Canterbury Academy at Briarcliff

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

The Family Care Safety Registry check was not conducted for S.A., L.L., G.I., K.T. 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

The ceilings located in Asia & Australia 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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in sticky residue on shelves in South America and Europe.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 19, 2026

The floors located in Australia & Africa was/were not clean as evidenced by tape peeling off floor and soiled area rug.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 19, 2026

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by play loveseat cover soiled.

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

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.C., S.G., B.T.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: S.A. .75 hrs, Julie Appleton-needs-6 hours, R.B. 8.75 hrs., S.G. 1.5 hrs, Claire Huber-needs-8 hrs, Melissa Hutcherson-needs-6.5 hrs., Ashlyn Langhus-needs-1 hr., Tiffany Milich-needs 6.5hrs., Emma Moburg-needs-3.5 hrs., Laizbeth Quinonez-needs 7.5 hrs., Jennifer Rice-needs-8 hrs., Nicole Smith-needs-3.75 hrs., Leticia Solis-needs-9 hrs., Mary Toia-needs-5.25 hrs., Brynlee Tucker-needs-2.5 hrs., Kirsten Wells-needs-7.5 hrs., Lynsey Witherspoon-needs-6 hrs..

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

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

Medical examination report(s) was/were not on file for E.A., J.B., S.B., A.C., M.C., S.G., E.M., B.T. 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: E.A., J.B., S.B., M.C., C.F., J.M. B.T.

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

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

The floors located in Africa and Asia was/were not clean as evidenced by stained carpets/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 December 2, 2025

The ceilings located in Europe, Australia, Africa, and Asia was/were not clean as evidenced by dusty vents, ceiling tiles, and light fixtures.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 10, 2026

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

The floors located in Africa and Asia was/were not clean as evidenced by stained carpets/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

The ceilings located in Europe, Australia, Africa, and Asia was/were not clean as evidenced by dusty vents, ceiling tiles, and light fixtures.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due October 30, 2025

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by gaps were observed between the mattress/pad and side of the crib or playpen.

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

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

The ceilings located in Europe, Australia, Africa, and Asia was/were not clean as evidenced by dusty vents, ceiling tiles, and light fixtures.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

The floors located in Africa and Asia was/were not clean as evidenced by stained carpets/area rugs.

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

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

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by gaps were observed between the mattress/pad and side of the crib or playpen.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 23, 2025

Outdoor equipment, ball, in toddler playground was not in good condition as evidenced by leather peeling off.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 3, 2025

The Family Care Safety Registry check was not conducted for G.I. 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 25-500.052 (2) (D) · Annual Requirements · Correction due June 11, 2025

The facility is owned by a legal entity that currently shows as canceled on Missouri Secretary of State's website.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 3, 2025

The ceilings located in Africa and Europe was/were not in good condition as evidenced by missing and stained tiles.

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 June 26, 2025

There was evidence of dirt/debris in Asia and Australia (sticky residue on shelves, tables, and cot).

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due June 10, 2025

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due June 26, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: L.S.E. and S.K.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due June 11, 2025

Leticia Solis Escamilla and Maureen Poi 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 · Correction due June 16, 2025

Medical examination report(s) was/were not on file for S.A., A.A., G.C., H.H., S.K., G.M., O.S., L.S.E. 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 16, 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: S.A., A.A., G.C., H.H., S.K., G.M., O.S., L.S.E.

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

The Family Care Safety Registry check was not conducted for G.I. 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 25-500.052 (2) (D) · Annual Requirements

The facility is owned by a legal entity that currently shows as canceled on Missouri Secretary of State's website.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

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

Hazardous items as follows were accessible to children: Pine sol. The item(s) was/were located in an unlocked cabinet.

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 Africa and Europe was/were not in good condition as evidenced by missing and stained tiles.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in Asia and Australia (sticky residue on shelves, tables, and cot).

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

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

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

Leticia Solis Escamilla and Maureen Poi did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: L.S.E. and S.K.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Medical examination report(s) was/were not on file for S.A., A.A., G.C., H.H., S.K., G.M., O.S., L.S.E. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.A., A.A., G.C., H.H., S.K., G.M., O.S., L.S.E.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

The ceilings located across the facility was/were not clean as evidenced by dusty vents and stained tiles.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

The walls located in Asia and South America was/were not in good condition as evidenced by chipping paint.

