Bright Horizons at Research Medical Center

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

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 8, 2026

Hazardous items as follows were accessible to children: sanitizing wipes, staple remover, nails, hand cream, contact solution, scissors . The item(s) was/were located on low shelves and in unlocked drawers.

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 ceilings located in rooms 4, 2, and back hallway was/were not clean as evidenced by stained tiles.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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 hole under and around sensory table from digging, creating a fall hazard.

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

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 outside of storage door had sticky residue and chipping paint.

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

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

The floors located in room 1 was/were not clean as evidenced by tape peeling up.

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

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

The medical examination report on file for M.C. was older than 12 months before the individual's begin date at the facility.

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

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

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: M.C.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 11, 2026

The walls located in room 6 was/were not clean as evidenced by dusty fan.

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 February 11, 2026

The floors located in room 1 was/were not clean as evidenced by sticky/tape 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 11, 2026

The ceilings located in rooms 7, 8, and 9 was/were not clean as evidenced by dusty vents and stained ceiling tile.

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 ceilings located in rooms 7, 8, and 9 was/were not clean as evidenced by dusty vents and stained ceiling tile.

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 room 6 was/were not clean as evidenced by dusty fan.

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 floors located in room 1 was/were not clean as evidenced by sticky/tape residue.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due December 30, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by broken drum in room 1.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 30, 2025

Outdoor equipment, pan, in toddler playground was not in good condition as evidenced by rusted.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 30, 2025

Outdoor equipment, trike, in preschool playground was not in good condition as evidenced by missing handle bar cover.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due June 16, 2025

The Family Care Safety Registry check was not conducted for M.B. & Steven Kramer 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 1, 2025

The floors located in room room 9 was/were not clean as evidenced by stained area rug.

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 July 30, 2025

The ceilings located in rooms 2, 6, 9, 10, in between rooms 3&4 and 5&6 was/were not clean as evidenced by stained ceiling tiles (room nine tile was bowing).

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 July 2, 2025

The walls located in room 5 was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 30, 2025

The facility's outdoor space was not safe for children's activities as evidenced by pile of wild bird feathers in grassy area of toddler playground.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 15, 2025

Safe sleep training was not completed within the past 3 years for the following staff M.S.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due July 30, 2025

Medical examination report(s) was/were not on file for L.D., L.F., V.S., and M.M. 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 2, 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: L.D., L.F., V.S., and M.M.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due June 30, 2025

Criminal background check results were older than five (5) years for Mya Smith & Kristine Lindsey.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due July 30, 2025

Criminal background check results were not on file for C.H. and J.H.

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 M.B. & Steven Kramer 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 (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 pile of wild bird feathers in grassy area of toddler playground.

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

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

The floors located in room room 9 was/were not clean as evidenced by stained area rug.

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 ceilings located in rooms 2, 6, 9, 10, in between rooms 3&4 and 5&6 was/were not clean as evidenced by stained ceiling tiles (room nine tile was bowing).

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 room 5 was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 9, 2025

Children were not restricted to approved space as evidenced by breakroom and back office, and main office doors opened/unlocked with no staff inside.

Required correction: Caregivers shall restrict children to approved space.

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

Safe sleep training was not completed within the past 3 years for the following staff M.S.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training 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: L.D., L.F., V.S., and M.M.

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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for L.D., L.F., V.S., and M.M. 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H. and J.H.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Mya Smith & Kristine Lindsey.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet.

Required correction: The facility shall use outlet covers or twist-lock outlets as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2025

The walls located in room 9 was/were not clean as evidenced by tape 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 30, 2024

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 December 30, 2024

The ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

5 CSR 25-500.192 (6) (B) · Health Care · Correction due December 19, 2024

Requirements for handwashing were not met as evidenced by children were observed not washing hands before snack and after a diaper was changed.

Required correction: Staff/children shall wash hands as required.

