Bundles of Blessings

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due February 18, 2026

Hazardous items as follows were accessible to children: bottle of witch hazel. The item(s) was/were located on the kitchen table.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due February 18, 2026

Hazardous items as follows were accessible to children: Lysol wipes, pet carpet freshener. The item(s) was/were located on an accessible shelf in the garage (access to outdoor play area).

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.185 (4) (A) · Health Care · Correction due November 18, 2025

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file .

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

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due November 18, 2025

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

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

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due November 18, 2025

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

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

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due November 18, 2025

one child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-400.185 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file .

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

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due November 12, 2025

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

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

5 CSR 25-400.210 (2) (C) · Records and Reports · Correction due November 12, 2025

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

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

5 CSR 25-400.210 (2) (D) · Records and Reports · Correction due November 12, 2025

one child(ren) records did not include telephone number of family physician or hospital.

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

5 CSR 25-400.210 (2) (B) · Records and Reports

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

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

5 CSR 25-400.210 (2) (B) · Records and Reports

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

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

5 CSR 25-400.210 (2) (B) · Records and Reports

one child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-400.055 (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 25-400.085 (3) (A) 8. · Physical Requirements of the Family Day Care Home

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 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.210 (2) (C) · Records and Reports

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

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Phyllis Isom and Rameisha Nunn (emergency assistant).

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

5 CSR 25-400.085 (3) (A) 1. · Physical Requirements of the Family Day Care Home · Correction due July 17, 2024

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 was not in good condition in that it did not have a top rail, is not stable, and could easily be pushed down.

Required correction: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due July 17, 2024

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the top of two sections of the fencing, the one with the gate at the front of the yard and the far right corner in the back, had sharp pieces sticking up along the top within children's reach.

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

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due July 17, 2024

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by portable gazebo frame lying in yard.

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

5 CSR 25-400.085 (3) (A) 1. · Physical Requirements of the Family Day Care Home

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 was not in good condition in that it did not have a top rail, is not stable, and could easily be pushed down.

Required correction: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by portable gazebo frame lying in yard.

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

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the top of two sections of the fencing, the one with the gate at the front of the yard and the far right corner in the back, had sharp pieces sticking up along the top within children's reach.

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

5 CSR 25-400.055 (2) (B) · Annual Requirements · Correction due December 11, 2023

The annual sanitation inspection was not conducted.

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

5 CSR 25-400.055 (2) (C) · Annual Requirements · Correction due December 12, 2023

The Family Care Safety Registry check was not conducted for P.I. and assistant R.N. 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 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due December 12, 2023

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by fencing to the right of the back door is detached from the top rail and has sharp points exposed.

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

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due October 23, 2023

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 9/5/23.

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

5 CSR 25-400.055 (2) (B) · Annual Requirements

The annual sanitation inspection was not conducted.

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

5 CSR 25-400.055 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for P.I. and assistant R.N. 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 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by fencing to the right of the back door is detached from the top rail and has sharp points exposed.

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

5 CSR 25-400.125 (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 9/5/23.

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