Children's Choice Too

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 9, 2026

Outdoor equipment, see-saw, in preschool was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.122 (1) (C) · Medical Examination Reports · Correction due June 15, 2026

The medical examination report on file for A.L. was older than 12 months before the individual's begin date at the facility.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due June 15, 2026

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: A.L.

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

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

Outdoor equipment, see-saw, in preschool was not in good condition as evidenced by chipping paint.

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

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

The medical examination report on file for A.L. was older than 12 months before the individual's begin date at the facility.

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

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

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: A.L.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due February 19, 2026

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) (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 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due June 9, 2025

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 items in this category.

Required correction: The facility shall provide approved equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 22, 2025

Outdoor equipment, merry-go-round, in preschool playground was not in good condition as evidenced by broken.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due June 9, 2025

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: E.P. -needs hours.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due November 17, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by missing fruit/vegetable component for breakfast.

Required correction: Nourishing food shall be provided as required.

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 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 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Outdoor equipment, merry-go-round, in preschool playground was not in good condition as evidenced by broken.

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

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: E.P. -needs hours.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due May 12, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by missing meat component for lunch.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.082 (VIII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 4, 2024

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by photos were being taken in unused toddler room, in which the infant room was used as a walk through .

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 4, 2024

The facility's outdoor space was not safe for children's activities as evidenced by rold/folded rugs on playground and near equipment creating a tripping hazard.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 4, 2024

Group size requirements were not met as evidenced by nine children, ages 6-months-old-to-2-years-old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 4, 2024

Staff/child ratio requirements were not met as evidenced by nine children , ages 6-months-old-to-2-years-old, were cared for by 2 adult caregiver(s).

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

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 rold/folded rugs on playground and near equipment creating a tripping hazard.

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

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

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by photos were being taken in unused toddler room, in which the infant room was used as a walk through .

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 21, 2024

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

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

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

Staff/child ratio requirements were not met as evidenced by nine children , ages 6-months-old-to-2-years-old, were cared for by 2 adult caregiver(s).

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

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

Group size requirements were not met as evidenced by nine children, ages 6-months-old-to-2-years-old, were cared for by 2 adult caregiver(s).

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

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

The annual sanitation inspection was not approved.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due June 27, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 14 items in this category.

Required correction: The facility shall provide approved equipment as required.

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 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 14 items in this category.

Required correction: The facility shall provide approved equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due February 8, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a crib mattress/pad was not sized correctly.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due February 8, 2024

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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 crib mattress/pad was not sized correctly.

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

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.042 (13) (A) · Licensing Process · Correction due September 7, 2023 · No longer displayed by the state

The name, address and telephone number of the child care provider(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the provider shall be posted near the license.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due September 7, 2023 · No longer displayed by the state

The name, address and telephone number of the owner(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the owner shall be posted near the license.

5 CSR 25-500.042 (13) (D) · Licensing Process · Correction due September 7, 2023 · No longer displayed by the state

The name, address and telephone number of the manager(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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 7, 2023 · No longer displayed by the state

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located on the side of a pillar where children could crawl behind caregiver during diapering.

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

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A. · Correction due September 7, 2023 · No longer displayed by the state

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B. · Correction due September 7, 2023 · No longer displayed by the state

The facility's list of emergency numbers are not posted in each room used for child care, specifically None.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness · Correction due September 7, 2023 · No longer displayed by the state

The facility's evacuation route diagram was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (2) (B) 3. · Disaster and Emergency Preparedness · Correction due September 7, 2023 · No longer displayed by the state

The facility's special instructions for infants and non-ambulatory children were not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 7, 2023 · No longer displayed by the state

Furniture/equipment, blue chairs, in 2- year old space was not in good condition as evidenced by paint chipping.

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 September 7, 2023 · No longer displayed by the state

Outdoor equipment, basketball goal, in toddler playground was not in good condition as evidenced by broken.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 7, 2023 · No longer displayed by the state

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

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