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

5 CSR 25-500.192 (6) (B) · Health Care

Requirements for handwashing were not met as evidenced by children were observed not washing hands before snack and after a diaper was changed.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due December 16, 2024

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 12, 2024

Children were not restricted to approved space as evidenced by laundry room and electrical room doors opened.

Required correction: Caregivers shall restrict children to approved space.

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due October 7, 2024

Cecilia Hackler 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 · Medical Examination Reports (1) (B) . · Correction due October 7, 2024

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: K.D.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

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

Cecilia Hackler 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 · Medical Examination Reports (1) (B) .

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: K.D.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 12, 2024

The facility's outdoor space was not safe for children's activities as evidenced by standing water on playground near sand box.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 12, 2024

The facility's outdoor space was not safe for children's activities as evidenced by wet, torn cardboard pieces on toddler playground.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due July 17, 2024

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 2.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due July 8, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 7 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Cecilia Hackler 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 25-500.102 (1) (P) · Personnel · Correction due August 12, 2024

The facility did not conduct a Family Care Safety Registry screening for Yanet Garcia, Valentina Pereyra, Ana Pereyra, Yanira Salazar, Doug Botham, and Sranciaco Alvarado, who was hired on 1/2/2024 (Yanira Salazar and Sranciaco Alvarado-4/1/2024).

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 31, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.M. needs 3.25 hours.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due August 12, 2024

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: M.C.

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 · Medical Examination Reports (1) (B) .

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: K.D.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with licensing rules regarding the supervision of children.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with licensing rules regarding the supervision of children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2024

Children were not restricted to approved space as evidenced by laundry room and director office unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2024

Hazardous items as follows were accessible to children: bleach spray, Aquaphor, Boudreaux's Butt Paste, Babygenics and Pure & Simple sunscreen, thumb tacks. The item(s) was/were located on table, low shelf, and in unlocked drawer.

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 ceilings located in rooms, 4, 7, 8, 9 and 10 was/were not clean as evidenced by dusty vents in bathrooms, loose and stained tiles.

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

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 standing water on playground near sand box.

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

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

The walls located in rooms 1, 4, and 9 was/were not in good condition as evidenced by (doors) paint chipping, dusty fan, and rusted water stains on back door, splintering bathroom door.

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

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

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 2.

Required correction: The facility shall provide sleeping equipment and bedding as required.

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

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 7 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Cecilia Hackler 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 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Yanet Garcia, Valentina Pereyra, Ana Pereyra, Yanira Salazar, Doug Botham, and Sranciaco Alvarado, who was hired on 1/2/2024 (Yanira Salazar and Sranciaco Alvarado-4/1/2024).

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.M. needs 3.25 hours.

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

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

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: K.D.

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 · 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: M.C.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.H., Y.G., V.P., A.P., Y.S., D.B., and S.A.

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

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 6, 2024

The walls located in rooms 5, 6, 8 (bathroom) was/were not in good condition as evidenced by sticky residue on windows, chipping paint, and piece of wall missing.

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 February 22, 2024

The walls located in rooms 7-10 was/were not clean as evidenced by bottom of doors and frames dirty.

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 February 28, 2024

The floors located in room 8, was/were not clean as evidenced by stained area near desk area.

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 April 4, 2024

The ceilings located in all bathrooms and rooms 1, 2, 6, 7, 8, 9, 10 was/were not clean as evidenced by dusty vents, fans, and corner and stained tiles and vents.

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 February 28, 2024

Outdoor equipment, climber, in preschool playground was not in good condition as evidenced by broken and cracked windows.

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

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due January 30, 2024

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 (13) (D) · Licensing Process · Correction due January 30, 2024

The name, address and telephone number of the manager(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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2024

Children were not restricted to approved space as evidenced by laundry room not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2024

Hazardous items as follows were accessible to children: adult scissors, staple remover. The item(s) was/were located in an unlocked drawer.

