Brighton Learning Center

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 29, 2026

Hazardous items as follows were accessible to children: paint. The item(s) was/were located unlocked sink cabinet in the 1 year old room.

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 floors located in the Pre-K Room was/were not in good condition as evidenced by chipping flooring.

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 June 29, 2026

Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located unlocked diaper changing station in the 1 year old room.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: bleach, cleaning solutions and disinfectant wipes. The item(s) was/were located unlocked sink cabinet in the Preschool room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due June 29, 2026

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due February 18, 2026

The equipment list was not submitted.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due January 21, 2026

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 February 18, 2026

Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located under diaper changing table in 1-2 year old room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 18, 2026

Hazardous items as follows were accessible to children: bleach and disinfectant wipes . The item(s) was/were located under the sinks on the younger infant side.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 18, 2026

The facility's outdoor space was not safe for children's activities as evidenced by wall of building has wood peeling under the paint.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 18, 2026

Furniture/equipment, brown wooden shelf, in older preschool was not in good condition as evidenced by chipped/broken edge in bottom corner.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due February 19, 2026

Criminal background check results were not on file for D.C.

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

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 (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

Hazardous items as follows were accessible to children: bleach and disinfectant wipes . The item(s) was/were located under the sinks on the younger infant side.

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 · Correction due November 19, 2025

The walls located 2's room was/were not in good condition as evidenced by curtains have holes in them.

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 November 19, 2025

The walls located Toddler 2 was/were not in good condition as evidenced by adhesive residue on half 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 November 15, 2025

The walls located Preschool was/were not in good condition as evidenced by molding in half wall has a gap.

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 wall of building has wood peeling under the paint.

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 November 19, 2025

The facility's outdoor space was not safe for children's activities as evidenced by wees on older playground.

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

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

Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located under diaper changing table in 1-2 year old room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due May 12, 2025

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the date of the drill was not recorded.

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 July 23, 2025

Furniture/equipment, shelf, in Preschool 1 was not in good condition as evidenced by adhesive residue on top.

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 July 23, 2025

Furniture/equipment, shelf, in Preschool 1 was not in good condition as evidenced by Chipped laminate leaving screws exposed.

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 21, 2025

Outdoor equipment, race car, in playground was not in good condition as evidenced by cracked plastic on rear of seat.

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 May 21, 2025

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by cracked wheel.

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 May 21, 2025

Outdoor equipment, train, in younger playground was not in good condition as evidenced by jagged edge on wheel.

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

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

Furniture/equipment, brown wooden shelf, in older preschool was not in good condition as evidenced by chipped/broken edge in bottom corner.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for D.C.

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

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 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 25-500.082 (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 wall of building has wood peeling under the paint.

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 wees on older playground.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 12, 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located 2's room was/were not in good condition as evidenced by curtains have holes in them.

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 Toddler 2 was/were not in good condition as evidenced by adhesive residue on half 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

The walls located Preschool was/were not in good condition as evidenced by molding in half wall has a gap.

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 12, 2025

Hazardous items as follows were accessible to children: Bleach water. The item(s) was/were located hanging off side of changing table in Infant 2 room and Toddler 1 room.

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 the date of the drill was not recorded.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 12, 2025

Outdoor equipment, Bumble Bee toy, in Younger playground was not in good condition as evidenced by missing handle.

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

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

Outdoor equipment, race car, in playground was not in good condition as evidenced by cracked plastic on rear of seat.

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

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

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by cracked wheel.

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 May 12, 2025

Outdoor equipment, wagon, in on younger playground was not in good condition as evidenced by cracked plastic handle.

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

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

Outdoor equipment, train, in younger playground was not in good condition as evidenced by jagged edge on wheel.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due May 12, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 10 inches.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

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

Furniture/equipment, shelf, in Preschool 1 was not in good condition as evidenced by adhesive residue on top.

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 May 12, 2025

Furniture/equipment, rug, in Toddler 2 was not in good condition as evidenced by raveling edges.

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

Furniture/equipment, shelf, in Preschool 1 was not in good condition as evidenced by Chipped laminate leaving screws exposed.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 21, 2025

The walls located Twos room was/were not in good condition as evidenced by hole in 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 March 21, 2025

The walls located in PreK was/were not in good condition as evidenced by molding is separating from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 21, 2025

The walls located on outside playground was/were not in good condition as evidenced by molding pulling off from 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 March 21, 2025

The walls located Preschool bathroom was/were not in good condition as evidenced by rust on door frame.

