p.m., S1 failed to have documentation of explanations from the parent or child of when possible signs of illness, infections, bruises, or injuries were observed upon arrival to the center for the following days: 02/17/2025, 03/07/2025, 04/08/2025, 04/17/2025, 04/24/2025, 05/01/2025 and 08/19/2025. Corrective Action: Effective 08/25/2025, S1 stated she will check the daily observation logs at the beginning of each day to ensure compliance with this regulation.

1915.B.C. Based on record review on 08/25/2025, at 12:50 p.m., S1 failed to have documentation of notification to the parent when the following occurred: On 08/19/2025, at 3:00 p.m., C1, age two-years-old, tripped in her classroom, bumping his right side of her head on the floor. S2 applied an ice pack to C1s head. There was no documentation of parental notification. Corrective Action: Effective 08/25/2025, S1 stated she will ensure parental are notified timely of all incidents and accidents to ensure compliance with this regulation.

1921.E Based on record review on 08/25/2025, at 11:33 a.m., S1 failed to have documentation of the monthly tornado drills for March 2025 and May 2025. Corrective Action: Effective 08/25/2025, S1 stated she will set a reminder at the beginning of the months of March, April, May, and June to ensure compliance with this regulation.

Based on record review at 2:45 p.m., S1 failed to have documentation that 3 of 4 staff on the premises and accessible to children have current certification in infant, child, and adult CPR through training approved by the Department. S1 (DOH 7/30/2004), S3 (DOH 9/8/2020), and S4 (DOH 9/1/2017) failed to have the current certification. S1, S3, and S4's certification expired 5/31/2025. Corrective Action:

Based on record review at 2:45 p.m., S1 failed to have documentation that 3 of 4 staff on the premises and accessible to children have current certification in pediatric first aid through training approved by the department. S1 (DOH 7/30/2004), S3 (DOH 9/8/2020), and S4 (DOH 9/1/2017) failed to have current certification. S1, S3, and S4's certification expired 5/31/2025. Corrective Action: