Blue Springs Day School

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due July 28, 2026

The Family Care Safety Registry check was not conducted for Z.M., C.T., H.K. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 28, 2026

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due August 5, 2026

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 1, 2026

Furniture/equipment, shelf, in in school-age room was not in good condition as evidenced by wood on side peeling off.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due July 28, 2026

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: C.R. 1 hour; and Alexis Allen- needs 2 hours.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due June 18, 2026

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due July 28, 2026

Medical examination report(s) was/were not on file for B.E. and A.L. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due July 28, 2026

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: B.E., A.L., B.T.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (E) · Medical Examination Reports · Correction due June 1, 2026

The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by no signature on form.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due June 4, 2026

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care · Correction due June 1, 2026

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due August 5, 2026

Criminal background check results were not on file for D.B., H.K., D.S., M.S., M.L.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for Z.M., C.T., H.K. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2026

The bathroom was not clean and odor free as evidenced by the floor was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2026

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2026

The ceilings located in school-age room and bathroom was/were not clean as evidenced by stained tile, dusty and loose vents.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2026

Hazardous items as follows were accessible to children: cleaning supplies and adult scissors. The item(s) was/were located in unlocked cabinet/drawer.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelf, in in school-age room was not in good condition as evidenced by wood on side peeling off.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 28, 2026

Outdoor equipment, ball and trikes, in preschool playground was not in good condition as evidenced by flat and missing pedals.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: C.R. 1 hour; and Alexis Allen- needs 2 hours.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for B.E. and A.L. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: B.E., A.L., B.T.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (E) · Medical Examination Reports

The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by no signature on form.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for D.B., H.K., D.S., M.S., M.L.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2026

The facility's outdoor space was not safe for children's activities as evidenced by sharp pieces of the wrecked car are on the pre-K/school-aged playground.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2026

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that a parent accidentally stepped on the gas while parked in the front parking lot, and fence to Pre-K/School-age playground was knocked over .

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 23, 2026

Outdoor equipment, small climber, in pre-K/school-age playground was not in good condition as evidenced by broken.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that a parent accidentally stepped on the gas while parked in the front parking lot, and fence to Pre-K/School-age playground was knocked over .

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by sharp pieces of the wrecked car are on the pre-K/school-aged playground.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, small climber, in pre-K/school-age playground was not in good condition as evidenced by broken.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.192 (5) (A) · Health Care · Correction due January 20, 2026

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when a red mark was noticed on a child's forehead.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 2, 2026

The ceilings located in twos-1 was/were not in good condition as evidenced by vent falling in bathroom and stained ceiling tiles .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 12, 2026

The walls located in twos-2 was/were not in good condition as evidenced by exposed sheet rock (fire alarm box torn from wall) and chipping paint under window.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.192 (5) (A) · Health Care

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when a red mark was noticed on a child's forehead.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due August 18, 2025

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service · Correction due August 18, 2025

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that no infant toddler feeding plan on file.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in twos-1 was/were not in good condition as evidenced by vent falling in bathroom and stained ceiling tiles .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in twos-2 was/were not in good condition as evidenced by exposed sheet rock (fire alarm box torn from wall) and chipping paint under window.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 9, 2025

There was evidence of dirt/debris in sticky residue on shelves.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 9, 2025

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 8, 2025

There was evidence of dirt/debris in paper/sticker residue on shelf in infant room. .

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 8, 2025

The walls located in Preschool 3, Preschool 2, Two's room, Toddler 1, Pre-K-1 was/were not in good condition as evidenced by chipping paint and sticker residue .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 9, 2025

Outdoor equipment, balls , in infant/toddler and preschool playgrounds was not in good condition as evidenced by flat and covering peeling off.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due September 8, 2025

The facility did not conduct a Family Care Safety Registry screening for Alexis Allen, Sierra Fields, Jennifer McIntyre, Lindsey Renick, Jennifer LeBlanc, Paula Martin, Mary Barber, Phoebe Barnhart, Maggie Duplantis, Lily Clark, Odiesha Kelley, Yolanda Hayes, Amanda Haun, Suzanne Simonton, Levannia St. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown, who was hired on 5/1/2025 .