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 March 21, 2025

The facility's outdoor space was not safe for children's activities as evidenced by weeds growing along the fence.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 21, 2025

Furniture/equipment, trash can, in Prek was not in good condition as evidenced by dirt or food residue.

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 March 21, 2025

Furniture/equipment, vanities , in the preschool bathroom and twos bathroom was not in good condition as evidenced by covering peeling exposing particle board.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 21, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by shelves were closed and turned to the wall in Pre K.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Shelf in Toddler B has laminate chipping exposing particle board..

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 21, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by stool in Preschool bathroom was dirty..

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that there was no outlet plate in Toddler B room.

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 March 21, 2025

The walls located Toddler B was/were not in good condition as evidenced by adhesive residue.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due November 25, 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 25-500.082 (1) (B) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 25, 2024

The facility has not met the requirements for fire and safety as evidenced by there is not an approved fire inspection.

Required correction: The facility shall comply with fire and safety/zoning/sanitation requirements.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that there was no outlet plate in Toddler B room.

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 February 10, 2025

The walls located Toddler and Twos was/were not in good condition as evidenced by doors have chipped paint.

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 10, 2025

The walls located Toddler B was/were not in good condition as evidenced by chipping paint on outside door frame.

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 Toddler B was/were not in good condition as evidenced by adhesive 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 10, 2025

The walls located Twos was/were not in good condition as evidenced by chipped paint on door frame.

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 Twos room was/were not in good condition as evidenced by hole in 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

The walls located in PreK was/were not in good condition as evidenced by molding is separating from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located on outside playground was/were not in good condition as evidenced by molding pulling off from 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

The walls located Preschool bathroom was/were not in good condition as evidenced by rust on door frame.

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 10, 2025

The walls located in Toddler A 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

The facility's outdoor space was not safe for children's activities as evidenced by weeds growing along the fence.

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

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

Furniture/equipment, trash can, in Prek was not in good condition as evidenced by dirt or food residue.

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

Furniture/equipment, vanities , in the preschool bathroom and twos bathroom was not in good condition as evidenced by covering peeling exposing particle board.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 13, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by orange cushion has a hole in covering.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by shelves were closed and turned to the wall in Pre K.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 4, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by blue table in Infant A has chipping paint.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 10, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by upholstered bench in Twos room was soiled.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by stool in Preschool bathroom was dirty..

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 4, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by yellow chairs in twos and Pre K were not clean.

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 February 28, 2025

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by cracked roof support.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 16, 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.J.

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 (2) (A) 1. · Furniture, Equipment and Materials

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Shelf in Toddler B has laminate chipping exposing particle board..

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 28, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by rugs and cushions in Toddler B were dirty..

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

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) (B) · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility has not met the requirements for fire and safety as evidenced by there is not an approved fire inspection.

Required correction: The facility shall comply with fire and safety/zoning/sanitation requirements.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Children were not restricted to approved space as evidenced by closet door in Toddler A was standing open.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that there was no outlet plate in Toddler B room.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Hazardous items as follows were accessible to children: all purpose cleaner and disinfecting wipes. The item(s) was/were located in unlocked vanity in Twos bathroom.

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 Toddler A 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

The facility's outdoor space was not safe for children's activities as evidenced by weeds growing along the fence.

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 Toddler B was/were not in good condition as evidenced by chipping paint on outside door frame.

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 Toddler B was/were not in good condition as evidenced by adhesive 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

The walls located Twos was/were not in good condition as evidenced by chipped paint on door frame.

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 Twos room was/were not in good condition as evidenced by hole in 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

The walls located in PreK was/were not in good condition as evidenced by molding is separating from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located on outside playground was/were not in good condition as evidenced by molding pulling off from 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

The walls located Preschool bathroom was/were not in good condition as evidenced by rust on door frame.

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 November 20, 2024

Hazardous items as follows were accessible to children: Adult scissors. The item(s) was/were located on teachers desk in the Preschool room..

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Hazardous items as follows were accessible to children: Cough and Cold medicine. The item(s) was/were located on cubbies in Preschool room..