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 ceilings located in all bathrooms and rooms 1, 2, 6, 7, 8, 9, 10 was/were not clean as evidenced by dusty vents, fans, and corner and stained tiles and vents.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2024

The facility's outdoor space was not safe for children's activities as evidenced by water hose not wrapped securely around holder and holder not secure .

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2024

The facility's outdoor space was not safe for children's activities as evidenced by sandbox cover had standing water on it.

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

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

The walls located in rooms 5, 6, 8 (bathroom) was/were not in good condition as evidenced by sticky residue on windows, chipping paint, and piece of wall missing.

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 rooms 7-10 was/were not clean as evidenced by bottom of doors and frames dirty.

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 floors located in room 8, was/were not clean as evidenced by stained area near desk area.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due January 30, 2024

Furniture/equipment, toy chair, in room 9 was not in good condition as evidenced by torn leather.

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

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

Outdoor equipment, climber, in preschool playground was not in good condition as evidenced by broken and cracked windows.

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

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

The walls located in rooms 5, 6, 8 (bathroom) was/were not in good condition as evidenced by sticky residue on windows, chipping paint, and piece of wall missing.

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 rooms 7-10 was/were not clean as evidenced by bottom of doors and frames dirty.

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 floors located in room 8, was/were not clean as evidenced by stained area near desk area.

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 ceilings located in all bathrooms and rooms 1, 2, 6, 7, 8, 9, 10 was/were not clean as evidenced by dusty vents, fans, and corner and stained tiles and vents.

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

Outdoor equipment, climber, in preschool playground was not in good condition as evidenced by broken and cracked windows.

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

5 CSR 25-500.182 (1) (C) 2. · Child Care Program

Expectations for a child’s behavior was not appropriate for the developmental level of that child as evidenced by multiple caregivers stated they had concerns with Caregiver A.W.'s expectations and patience with children. Please see attached notes.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (1) (C) 8. · Child Care Program

Caregiver used a discipline technique that included speaking harshly, abusively or with profanity as evidenced by Multiple Caregivers stated they had concerns with the tone and the manner in which Caregiver A.W. spoke to the children. Please see attached notes.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (2) (C) 5. · Child Care Program

The needs of infants and toddlers were not met as evidenced by no interaction by a caregiver to a child occurred for at least ten minutes.

Required correction: Caregivers shall give individual attention and play to the children.

Violation substantiated · 5 CSR 25-500.192(5)(A)

In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.

Required correction: The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due November 14, 2023

Furniture/equipment, cabinet and counter top, in between rooms 1 and 2 was not in good condition as evidenced by wood wearing and chipped laminate.

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 October 17, 2023

Outdoor equipment, trikes, in toddler playground was not in good condition as evidenced by rusting.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 17, 2023

Medical examination report(s) was/were not on file for R.C., M.G., K.K., K.L., R.L., K.R., J.R. 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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 4, 2023

The walls located rooms 1, 2 & 8, 3, 5 was/were not in good condition as evidenced by window and trim near changing area dirty, dirty back door, paint chipping, missing soap dispenser.

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 August 10, 2023

The ceilings located all rooms was/were not clean as evidenced by dusty vents, fans, and stained tile in rooms, 1, 7, and 10.

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 July 13, 2023

The floors located in rooms 1, 8 and 9 was/were not in good condition as evidenced by tape on carpet, missing floor tile and overly dirty carpet.

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

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

Furniture/equipment, cabinet and counter top, in between rooms 1 and 2 was not in good condition as evidenced by wood wearing and chipped laminate.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 14, 2023

Furniture/equipment, dresser and changing table, in room 4 was not in good condition as evidenced by wood wearing and bottom dirty .

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 14, 2023

Furniture/equipment, leather couches, in rooms 3 and 9 was not in good condition as evidenced by torn.

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

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

Outdoor equipment, trikes, in toddler playground was not in good condition as evidenced by rusting.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due July 6, 2023

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: G.S. and R.R.

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

Medical examination report(s) was/were not on file for R.C., M.G., K.K., K.L., R.L., K.R., J.R. 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.