Bright Horizons Children's Centers LLC

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due February 20, 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 25-500.052 (2) (A) · Annual Requirements · Correction due November 20, 2025

The annual fire safety inspection was not conducted.

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

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

The Family Care Safety Registry check was not conducted for J.C. and S.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 25-500.102 · Personnel (1) (K) . · Correction due January 21, 2026

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

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 (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 25-500.102 · Personnel (4) (A) . · Correction due January 15, 2026

Safe sleep training was not completed within the past 3 years for the following staff L.N.

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 January 21, 2026

Medical examination report(s) was/were not on file for K.D. 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 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not conducted.

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

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

The Family Care Safety Registry check was not conducted for J.C. and S.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 25-500.102 · 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: L.N.

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 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff L.N.

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

Medical examination report(s) was/were not on file for K.D. 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 (3) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 23, 2025

Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom door.

Required correction: Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due July 23, 2025

Caregiver did not provide frequent, direct contact as evidenced by Friday afternoon (7/11/25) around 4:20pm, Caregiver E.R. went into the closet to retrieve something and when she shut the door, she did not notice that a child had entered the closet and closed the child inside the closet for an unknown amount of time. Caregiver Elizabeth had left the room to use the restroom and caregiver N.J. heard the child crying and opened the door to find the child in the closet.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.102 (1) (D) · Personnel · Correction due July 16, 2025

A caregiver did not demonstrate the ability to carry out assigned responsibilities as evidenced by on Friday (7/11/25) between 12:30-1:30 pm, caregiver A.H. took a frozen breastmilk out of the freezer and fed it to a child that it did not belong to. Caregiver did not notice until the parent of the child brought it to their attention.

Required correction: Caregivers shall fulfill their assigned responsibilities and accept training/supervision.

5 CSR 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by Friday afternoon (7/11/25) around 4:20pm, Caregiver E.R. went into the closet to retrieve something and when she shut the door, she did not notice that a child had entered the closet and closed the child inside the closet for an unknown amount of time. Caregiver Elizabeth had left the room to use the restroom and caregiver N.J. heard the child crying and opened the door to find the child in the closet.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 12, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the blue cushioning flooring in the preschool playground is coming up and tearing in multiple spots. This is creating tripping hazards and children can easily peel up the absorbent flooring material.

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 the blue cushioning flooring in the preschool playground is coming up and tearing in multiple spots. This is creating tripping hazards and children can easily peel up the absorbent flooring material.

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

5 CSR 25-500.082 (4) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 27, 2025

There was no diapering table in the preschool unit and a two year old child was present.

Required correction: The facility shall provide a diapering table in the preschool unit as required. (GF)

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

There was no diapering table in the preschool unit and a two year old child was present.

Required correction: The facility shall provide a diapering table in the preschool unit as required. (GF)

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due January 14, 2025

Medical examination report(s) was/were not on file for L.K. 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 25-500.052 (2) (A) · Annual Requirements · Correction due December 10, 2024

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 13, 2024

The Family Care Safety Registry check was not conducted for R.T. 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 · Correction due December 13, 2024

The facility's outdoor space was not safe for children's activities as evidenced by on the Infant/Toddler playground there were bird droppings throughout the entire playground.

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

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

Medical examination report(s) was/were not on file for L.K. 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 December 13, 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: D.M. and L.K.

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

5 CSR 25-500.132 · Admission Policies and Procedures (2) A. 4. d. · Correction due December 18, 2024

The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.

Required correction: The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.

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.

Violation substantiated · 5 CSR 25-500.082(2)(B)2.B.(III)

If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;

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

The Family Care Safety Registry check was not conducted for R.T. 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 on the Infant/Toddler playground there were bird droppings throughout the entire playground.

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

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

Medical examination report(s) was/were not on file for L.K. 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: D.M. and L.K.

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

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

Furniture/equipment, black rug under water station, in two's 1 room was not in good condition as evidenced by curling up on 3 sides causing a tripping hazard for children.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 5, 2023

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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 inches. The opening was located in the infant playground underneath the fence exit door.

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

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

Furniture/equipment, bookshelf, in the preschool room, in the room to the right was not in good condition as evidenced by residue on the shelves.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due December 5, 2023

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: M.H. needs 4 hours.

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

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

Medical examination report(s) was/were not on file for Q.P. and R.T. 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 (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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 inches. The opening was located in the infant playground underneath the fence exit door.

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

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

Furniture/equipment, bookshelf, in the preschool room, in the room to the right was not in good condition as evidenced by residue on the shelves.

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

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 2022, the staff listed need the following information: M.H. needs 4 hours.

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

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

Medical examination report(s) was/were not on file for Q.P. and R.T. 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.