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Hazardous items as follows were accessible to children: Sunscreen, hand sanitizer, screwdriver, deodorant, packing tape dispenser with cutting edge, paper cutter, and adult scissors. The item(s) was/were located in shelves behind teacher's desk and on top of cubbies, and under the sink.

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 Toddler and Twos was/were not in good condition as evidenced by doors have chipped paint.

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, vanities , in the preschool bathroom and twos bathroom was not in good condition as evidenced by covering peeling exposing particle board.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by yellow chairs in twos and Pre K were not clean.

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

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by cracked roof support.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Shelf in Toddler B has laminate chipping exposing particle board..

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by rugs and cushions in Toddler B were dirty..

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by blue table in Infant A has chipping paint.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by upholstered bench in Twos room was soiled.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by stool in Preschool bathroom was dirty..

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

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

Furniture/equipment, trash can, in Prek was not in good condition as evidenced by dirt or food residue.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by shelves were closed and turned to the wall in Pre K.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by orange cushion has a hole in covering.

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

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.J.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 20, 2024

One child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 20, 2024

One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and 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 September 17, 2024

The walls located in Preschool under windows 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 17, 2024

The walls located Pre K girls bathroom was/were not in good condition as evidenced by molding pulling away from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 17, 2024

The walls located in Preschool was/were not in good condition as evidenced by jagged edge on molding.

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 September 23, 2024

The facility's outdoor space was not safe for children's activities as evidenced by wooden boards were sticking up next to the fence causing a tripping hazard.

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 Preschool under windows 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Pre K girls bathroom was/were not in good condition as evidenced by molding pulling away from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Preschool was/were not in good condition as evidenced by jagged edge on molding.

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 wooden boards were sticking up next to the fence causing a tripping hazard.

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 Preschool under windows 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Pre K girls bathroom was/were not in good condition as evidenced by molding pulling away from 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Preschool was/were not in good condition as evidenced by jagged edge on molding.

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 wooden boards were sticking up next to the fence causing a tripping hazard.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 4, 2024

The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due June 4, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2024

Hazardous items as follows were accessible to children: Hand soap. The item(s) was/were located in unlocked sink cabinet in Younger Infant room.

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 was/were not in good condition as evidenced by jagged edge on molding.

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 wooden boards were sticking up next to the fence causing a tripping hazard.

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

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 urine and/or excrement odor was detected.

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

The walls located in Preschool under windows 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Pre K girls bathroom was/were not in good condition as evidenced by molding pulling away from 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 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2024

Hazardous items as follows were accessible to children: Sunscreen. The item(s) was/were located in unlocked cabinet under sink in two year old room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due May 21, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the date of the drill was not recorded.

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. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 21, 2024

Outdoor equipment, little tykes car, in younger playground was not in good condition as evidenced by bar support for roof was missing.

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 May 21, 2024

Outdoor equipment, child sized chair, in younger playground was not in good condition as evidenced by torn vinyl on the seat and instructions were hanging down from underneath the seat.

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

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

Furniture/equipment, Sink vanity, in toddler 2 was not in good condition as evidenced by door is loose at the hinge causing it to hang unevenly.

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 December 15, 2023

Furniture/equipment, Yellow chairs, in Early Preschool was not in good condition as evidenced by dirt on chairs.

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 December 19, 2023

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by hole in roof support with jagged edges.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due December 18, 2023

Maurina Clark 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 · Personnel (4) (A) . · Correction due January 4, 2024

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

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) . · Correction due January 17, 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: A.B.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 7, 2023

The Family Care Safety Registry check was not conducted for B.W. 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, Sink vanity, in toddler 2 was not in good condition as evidenced by door is loose at the hinge causing it to hang unevenly.

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

Furniture/equipment, Yellow chairs, in Early Preschool was not in good condition as evidenced by dirt on chairs.

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, Little Tykes car, in playground was not in good condition as evidenced by hole in roof support with jagged edges.

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

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

Maurina Clark 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 · Personnel (4) (A) .

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

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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 7, 2023

Staff/child ratio requirements were not met as evidenced by Eight children, ages 1 , were cared for by one caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

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: A.B.

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 · Correction due December 7, 2023

Criminal background check results were not on file for M.C.

