Brighton Montessori, LLC

Violation substantiated · 5 CSR 25-500.092(1)(B)2.I.

Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2026

The floors located in toddler-2 room and by back, basement door was/were not clean as evidenced by drywall, dirt and debris present.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2026

There was evidence of dirt/debris in sticky/tape residue on drawers in infant and 2-year-old rooms.

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 April 15, 2026

The facility's outdoor space was not safe for children's activities as evidenced by trash on playground (trash can was blown over) and black ground covering exposed.

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 railing for emergency exit stairs broken/splintering.

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 April 15, 2026

Furniture/equipment, blinds, in toddler-2 was not in good condition as evidenced by broken and tangled.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 22, 2025

Furniture/equipment, changing table, in toddler room was not in good condition as evidenced by paint chipping.

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 September 15, 2025

The ceilings located in both preschool rooms was/were not clean as evidenced by dusty vents.

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 15, 2025

The floors located in preschool room, transition room, and basement hallway was/were not clean as evidenced by stained carpet/area rugs, rust stain on tile.

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 15, 2025

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed, creating a tripping hazard.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

Furniture/equipment, changing table, in toddler room was not in good condition as evidenced by paint chipping.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 4, 2025

Hazardous items as follows were accessible to children: scissors, saran wrap box, disinfectant wipes. The item(s) was/were located in an unlocked drawer and on low shelf.

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 preschool room, transition room, and basement hallway was/were not clean as evidenced by stained carpet/area rugs, rust stain on tile.

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 black ground covering exposed, creating a tripping hazard.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

The ceilings located in both preschool rooms was/were not clean as evidenced by dusty vents.

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, changing table, in toddler room was not in good condition as evidenced by paint chipping.

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

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

An infant was observed sleeping in a/an swing.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

Violation substantiated · 5 CSR 25-500.102(1)(G)

Caregivers, directors, other personnel, or volunteers shall not be under the influence of alcohol or illegal drugs, while on the premises or in any vehicles used by the program. These individuals shall not be in a state of impaired ability due to use of medication while 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 25-500.122 · Medical Examination Reports (1) (B) . · Correction due April 17, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.G.

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 April 3, 2025

The Family Care Safety Registry check was not conducted for A.D. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 18, 2025

The ceilings located in pre-k (B) and hallway was/were not clean as evidenced by dusty vent and missing/stained ceiling tile.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 7, 2025

The facility's outdoor space was not safe for children's activities as evidenced by standing water under merry-go-round.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due April 3, 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 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due April 3, 2025

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

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 18, 2025

Outdoor equipment, basketball goals and merry-go-round, in playground was not in good condition as evidenced by not rims/nets and paint chipping.

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

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due April 17, 2025

Medical examination report form did not contain all required information as evidenced by incomplete medical exam form for Shaunchell Johnson and Susan Penke.

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

5 CSR 25-500.202 (2) (A) · Nutrition and Food Service · Correction due April 3, 2025

The provider did not serve nourishing foods as specified by his/her parent in the written diet plan.

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

5 CSR 25-500.092 · 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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.D. 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) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 2, 2025

Hazardous items as follows were accessible to children: scissors, staple remover, and screwdriver. The item(s) was/were located on a desk.

Required correction: Hazardous items shall be inaccessible to children.

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

The ceilings located in pre-k (B) and hallway was/were not clean as evidenced by dusty vent and missing/stained ceiling tile.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by standing water under merry-go-round.

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 April 2, 2025

The floors located in back hallway and two's room was/were not in good condition as evidenced by puddle of water on floor due to ceiling flooding and sticky residue.

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

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 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball goals and merry-go-round, in playground was not in good condition as evidenced by not rims/nets and paint chipping.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.G.

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

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

Medical examination report form did not contain all required information as evidenced by incomplete medical exam form for Shaunchell Johnson and Susan Penke.

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

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

The provider did not serve nourishing foods as specified by his/her parent in the written diet plan.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed creating 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 · Correction due October 30, 2024

The walls located in bathrooms was/were not in good condition as evidenced by hole above toilet and sticky residue from broken soap dispenser.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2024

The walls located in all three basement classrooms was/were not clean as evidenced by dusty fans.

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 black ground covering exposed creating a tripping hazard.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2024

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

The walls located in all three basement classrooms was/were not clean as evidenced by dusty fans.

