The Learning Ladder Child Care Center, LLC

1103.C.1. Based on record review and interview at 4:15 p.m., S1 failed to provide documentation that the Department was notified within 24 hours of the following critical incident: On 12/18/2025, at 11:00 a.m., S1 was notified by S25 that C1, age two-years-old, lost his balance and fell on his arm. C1 was taken to the doctor and it was determined his arm was popped out of socket and fractured. Corrective Action: Effective 02/02/2025, S1 stated she will submit all critical incidents and verify with the Department that the CIR was received to ensure compliance to this regulation.

1807.B. Based on record review at 4:00 p.m., S1 failed to have documentation of eligible staff CCCBC determination available for S25 (DOH 12/18/2025) on the center’s CCCBC roster at all times. This was not corrected prior the Specialist departure. Corrective Action: Effective 02/02/2026, S1 stated she will check the CCCBC roster monthly to ensure all staff have been added to the center’s roster to ensure compliance with the regulation.

1719.B. Based on observations at 11:00 a.m., S1 failed to have documentation that S20 and S21 completed the DCFS online Mandated Reporter training within seven days of the first day present at the center. S20’s first day present at the center was 10/22/2025, but the Mandated Reporter Training was completed on 11/17/2025. S21’s first day present at the center was10/27/2025, but the Mandated Reporter Training was completed on 11/07/2025. Corrective Action: Effective 12/03/2025, S1 stated she will require all new staff complete the DCFS online Mandated Reporter training on the…

1711.F. Based on observations at 1:50 p.m. S1 failed to ensure the required staff was present in the building during rest time to satisfy child/staff ratio. The Specialist observed 5 staff and 44 children (9 infants, ten 1-year-old, and twenty-five 2 to 3-year old children) present, two additional staff was needed to meet the ratios of the children present at the center. Corrective Action: Effective 10/15/2025, S1 stated she will not complete a corrective action plan as she was not out of ratio during nap time.

1723.F Based on observation at 2:45 p.m., S1 failed to ensure S14 (DOH 10/8/2025) had current CPR/PFA certification approved by the Department prior to assuming sole responsibility for any children. The Specialist observed S14 supervising 25 children ages two to three-year-old during nap time. This was not corrected as S14 then went into the classroom with 8 two-year-olds. Corrective Action: Effective 10/15/2025, S1 stated she will ensure all new staff complete CPR/PFA certification approved by the department prior to their first day present at the center to ensure compliance with this…

1903.D.5. Based on observations at 1:50 p.m., S1 failed to ensure the number of children using a room was exceeded based on the 35 square feet per child requirement. The Specialist observed that Classroom 2 can accommodate 8 children, but 9 were present. Corrective Action: Effective 10/15/2025, S1 stated she will not complete a corrective action plan for room capacity to ensure compliance with this regulation.

1719.B.C Based on observations at 1:00 p.m., S1 failed to have documentation that S7 completed the DCFS online Mandated Reporter training and within seven days of the first day present at the center. S7s first day present at the center was 07/03/2025, but DCFS Online Mandated Reporter training was completed on 08/12/2025. S1 failed to have documentation that S7 completed the complete the LDE Key Orientation Training Modules 2 and 3 within 30 calendar days of the first day present at the center and prior to assuming sole responsibility for any children. The LDE Key Orientation Training Modules…

1903.D.5. Based on observations at 11:15 a.m., S1 failed to ensure the number of children using a room was exceeded based on the 35 square feet per child requirement. The Specialist observed that Classroom 2 can accommodate 8 children, but 10 were present. Corrective Action: S1 stated she will not complete a corrective action plan for room capacity to ensure compliance with this regulation.

1719.A.B. Based on observations at 11:30 a.m., S1 failed to have documentation that S3 completed the LDE Key Training Module 1 and the DCFS online Mandated Reporter training within seven days of the first day present at the center. S3's first day present at the center was 6/24/2025. The DCFS Online Mandated Reporter training and the LDE Key Training Module 1 have not been completed as of today. Corrective Action: Effective 7/9/2025, S1 stated she will set a reminder to ensure all new staff complete the DCFS online Mandated Reporter training and the LDE Key Training Modules within seven days…

1723.F Based on observation at 9:00 a.m., S1 failed to ensure S3 (DOH 6/24/2025) had current CPR/PFA certification approved by the Department prior to assuming sole responsibility for any children. The Specialist observed S3 supervising eight children ages two to three years old. This was corrected when S6 transitioned to the classroom at 9:50 a.m. Corrective Action: Effective 7/9/2025, S1 stated she will ensure all new staff complete CPR/PFA certification approved by the department prior to their first day present at the center to ensure compliance with this regulation.