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due August 13, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.A., S.F., J.M., L.R., J.L., P.M., M.B., P.B., M.D., L.C., O.K., C.R., S.B., A.H., S.S., L.S. John, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due December 9, 2025

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: P.M., M.B., P.B., M.D., L.C., O.K., C.R., Y.H., S.B., A.H., S.S., L.S. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due December 9, 2025

Paula Martin, Mary Barber, Phoebe Barnhart, Maggie Duplantis, Lily Clark, Odiesha Kelley, Cierra Randolph, Yolanda Hayes, Shelby Benedict, Amanda Haun, Suzanne Simonton, Levannia St. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown, Alexis Allen, Ben Engle did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 4, 2025

Medical examination report(s) was/were not on file for K.P., L.R., J.L., P.M., M.B., O.K., C.M., D.S., and M.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 4, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: K.P., L.R., J.L., P.M., M.B., O.K., C.M., D.S., and M.H.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 22, 2025

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination report was older than 12 months prior to admission - the admission date(s) and date(s) of medical was/were 5/1/2025, 5/1/2025, 5/1/2025.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due August 25, 2025

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due August 25, 2025

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D. · Correction due August 25, 2025

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · Correction due August 25, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due August 25, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-600.020 (2) (B) · General Requirements · Correction due August 18, 2025

Prospective child care staff member(s), Levannia St. John , had/have a temporary eligible letter, however was/were not supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past 5 years.

Required correction: All prospective child care staff member(s) who have a temporary eligible letter shall be supervised at all times by another child care staff member who has received a qualifying result.

5 CSR 25-500.042 (13) (D) · Licensing Process · Correction due August 5, 2025

The name, address and telephone number of the member(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due August 5, 2025

The name, address and telephone number of the owner(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the owner shall be posted near the license.

5 CSR 25-500.042 (12) · Licensing Process · Correction due August 5, 2025

Posting requirements were not met as evidenced by the license was not posted near the entrance.

Required correction: The official license shall be posted.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 5, 2025

Hazardous items as follows were accessible to children: Clorox spray. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Preschool 3, Preschool 2, Two's room, Toddler 1, Pre-K-1 was/were not in good condition as evidenced by chipping paint and sticker residue .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in paper/sticker residue on shelf in infant room. .

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 5, 2025

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B.

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Alexis Allen, Sierra Fields, Jennifer McIntyre, Lindsey Renick, Jennifer LeBlanc, Paula Martin, Mary Barber, Phoebe Barnhart, Maggie Duplantis, Lily Clark, Odiesha Kelley, Yolanda Hayes, Amanda Haun, Suzanne Simonton, Levannia St. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown, who was hired on 5/1/2025 .

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.A., S.F., J.M., L.R., J.L., P.M., M.B., P.B., M.D., L.C., O.K., C.R., S.B., A.H., S.S., L.S. John, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: P.M., M.B., P.B., M.D., L.C., O.K., C.R., Y.H., S.B., A.H., S.S., L.S. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (4) (A) 3. · Personnel

Paula Martin, Mary Barber, Phoebe Barnhart, Maggie Duplantis, Lily Clark, Odiesha Kelley, Cierra Randolph, Yolanda Hayes, Shelby Benedict, Amanda Haun, Suzanne Simonton, Levannia St. John, Faith Cummins, Christina Magdeleno, Darlin Saavedra, Ashley Smith, Mia Holste, Adrienne Brown, Alexis Allen, Ben Engle did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for K.P., L.R., J.L., P.M., M.B., O.K., C.M., D.S., and M.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: K.P., L.R., J.L., P.M., M.B., O.K., C.M., D.S., and M.H.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination report was older than 12 months prior to admission - the admission date(s) and date(s) of medical was/were 5/1/2025, 5/1/2025, 5/1/2025.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D.

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that no infant toddler feeding plan on file.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-600.020 (2) (B) · General Requirements

Prospective child care staff member(s), Levannia St. John , had/have a temporary eligible letter, however was/were not supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past 5 years.

Required correction: All prospective child care staff member(s) who have a temporary eligible letter shall be supervised at all times by another child care staff member who has received a qualifying result.