Center for Human Services, Inc.

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by rocking chair cover in room C was dirty.

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

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

The Family Care Safety Registry check was not conducted for J.M. 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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 19, 2026

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 2 large sections of the fencing removed for construction.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due February 19, 2026

Outdoor equipment, large pipes and tubes with sharp edges, in Playground was unsafe as evidenced by playground is under construction and not safe for children because of sharp edges and pieces that are being stored on playground.

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

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

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

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 J.M. 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) 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 was not in good condition in that 2 large sections of the fencing removed for construction.

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

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

Outdoor equipment, large pipes and tubes with sharp edges, in Playground was unsafe as evidenced by playground is under construction and not safe for children because of sharp edges and pieces that are being stored on playground.

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

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

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

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 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 20, 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.5 inches at the bottom of the gate.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due December 20, 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 (3) (A) · Furniture, Equipment and Materials · Correction due December 20, 2024

Outdoor equipment, spring, in the older playground was not free of pointed parts as evidenced by broken spring sticking up from the concrete.

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

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due December 20, 2024

Stationary equipment, Sun Shade, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due December 20, 2024

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

Required correction: Child medical requirements shall be completed and on file 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 4.5 inches at the bottom of the gate.

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

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

Outdoor equipment, spring, in the older playground was not free of pointed parts as evidenced by broken spring sticking up from the concrete.

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

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

Stationary equipment, Sun Shade, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

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

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

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

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

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

Required correction: Bathrooms shall be clean and odor free.