Brown's Christian Academy & Preschool

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 22, 2026

Hazardous items as follows were accessible to children: 1 tube of orajel, 1 tube of aquaphor, 1 prescription ointment tube and 2 containers of clorox cleaning wipes. The item(s) was/were located in the back 3 year old room in the children's cubbies and on shelves in the 1st room with preschool children.

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large area rugs.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

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

The ceilings located in the big 2 year old room was/were not clean as evidenced by stained ceiling in the back corner of the room.

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

5 CSR 25-500.082 (3) (C) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 22, 2026

The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by the potty chair was not emptied.

Required correction: The facility shall provide, clean, and disinfect potty training equipment as required.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 22, 2026

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

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

5 CSR 25-500.082 (3) (C) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 22, 2026

The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chairs were not located in a bathroom.

Required correction: The facility shall provide, clean, and disinfect potty training equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due July 22, 2026

Outdoor equipment, a climber , in the toddler playground was not free of pointed parts as evidenced by a screw was missing a cap .

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 July 22, 2026

Outdoor equipment, the wood border, in the large playground was not free of pointed parts as evidenced by the nail spikes were sticking up approximately 1 inch in multiple places on the wood border.

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 July 22, 2026

Outdoor equipment, the wood border, in the large playground was not free of sharp parts as evidenced by there was a metal hinge that had raw edges that were sharp.

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 July 22, 2026

Outdoor equipment, ground area, in the large playground was unsafe as evidenced by there was a metal pipe sticking up out of the ground by the wood border that was approximately 6 inches in height and 1 - 2 inches in diameter that had sharp edges.

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 July 22, 2026

Outdoor equipment, 2 bicycles, in the large playground was not in good condition as evidenced by both bikes had either no seat and/or the seat was missing screws to hold the seat on.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.B.

Required correction: All caregivers shall obtain a MOPD ID.

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

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

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 25-500.192 · Health Care (4) (B) 2. B. · Correction due December 19, 2025

There was no parental written objection to immunizations on file for one child(ren).

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 17, 2025

Hazardous items as follows were accessible to children: 7 tubes of diaper ointments and 1 bottle of teething medication. The item(s) was/were located in children basket under the changing tables accessible to children in the toddler classrooms .

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 17, 2025

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4 inches between the gate and fence on the middle playground.

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

5 CSR 25-500.192 · Health Care (4) (B) 2. B.

There was no parental written objection to immunizations on file for one child(ren).

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 21, 2025

Children were not restricted to approved space as evidenced by the following doors were not locked: kitchen corrected on site), electrical closet (corrected on site), mechanical closet (corrected on site) and the water shut off closet.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due July 20, 2025

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large area rugs were observed in the toddler classrooms.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 20, 2025

The ceilings located in the 2 year old room was/were not in good condition as evidenced by stained ceiling was observed.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 20, 2025

The floors located in the 3 year old room, 2 year old room, 3 year old room, and toddler classroom was/were not clean as evidenced by dirt stains were observed on the carpet and area rugs.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 20, 2025

The walls located 2 year old room was/were not in good condition as evidenced by peeling paint exposing dry wall were observed.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 21, 2025

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

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 21, 2025

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 the width of 1 wood board which is approximately 6- 8 inches.

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due July 31, 2025

The facility did not conduct a Family Care Safety Registry screening for Diaamonae Griswold, who was hired on June 25, 2025.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due August 1, 2025

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.S., C.I.J., M.F., P.H., R.S., D.G., D.B., T.M., F.J. and J.B.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due August 4, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.M. (5.5), A.B. (9.5), A.B. (4) and Tonya Brown (5.25).

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 28, 2025

Safe sleep training was not completed within the past 3 years for the following staff A.B. .

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 25-500.102 (4) (A) 3. · Personnel · Correction due July 31, 2025

A.S., R.S., T.M. and F.J. 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 25-600.020 (1) · General Requirements · Correction due August 1, 2025

Criminal background check results were not on file for C.I.J., M.F., P.H., D.B., F.J., D.G. and J.B.

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

Children were not restricted to approved space as evidenced by the following doors were not locked: kitchen corrected on site), electrical closet (corrected on site), mechanical closet (corrected on site) and the water shut off closet.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 18, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 1 outlet wasn't covered in the infant classroom.

