Child Prodigy Children's Center East

Violation substantiated · 5 CSR 25-500.112(1)(A)

The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements

The annual sanitation inspection was not approved.

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

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

The walls located in the prek classroom next to the director's office and on the classroom door was/were not in good condition as evidenced by chipped/peeling paint was observed accessible to the children in care.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

The walls located in the prek classroom next to the director's office and on the classroom door was/were not in good condition as evidenced by chipped/peeling paint was observed accessible to the children in care.

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 prek classroom next to the director's office and on the classroom door was/were not in good condition as evidenced by chipped/peeling paint was observed accessible to the children in care.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due May 11, 2026

Caregiver did not provide frequent, direct contact as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver K.K. is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director J.B. and Regional Director B.R. stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for..

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program · Correction due May 11, 2026

A child was left without competent supervision as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver K.K. is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director J.B. and Regional Director B.R. stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for..

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

Violation substantiated · 5 CSR 25-500.112(1)(A)

The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due May 4, 2026

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due October 8, 2025

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due May 4, 2026

The Family Care Safety Registry check was not conducted for Z.A., M.B., J.B., M.H., M.M., S.P., B.R., S.S. and R.W. 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 walls located in the pre-k classroom next to the directors office and on the classroom door was/were not in good condition as evidenced by tipped/peeling paint was observed accessible to the children in care.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due May 4, 2026

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver K.K. is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director J.B. and Regional Director B.R. stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for. .

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program

A child was left without competent supervision as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver K.K. is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director J.B. and Regional Director B.R. stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for. .

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due May 4, 2026

2 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 25-500.222 (2) (D) · Records and Reports · Correction due May 4, 2026

1 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 25-600.020 (5) · General Requirements · Correction due May 4, 2026

Criminal background check results were older than five (5) years for Marsha Beck and Rebecca Wilson.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due May 4, 2026

Criminal background check results were not on file for M.H.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due October 8, 2025

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due May 4, 2026

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due May 4, 2026

The Family Care Safety Registry check was not conducted for Z.A., M.B., J.B., M.H., M.M., S.P., B.R., S.S. and R.W. 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 walls located in the prek classroom next to the director's office and on the classroom door was/were not in good condition as evidenced by chipped/peeling paint was observed accessible to the children in care.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due May 4, 2026

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due May 4, 2026

2 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 25-500.222 (2) (D) · Records and Reports · Correction due May 4, 2026

1 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 25-600.020 (5) · General Requirements · Correction due May 4, 2026

Criminal background check results were older than five (5) years for Marsha Beck and Rebecca Wilson.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due May 4, 2026

Criminal background check results were not on file for M.H.

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

Violation substantiated · 5 CSR 25-500.212(1)(A)

The provider shall be responsible for the care, safety and supervision of children on field trips or at any time they transport children away from the facility.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.212(3)(K)

The operator of the vehicle shall wait until the child is in the custody of the parent(s) or individual(s) authorized by the parent(s) to receive the child.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

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

The Family Care Safety Registry check was not conducted for Z.A., M.B., J.B., M.H., M.M., S.P., B.R., S.S. and R.W. 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 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.222 (2) (C) · Records and Reports

2 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 25-500.222 (2) (D) · Records and Reports

1 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 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Marsha Beck and Rebecca Wilson.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.H.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due September 2, 2025

The annual sanitation inspection was not approved.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements

The annual sanitation inspection was not approved.

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

Violation substantiated · 5 CSR 25-500.192(5)(B)

Information regarding the date and circumstance of any accident or injury shall be noted in the child's record.

Required correction: The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.192(5)(A)

In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.

Required correction: The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due June 18, 2025

The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due June 18, 2025

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 41 of 118 sheets with no blankets reported.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due June 18, 2025

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 12 of 118 cots and cribs.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due May 20, 2025

The Family Care Safety Registry check was not conducted for A.M. and S.S. 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) (A) · Annual Requirements · Correction due May 7, 2025

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 (1) (C) · Annual Requirements · Correction due May 20, 2025

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

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

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 12 of 118 cots and cribs.

Required correction: The facility shall provide sleeping equipment and bedding as required.

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

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 41 of 118 sheets with no blankets reported.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due May 20, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.H.

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 · Correction due May 20, 2025

Medical examination report(s) was/were not on file for J.B., L.D., P.L., A.M., A.M. 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 May 20, 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: J.B., P.L., A.M., A.M. and A.S.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

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 A.M. and S.S. 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 April 22, 2025

The walls located prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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

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.H.