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 black ground covering exposed creating a tripping hazard.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

The walls located in bathrooms was/were not in good condition as evidenced by hole above toilet and sticky residue from broken soap dispenser.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due October 22, 2024

Caregiver did not provide frequent, direct contact as evidenced by a child came into the director's office while CI was writing report (the director was not present). When CI went to ask the staff about the child, they didn't know he'd left the classroom.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 31, 2024

The ceilings located in the upstairs 4 and 5 year old classroom was/were not in good condition as evidenced by a large stain in the ceiling from a water leak.

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

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

The ceilings located in the upstairs 4 and 5 year old classroom was/were not in good condition as evidenced by a large stain in the ceiling from a water leak.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due April 22, 2024

Elizabeth Stickley and Michael Stickley 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 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2024

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2024

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed in several areas creating 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 · Correction due April 22, 2024

The ceilings located pre-k bathrooms was/were not in good condition as evidenced by vent cover dusty and loose (boys) .

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 22, 2024

Furniture/equipment, changing table, in toddler room was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due April 22, 2024

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 22, 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 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 1, 2024

Medical examination report(s) was/were not on file for D.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 · Medical Examination Reports (1) (B) . · Correction due May 1, 2024

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

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due May 1, 2024

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/22/2022.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due May 6, 2024

Criminal background check results were older than five (5) years for Rachelle Eddins.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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 black ground covering exposed in several areas creating 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 ceilings located pre-k bathrooms was/were not in good condition as evidenced by vent cover dusty and loose (boys) .

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, changing table, in toddler room was not in good condition as evidenced by chipping paint.

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

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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 April 2, 2024

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

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

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

Elizabeth Stickley and Michael Stickley 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 D.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 · Medical Examination Reports (1) (B) .

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

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/22/2022.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Rachelle Eddins.

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 ceilings located pre-k bathrooms was/were not in good condition as evidenced by vent cover dusty and loose (boys) .

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 black ground covering exposed in several areas creating a tripping hazard.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

Furniture/equipment, changing table, in toddler room was not in good condition as evidenced by chipping paint.

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

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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 25-500.102 (4) (A) 3. · Personnel

Elizabeth Stickley and Michael Stickley 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 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/22/2022.

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

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

Medical examination report(s) was/were not on file for D.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 · Medical Examination Reports (1) (B) .

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

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

5 CSR 25-500.202 (1) (E) · Nutrition and Food Service

One serving of fluid milk was not served with each meal.

Required correction: Milk shall be served as required.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Rachelle Eddins.

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

5 CSR 25-500.042 (12) · Licensing Process · Correction due November 14, 2023

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

Required correction: The official license shall be posted.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due October 3, 2023

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

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

5 CSR 25-500.042 (13) (D) · Licensing Process · Correction due October 3, 2023

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2023

The floors located in 2-year old room was/were not in good condition as evidenced by tape peeling off floor.

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 ceilings located in infants and 3-to-4 year old room was/were not in good condition as evidenced by small hole near vent and light fixture and dusty vent.

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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 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 4 inches.

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 October 3, 2023

Furniture/equipment, shelf, in pre-k room was not in good condition as evidenced by sticky 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 October 10, 2023

Furniture/equipment, drawers/cabinets, in kitchen was not in good condition as evidenced by broken drawer and drawer handle, some cabinets and drawers needing to be cleaned.

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 · No longer displayed by the state

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 4 inches.

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

5 CSR 25-500.042 (12) · Licensing Process · No longer displayed by the state

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

Required correction: The official license shall be posted.

5 CSR 25-500.042 (13) (B) · Licensing Process · No longer displayed by the state

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

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

5 CSR 25-500.042 (13) (D) · Licensing Process · No longer displayed by the state

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The ceilings located in infants and 3-to-4 year old room was/were not in good condition as evidenced by small hole near vent and light fixture and dusty vent.

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 · No longer displayed by the state

The floors located in 2-year old room was/were not in good condition as evidenced by tape peeling off floor.

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 · No longer displayed by the state

Furniture/equipment, drawers/cabinets, in kitchen was not in good condition as evidenced by broken drawer and drawer handle, some cabinets and drawers needing to be cleaned.

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 · No longer displayed by the state

Furniture/equipment, shelf, in pre-k room was not in good condition as evidenced by sticky residue.

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