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

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

The walls located in Asia and South America was/were not in good condition as evidenced by chipping paint.

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

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

The ceilings located across the facility was/were not clean as evidenced by dusty vents and stained tiles.

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

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

Outdoor equipment, balls, in infant/toddler playground was not in good condition as evidenced by torn/flat.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 25, 2024

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 1, 2024

The Family Care Safety Registry check was not conducted for L.L. and G.I. 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 10, 2024

The floors located in Europe was/were not clean as evidenced by overly soiled carpet and sticky residue.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 1, 2024

The floors located in Australia was/were not in good condition as evidenced by carpet unraveling.

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 April 1, 2024

The walls located in Australia was/were not in good condition as evidenced by rusty vent cover.

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

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

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

Furniture/equipment, shelves, in Europe 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 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due April 1, 2024

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

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 24, 2024

Medical examination report(s) was/were not on file for J.A., K.K., A.L. 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 24, 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: J.A., A.D., A.L.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due June 24, 2024

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

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due April 1, 2024

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due April 1, 2024

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due April 1, 2024

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D. · Correction due April 1, 2024

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due April 1, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.192 (3) (C) · Health Care · Correction due June 24, 2024

The requirements for prescription medications were not met as evidenced by a medication was not labeled with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

5 CSR 25-500.192 (3) (D) · Health Care · Correction due June 24, 2024

The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

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

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

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

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

The Family Care Safety Registry check was not conducted for L.L. and G.I. 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 March 25, 2024

Hazardous items as follows were accessible to children: Aquaphor, staple remover, tacks. The item(s) was/were located on changing table and unlocked drawers.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in Australia was/were not in good condition as evidenced by rusty vent cover.

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 Europe was/were not clean as evidenced by overly soiled carpet and sticky residue.

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

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

The floors located in Australia was/were not in good condition as evidenced by carpet unraveling.

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

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

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

Furniture/equipment, shelves, in Europe 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 · 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 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 25, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by ripped books in several classrooms.

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

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

Outdoor equipment, trike, in pre-K playground was not in good condition as evidenced by paint chipping.

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

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

Medical examination report(s) was/were not on file for J.A., K.K., A.L. 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: J.A., A.D., A.L.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures

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

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D.

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.192 (3) (C) · Health Care

The requirements for prescription medications were not met as evidenced by a medication was not labeled with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

5 CSR 25-500.192 (3) (D) · Health Care

The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

5 CSR 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.042 (13) (D) · Licensing Process · Correction due October 19, 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 December 13, 2023

The walls located in Asia, and infant and toddler rooms was/were not in good condition as evidenced by chipping paint (inside and outside I/T doors).

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 December 18, 2023

The ceilings located in North America all bathrooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (Australia).

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 October 19, 2023

The facility's outdoor space was not safe for children's activities as evidenced by exposed drop-off near drain on 2-year-old playground.

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 December 13, 2023

Furniture/equipment, shelves, in Africa, South America, and North America was not in good condition as evidenced by sticky residue/contact paper peeling, broken.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 12, 2024

Outdoor equipment, climbing equipment, in 2-year-old playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.042 (13) (D) · Licensing Process

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

The walls located in Asia, and infant and toddler rooms was/were not in good condition as evidenced by chipping paint (inside and outside I/T doors).

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 10, 2023

Hazardous items as follows were accessible to children: aquaphor, Desitin, Comet, Windex, Spray-N-Wash, Lysol spray, Bath and Body Works lotion, Eos lotion, Mainstay essential oil. The item(s) was/were located in unlocked cabinets.

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 North America all bathrooms was/were not clean as evidenced by dusty vents and stained ceiling tiles (Australia).

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 exposed drop-off near drain on 2-year-old playground.

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

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

Furniture/equipment, shelves, in Africa, South America, and North America was not in good condition as evidenced by sticky residue/contact paper peeling, broken.

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

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

Outdoor equipment, climbing equipment, in 2-year-old playground was not in good condition as evidenced by chipping paint.

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