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 B.W. 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 1, 2023

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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, Sink vanity, in toddler 2 was not in good condition as evidenced by door is loose at the hinge causing it to hang unevenly.

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 December 1, 2023

Furniture/equipment, wooden cubbies, in Preschool was not in good condition as evidenced by adhesive residue on the front of individual cubbies.

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

Furniture/equipment, Yellow chairs, in Early Preschool was not in good condition as evidenced by dirt on chairs.

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, Little Tykes car, in playground was not in good condition as evidenced by hole in roof support with jagged edges.

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

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

Maurina Clark 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 · Personnel (4) (A) .

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

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 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by Eight children, ages 1 , were cared for by one caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-500.112 (1) (C) · Staff/Child Ratios · Correction due December 1, 2023

Staff/child ratio requirements were not met as evidenced by 23 children, ages 11 four year olds and 12 five years and up, were cared for by two caregiver(s).

Required correction: Correct staff/child ratios shall be maintained.

5 CSR 25-500.112 (2) · Staff/Child Ratios · Correction due December 1, 2023

More than 50 children were observed in care and the director/individual in charge was included in the staff/child ratios; this occurred outside of naptime and there was no emergency.

Required correction: The director/individual in charge shall not be included in the ratio except as allowed.

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: A.B.

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 M.C.

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

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

Outdoor equipment, Little Tykes car, in playground was not in good condition as evidenced by hole in roof support with jagged edges.

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

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

The Family Care Safety Registry check was not conducted for B.W. 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 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2023

Children were not restricted to approved space as evidenced by Hall closet standing open.

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 · Correction due November 15, 2023

The walls located in the toddler room was/were not in good condition as evidenced by adhesive on door.

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

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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, Yellow chairs, in Early Preschool was not in good condition as evidenced by dirt on chairs.

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 November 20, 2023

Outdoor equipment, pink bike, in younger playground was not in good condition as evidenced by basket on back had cracked leaving sharp edges.

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

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

Furniture/equipment, Sink vanity, in toddler 2 was not in good condition as evidenced by door is loose at the hinge causing it to hang unevenly.

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

Furniture/equipment, wooden cubbies, in Preschool was not in good condition as evidenced by adhesive residue on the front of individual cubbies.

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

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

Maurina Clark 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 · Personnel (4) (A) .

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

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 25-500.112 (1) (C) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by 23 children, ages 11 four year olds and 12 five years and up, were cared for by two caregiver(s).

Required correction: Correct staff/child ratios shall be maintained.

5 CSR 25-500.112 (2) · Staff/Child Ratios

More than 50 children were observed in care and the director/individual in charge was included in the staff/child ratios; this occurred outside of naptime and there was no emergency.

Required correction: The director/individual in charge shall not be included in the ratio except as allowed.

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: A.B.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 20, 2023

One child(ren) records did not include home telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 20, 2023

Two child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.C.

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 October 11, 2023

Children were not restricted to approved space as evidenced by kitchen door was open.

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 the toddler room was/were not in good condition as evidenced by adhesive on 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 October 11, 2023

The walls located in infant room was/were not in good condition as evidenced by adhesive residue on half wall.

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 October 11, 2023

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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 27, 2023

Children were not restricted to approved space as evidenced by the infant room closet was not closed and inside closet were exposed pipes.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 27, 2023

Children were not restricted to approved space as evidenced by the staff room door and kitchen door was standing open.

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 September 27, 2023

Hazardous items as follows were accessible to children: detergent. The item(s) was/were located in supply closet with the door open.

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 the toddler room was/were not in good condition as evidenced by adhesive on 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 September 27, 2023

The walls located in Pre K bathrooms was/were not clean as evidenced by dirt by light switch in both bathrooms.

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 27, 2023

The walls located in the preschool room was/were not in good condition as evidenced by wall trim coming off wall and by the baseboard.

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 27, 2023

The walls located in toddler room was/were not clean as evidenced by dirt on the door to outside.

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 infant room was/were not in good condition as evidenced by adhesive residue on half wall.

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 September 27, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by rug in 2's room was dirty.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 27, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the cubbies in Preschool had adhesive residue.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 27, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by in the toddler room there was adhesive residue on the changing table.

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