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 J.B., L.D., P.L., A.M., A.M. 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: J.B., P.L., A.M., A.M. and 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 · Correction due April 22, 2025

Criminal background check results were not on file for M.H.

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

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

The walls located prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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

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

The Family Care Safety Registry check was not conducted for A.M. and S.S. 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) (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 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

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.H.

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 J.B., L.D., P.L., A.M., A.M. 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: J.B., P.L., A.M., A.M. and A.S.

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

5 CSR 25-500.182 (1) (C) 3. · Child Care Program · Correction due January 27, 2025

Constructive, age-appropriate methods of discipline were not used as evidenced by a child was swatted with a slipper as discipline.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (1) (C) 7. · Child Care Program · Correction due January 27, 2025

Physical punishment was used as evidenced by a child was swatted with a slipper as discipline.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.H.

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

Violation substantiated · 5 CSR 25-500.182(1)(C)3.

Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.182(1)(C)7.

Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.042 (20) · Licensing Process · Correction due October 11, 2024

Department staff were not permitted access to the facility as evidenced by facility staff did not respond to the doorbell. Doorbell was rung three times.

Required correction: The facility shall permit the department access.

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due October 11, 2024

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due October 11, 2024

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

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 A.M. and S.S. 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 walls located prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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

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.H.

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 (2) (A) 3. · Personnel · Correction due September 20, 2024

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

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

Medical examination report(s) was/were not on file for J.B., L.D., P.L., A.M., A.M. 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: J.B., P.L., A.M., A.M. and 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 M.H.

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

Violation substantiated · 5 CSR 25-500.182(2)(C)

Daily activities for infants and toddlers shall include:

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.182(2)(C)3.

Supervised "tummy time" for children under one (1) year of age to promote healthy development;

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

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

An individually assigned crib, portable crib, or playpen shall be provided and used for each infant and toddler. Stack cribs shall not be used.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

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

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

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.202(1)(B)

The required meal schedule shall include breakfast or a midmorning snack, lunch and a midafternoon snack for children in care during daytime hours, with a maximum time of four (4) hours between any meal or snack. School-age children shall be served a snack after school.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.087(2)(F)

Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large carpeted rugs that were not observed to be washable by the facility if soiled.

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 September 6, 2024

The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.

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 6, 2024

The floors located in the school age classroom was/were not in good condition as evidenced by a broken tile was observed.

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. · Correction due September 6, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 6, 2024

Staff/child ratio requirements were not met as evidenced by nine children , ages 4 to 16-months-old , were cared for by Caregiver S.G. and Caregiver Z.A. adult caregiver(s).

Required correction: Staff/child ratios and group sizes shall be maintained at all times.

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

The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.

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

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 carpeted rugs that were not observed to be washable by the facility if soiled.

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 floors located in the school age classroom was/were not in good condition as evidenced by a broken tile was observed.

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 a fitted sheet was not used.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by nine children , ages 4 to 16-months-old , were cared for by Caregiver S.G. and Caregiver Z.A. adult caregiver(s).

Required correction: Staff/child ratios and group sizes shall be maintained at all times.

5 CSR 25-500.102 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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

The walls located around the AC overflow pan was/were not in good condition as evidenced by water damage was present due to the overflow pan not having the correct sensor and flooding the interior space.

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 school age classroom was/were not in good condition as evidenced by flooding damage was present from water coming into the classroom from under the door from the playground.

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 school age classroom was/were not in good condition as evidenced by water damage was present from the room flooding.

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 the playground did not have good drainage resulting in water from rainfall flooding into the classroom from underneath the door to the playground.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 23, 2024

The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.

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

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

Furniture/equipment, AC unit overflow pan, in the utility closet was not in good condition as evidenced by a proper sensor was not present resulting in interior flooding in the building.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. .

The director was not responsible for planning, monitoring, and managing the facility's daily program as evidenced by the facility has no approved director.

Required correction: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 12, 2024

The floors located in the school age classroom was/were not in good condition as evidenced by a broken tile 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 walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.

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

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due June 12, 2024

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large carpeted rugs that were not observed to be washable by the facility if soiled.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due June 12, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. .

The director was not responsible for planning, monitoring, and managing the facility's daily program as evidenced by the facility has no approved director.

Required correction: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.102 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

Violation substantiated · 5 CSR 25-500.202(2)(B)

The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.082(2)(A)9.

The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.082(2)(B)2.A.(II)

A crawl area protected by stable dividers shall be provided. The area shall have a resilient and washable floor covering which shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.082(2)(B)2.B.(VI)

Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet;

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.