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 July 18, 2025

Hazardous items as follows were accessible to children: destin tube & vasoline container (2 year old room), hair gel (4 - 5 yr. old room), lysol, raid, carpet cleaner (school age room), diaper ointment tubes ( 1 year old room) fire extinguisher (1 year old room). The item(s) was/were located on shelves, unlocked cabinets, changing tables and the floor of a closet. Rooms are listed behind the items found.

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large area rugs were observed in the toddler classrooms.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

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

The walls located 2 year old room was/were not in good condition as evidenced by peeling paint exposing dry wall were observed.

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

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

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

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured the width of 1 wood board which is approximately 6- 8 inches.

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

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

The ceilings located in the 2 year old room was/were not in good condition as evidenced by stained ceiling was observed.

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

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

The floors located in the 3 year old room, 2 year old room, 3 year old room, and toddler classroom was/were not clean as evidenced by dirt stains were observed on the carpet and area rugs.

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Diaamonae Griswold, who was hired on June 25, 2025.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.S., C.I.J., M.F., P.H., R.S., D.G., D.B., T.M., F.J. and J.B.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.M. (5.5), A.B. (9.5), A.B. (4) and Tonya Brown (5.25).

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

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

Safe sleep training was not completed within the past 3 years for the following staff A.B. .

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 25-500.102 (4) (A) 3. · Personnel

A.S., R.S., T.M. and F.J. 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.I.J., M.F., P.H., D.B., F.J., D.G. and J.B.

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 · Correction due March 31, 2025

The walls located in the infant classroom on the partitioned side closest to the front of the building was/were not in good condition as evidenced by cut drywall was observed crumbling along the cut edge at child height.

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 the infant classroom on the partitioned side closest to the front of the building was/were not in good condition as evidenced by cut drywall was observed crumbling along the cut edge at child height.

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 December 11, 2024

Belinda Washington (hire date 04/16/2024 per MOPD program training report) 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 (4) (A) 3. · Personnel

Belinda Washington (hire date 04/16/2024 per MOPD program training report) 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 31, 2024

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the privacy fence on the prek playground.

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 July 16, 2024

The facility's outdoor space was not safe for children's activities as evidenced by prek playground space was observed to have debris such as tree branches and leaves throughout.

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 July 16, 2024

The facility's outdoor space was not safe for children's activities as evidenced by trash was observed on the prek and infant/toddler playgrounds such as but not limited to clear plastic food wrappers, a faded flyer/paper and a plastic shopping bag.

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

5 CSR 25-500.082 (6) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 16, 2024

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material had worn away at the base of a slide where thick and tangled roots from a nearby tree were exposed at the bottom of the slide on the prek playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 16, 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

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the privacy fence on the prek playground.

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 July 16, 2024

The facility's outdoor space was not safe for children's activities as evidenced by sharp blue shards of plastic (x15) were observed on the infant/toddler playground next to a turf rug that was spread out over the grassy section. The pieces measured between 1/2 inch - 2 inches in size. One piece was given to Tonya Brown to feel the sharpness and she was unable to identify what the object once was.

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

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

Criminal background check results were not on file for L.B., T.M., N.H., A.S. and R.J.

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due March 15, 2024

The facility did not conduct a Family Care Safety Registry screening for Anita Parker , who was hired on October 2023.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.B., T.M., N.H., A.S. and R.J.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due March 15, 2024

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

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

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

The facility's outdoor space was not safe for children's activities as evidenced by prek playground space was observed to have debris such as tree branches and leaves throughout.

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 trash was observed on the prek and infant/toddler playgrounds such as but not limited to clear plastic food wrappers, a faded flyer/paper and a plastic shopping bag.

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 April 3, 2024

The facility's outdoor space was not safe for children's activities as evidenced by a broken plastic drain pipe was observed on the infant/toddler playground near the fencing.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material had worn away at the base of a slide where thick and tangled roots from a nearby tree were exposed at the bottom of the slide on the prek playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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 25-500.102 (3) (F) 1. · Personnel · Correction due June 17, 2024

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: N.H. and T.M. who was not listed on the program training report.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 17, 2024

Medical examination report(s) was/were not on file for N.H. and A.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 June 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.S. .

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due March 8, 2024

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

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

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

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material had worn away at the base of a slide where thick and tangled roots from a nearby tree were exposed at the bottom of the slide on the prek playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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 prek playground space was observed to have debris such as tree branches and leaves throughout.

