Bright Skies Childcare, LLC

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 21, 2026

Medical examination report(s) was/were not on file for J.B., L.H., K.K., S.N., and T.S. 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 (1) (C) · Medical Examination Reports · Correction due May 20, 2026

The medical examination report on file for S.M. 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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 14, 2026

The walls located Pre-K room was/were not in good condition as evidenced by paint peeling.

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) 2. H · Correction due April 14, 2026

Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.

Required correction: Infant sleeping requirements shall be met.

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

Medical examination report(s) was/were not on file for J.B., L.H., K.K., S.N., and T.S. 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 (1) (C) · Medical Examination Reports

The medical examination report on file for S.M. 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 25-600.020 (1) · General Requirements · Correction due April 14, 2026

Criminal background check results were not on file for L.H. and N.L.

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 Pre-K room was/were not in good condition as evidenced by paint peeling.

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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 2, 2026

Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

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

Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.

Required correction: Infant sleeping requirements shall be met.

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

Medical examination report(s) was/were not on file for J.B., L.H., K.K., S.N., and T.S. 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 (1) (C) · Medical Examination Reports

The medical examination report on file for S.M. 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.H. and N.L.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 15, 2025

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due April 29, 2025

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due April 17, 2025

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 17, 2025

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due April 29, 2025

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 25-500.102 · Personnel (1) (K) . · Correction due April 30, 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.O.

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) (C) · Personnel · Correction due June 18, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: J.P. needs 2.5 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 24, 2025

Medical examination report(s) was/were not on file for K.D. and A.O. 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 25-500.222 (2) (C) · Records and Reports · Correction due June 24, 2025

Child A child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 11, 2025

Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

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

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Required correction: The facility shall provide a safe and clean diapering table 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 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 25-500.102 · 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.O.

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) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: J.P. needs 2.5 hours.

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

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

Medical examination report(s) was/were not on file for K.D. and A.O. 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 25-500.222 (2) (C) · Records and Reports

Child A child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 21, 2025

The bathroom was not clean and odor free as evidenced by the hand sink 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 January 21, 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 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 2, 2024

Hazardous items as follows were accessible to children: diaper rash paste. The item(s) was/were located under the changing table in the 2's room.

Required correction: Hazardous items shall be inaccessible to children.

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

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 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 2, 2024

Hazardous items as follows were accessible to children: personal purse. The item(s) was/were located on the counter in the 1's room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 2, 2024

Furniture/equipment, quarter circle mat, in the 1's room was not in good condition as evidenced by peeling making it unable to be cleaned properly.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due June 20, 2024

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency 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 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due June 20, 2024

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 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 20, 2024

Medical examination report(s) was/were not on file for T.C. 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 June 20, 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: T.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 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 11, 2024

Hazardous items as follows were accessible to children: S.B. The item(s) was/were located changing table in the 2's room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 11, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency 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 · 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 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for T.C. 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: T.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 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 11, 2023

Children were not restricted to approved space as evidenced by door unlocked to the unit next door.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 11, 2023

There was evidence of dirt/debris in in Pre K on the door leading outside.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 11, 2023

Medical examination report(s) was/were not on file for S.W., J.B., A.B., and H.I. 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 October 11, 2023

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: S.W., J.B., A.B., and H.I.

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 October 3, 2023

The walls located in the Toddler room was/were not in good condition as evidenced by gap where molding meets in corner.

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 October 3, 2023

The walls located in the 2's room was/were not clean as evidenced by marks of dirt on wall and molding.

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 October 3, 2023

The walls located in Preschool was/were not in good condition as evidenced by 2 small holes in far wall.

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 October 3, 2023

The walls located in Pre k was/were not in good condition as evidenced by peeling paint spot.

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

Children were not restricted to approved space as evidenced by door unlocked to the unit next door.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that no outlet cover.

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 October 3, 2023

The walls located in Preschool was/were not in good condition as evidenced by chipped wood on entry door to classroom.

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 October 3, 2023

The walls located in 2's was/were not finished with material which can be cleaned easily as evidenced by adhesive dots on the door that were not being used.

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 September 26, 2023

The walls located in the infant room was/were not in good condition as evidenced by molding is not attached to the wall.

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 in Pre K on the door leading outside.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2023

There was evidence of dirt/debris in on the outside sink in the 2's room.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2023

The facility's outdoor space was not safe for children's activities as evidenced by Pipe on perimeter of playground surface has come apart at the joint.

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 · Correction due October 3, 2023

The walls located Preschool and prek was/were not in good condition as evidenced by chipping paint on door frames.

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 October 3, 2023

The walls located on outside classroom doors was/were not in good condition as evidenced by rust at the bottom of the doors.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due October 3, 2023

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 October 3, 2023

Furniture/equipment, cabinet, in 2's was not in good condition as evidenced by adhesive residue.

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 3, 2023

Outdoor equipment, Little Tykes car, in the playground was not in good condition as evidenced by hole where gas tank used to be leaving jagged edges.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due October 3, 2023

Documentation of caregiver completion of the facility orientation was not on file for the following staff: R.F.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due October 3, 2023

S.W., R.F., J.B., A.B., and H.I. 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 S.W., J.B., A.B., and H.I. 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: S.W., J.B., A.B., and H.I.

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 (6) · Admission Policies and Procedures · Correction due October 3, 2023

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due October 3, 2023

Criminal background check results were not on file for S.W.

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