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 trash was observed on the prek and infant/toddler playgrounds such as but not limited to clear plastic food wrappers, a faded flyer/paper and a plastic shopping bag.

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 a broken plastic drain pipe was observed on the infant/toddler playground near the fencing.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: N.H. and T.M. who was not listed on the program training report.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Anita Parker , who was hired on October 2023.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due January 9, 2024

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

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.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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for N.H. and A.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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.B., T.M., N.H., A.S. and R.J.

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 A.B. within thirty (30) days prior to the anniversary date.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by prek playground space was observed to have debris such as tree branches and leaves throughout.

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 December 18, 2023

The facility's outdoor space was not safe for children's activities as evidenced by a partially crushed and broken plastic drain pipe was observed above the ground on the prek playground near the fencing separating the upper and lower prek play spaces.

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 December 18, 2023

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was present on the back wooden fence on the prek playground.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material had worn away at the base of a slide where thick and tangled roots from a nearby tree were exposed at the bottom of the slide on the prek playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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 a broken plastic drain pipe was observed on the infant/toddler playground near the fencing.

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 trash was observed on the prek and infant/toddler playgrounds such as but not limited to clear plastic food wrappers, a faded flyer/paper and a plastic shopping bag.

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 December 18, 2023

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the number of children present was not recorded.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due December 18, 2023

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

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

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Anita Parker , who was hired on October 2023.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: N.H. and T.M. who was not listed on the program training report.

Required correction: All caregivers shall obtain a MOPD ID.

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

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

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

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

Medical examination report(s) was/were not on file for N.H. and A.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 did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.S. .

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 L.B., T.M., N.H., A.S. and R.J.

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

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 prek playground space was observed to have debris such as tree branches and leaves throughout.

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 a partially crushed and broken plastic drain pipe was observed above the ground on the prek playground near the fencing separating the upper and lower prek play spaces.

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 plant overgrowth was present on the back wooden fence on the prek playground.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 13, 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 large enough for a child to crawl or fall through - the openings measured 6+ inches at the bottom of the fencing between the upper and lower prek playground where the fence is not secured and boards that had been put up had fallen through the bottom of the fence.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 13, 2023

The facility's outdoor space was not safe for children's activities as evidenced by a hole measuring 1' by 1' with a 4 inch depth was present at the corner of the prek playground closest to the gate and overlooking the lower prek play space. The hole also contained pieces of broken concrete and gravel.

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 · Correction due November 13, 2023

Furniture/equipment, pack and play, in the infant classroom was not in good condition as evidenced by a four inch hole had been torn in the short side mesh material.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due October 30, 2023

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 approximately 6" - 1' depending on the cot/mat being observed.

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

5 CSR 25-500.042 (20) · Licensing Process · Correction due October 30, 2023

Department staff were not permitted access to the premises as evidenced by the CI was denied a thorough inspection of an unlocked shed which was not approved as child care space.

Required correction: The facility shall permit the department access.

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured 6+ inches at the bottom of the fencing between the upper and lower prek playground where the fence is not secured and boards that had been put up had fallen through the bottom of the fence.

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

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 a hole measuring 1' by 1' with a 4 inch depth was present at the corner of the prek playground closest to the gate and overlooking the lower prek play space. The hole also contained pieces of broken concrete and gravel.

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 October 30, 2023

The facility's outdoor space was not safe for children's activities as evidenced by the plastic green garden barrier used at the bottom of the infant/toddler playground fencing on the side closest to the prek playground was broken and also had sharp edges and cracks that could pinch children playing in that space.

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

5 CSR 25-500.042 (20) · Licensing Process · No longer displayed by the state

Department staff were not permitted access to the premises as evidenced by the CI was denied a thorough inspection of an unlocked shed which was not approved as child care space.

Required correction: The facility shall permit the department access.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · No longer displayed by the state

The premises were not safe and suitable as evidenced by a broken metal pipe with sharp edges and twisted metal from removed fencing was present on the prek playground next to the garden house.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · No longer displayed by the state

The premises were not safe and suitable as evidenced by a hole in the corner of the dividing fence (on the mulched side) was present measuring 10 inches in width and 8 inches in depth near the drainage pipe. A 3" rusted metal rod was sticking out of the ground at the bottom of the hole.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · No longer displayed by the state

The premises were not safe and suitable as evidenced by a rusted metal bar was observed sticking out of the concrete drainage system on the prek playground. Tonya Brown stated the rusted bar was exposed from the concrete due to erosion.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · No longer displayed by the state

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlet covers were observed missing in the prek and 2 year old classrooms.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · 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 large enough for a child to crawl or fall through - the openings measured 6+ inches in height where the bottom of the fence on the prek playground next to the garden house was no longer secured and could be pushed upward without effort.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · 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 large enough for a child to crawl or fall through - the openings measured 6+ inches in height where the bottom of the fence on the infant/toddler playground was no longer secured and could be pushed upward without effort.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · 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 6 inches where a gap was present spanning the entire length of the fence pole next to the drainage system on the prek playground. This gap was present where the partition fence did not meet the fencing surrounding the playground, and where the hole with rusted metal was present as noted previously.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · 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 5-8 inches along a three foot section.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2023 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by The open play area on the prek playground was not well maintained as evidenced by overgrowth coming through the fence on the right side of the playground and overgrown weeds present along the fence line.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · No longer displayed by the state

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 approximately 6" - 1' depending on the cot/mat being observed.

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

5 CSR 25-500.042 (20) · Licensing Process · No longer displayed by the state

Department staff were not permitted access to the premises as evidenced by the CI was denied a thorough inspection of an unlocked shed which was not approved as child care space.

Required correction: The facility shall permit the department access.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 29, 2023 · No longer displayed by the state

The premises were not safe and suitable as evidenced by red paint on the padding around the infant playground equipment was chipped and peeling. This was shown to owner/director Tonya Brown. A nearby rock with the same red paint sprayed on it was seen to confirm the substance was paint.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The premises were not safe and suitable as evidenced by a rusted metal bar was observed sticking out of the concrete drainage system on the prek playground. Tonya Brown stated the rusted bar was exposed from the concrete due to erosion.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 29, 2023 · No longer displayed by the state

Children were not restricted to approved space as evidenced by the shed on the infant/toddler playground was unlocked and accessible to children.

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 · No longer displayed by the state

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlet covers were observed missing in the prek and 2 year old classrooms.

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 August 29, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: 7 paint cans (Rustoleum brand) of varying colors matching newly painted infant impact pads and that were unsealed but with lids on with paint trails visible along the sides of the cans, 1 pack of opened cigarettes laying on a paint can approximately 5-6 inches off the ground with 2 cigarettes present in the pack (Kool filter kings brand), 2 used containers of brake fluid with lids on and 1 lawn mower with visible signs of use. The item(s) was/were located in an unlocked shed on the infant/toddler playground.

Required correction: Hazardous items shall be inaccessible to children.

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 5-8 inches along a three foot section.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 29, 2023 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by a broken drain pipe was observed on the infant playground where a hole was present measuring approximately 2-3 inches and dirt/debris was seen falling inside.

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 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by The open play area on the prek playground was not well maintained as evidenced by overgrowth coming through the fence on the right side of the playground and overgrown weeds present along the fence line.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 large enough for a child to crawl or fall through - the openings measured 6+ inches in height where the bottom of the fence on the prek playground next to the garden house was no longer secured and could be pushed upward without effort.

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

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 large enough for a child to crawl or fall through - the openings measured 6+ inches in height where the bottom of the fence on the infant/toddler playground was no longer secured and could be pushed upward without effort.

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

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 6 inches where a gap was present spanning the entire length of the fence pole next to the drainage system on the prek playground. This gap was present where the partition fence did not meet the fencing surrounding the playground, and where the hole with rusted metal was present as noted previously.

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

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The premises were not safe and suitable as evidenced by a broken metal pipe with sharp edges and twisted metal from removed fencing was present on the prek playground next to the garden house.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The premises were not safe and suitable as evidenced by a hole in the corner of the dividing fence (on the mulched side) was present measuring 10 inches in width and 8 inches in depth near the drainage pipe. A 3" rusted metal rod was sticking out of the ground at the bottom of the hole.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · No longer displayed by the state

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 approximately 6" - 1' depending on the cot/mat being observed.

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

5 CSR 25-500.092 (3) (H) · Furniture, Equipment and Materials · Correction due August 29, 2023 · No longer displayed by the state

Outdoor play equipment, red foam topper on infant playground, was not safe as evidenced by exposed bolts or screws were not recessed into the frame, covered or filed to avoid sharp edges.

Required correction: Outdoor equipment shall have no exposed hazards.