Children's Garden Academy

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by a storage room in the preschool room was unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.C. (9), S.R. (2) and Annabelle Perez (termed 5/20/26).

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due May 20, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.P. (ok termed 5/20/2026).

Required correction: All caregivers shall obtain a MOPD ID.

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: A.J. (9-ok termed 5/20/2026), A.S. (8.75) .

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due May 20, 2026

Annabelle Perez (ok termed 5/20/2026) 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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by a storage room in the preschool room was unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 9, 2026

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet was not covered in the infant/toddler classroom.

Required correction: The facility shall use outlet covers or twist-lock outlets as required.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 9, 2026

Hazardous items as follows were accessible to children: 1 bottle of toilet bowl cleaner and 1 spray bottle of all purpose cleaner. The item(s) was/were located in the preschool classroom in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.C. (9), S.R. (2) and Annabelle Perez (2).

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.P.

Required correction: All caregivers shall obtain a MOPD ID.

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: A.J. (9), A.S. (8.75) .

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

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

Annabelle Perez 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 25-500.052 (2) (C) · Annual Requirements · Correction due December 26, 2025

The Family Care Safety Registry check was not conducted for T.C. 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 25-500.102 (1) (P) · Personnel · Correction due January 2, 2026

The facility did not conduct a Family Care Safety Registry screening for Maria Gonzalez, who was hired on October 20, 2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due December 10, 2025

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

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due December 10, 2025

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

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due January 2, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: M.G.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due January 2, 2026

Silvia Robinson 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 25-500.222 (2) (B) · Records and Reports · Correction due January 2, 2026

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 2, 2026

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

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

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

The Family Care Safety Registry check was not conducted for T.C. 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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2025

Children were not restricted to approved space as evidenced by a room on the left side of the facility is used for storage and was not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 1 outlet wasn't covered in the infant room.

Required correction: The facility shall use outlet covers or twist-lock outlets as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due September 15, 2025

Stationary equipment, the permanent airplane structure, was unsafe as evidenced by the equipment had exposed footings.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due August 21, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: T.C.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due September 30, 2025

The facility did not conduct a Family Care Safety Registry screening for Anebel Perez hired on 3/17/25 (ok 6/18/25), Silvia Robinson hired on 5/8/25 (ok 5/21/25), Teresa Carson hired on 1/14/25 (ok 9/30/25, who was hired on dates listed.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due September 15, 2025

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.P. (ok 8/27/25), S.R. (0k 8/27/25) and Arthurine Henderson (ok 9/15/25).

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due October 23, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.D. (11)(ok 9/26/25) and Adina Shabazz (8.75)(ok 10/23/25).

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due September 15, 2025

Anebel Perez (ok 8/27/25) and Arthurine Henderson (ok 9/15/25) 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 (4) (A) 3. · Personnel

Silvia Robinson 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 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: M.G.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Maria Gonzalez, who was hired on October 20, 2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 20, 2025

Medical examination report(s) was/were not on file for T.C. 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 September 15, 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: T.C.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due August 29, 2025

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 January 10, 2024, October 22, 2024 and September 25, 2021 (Total of 3 children).

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

5 CSR 25-500.192 · Health Care (4) (B) 2. B. · Correction due June 18, 2025

There was no parental written objection to immunizations on file for one child(ren).

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

5 CSR 25-500.222 (1) · Records and Reports · Correction due August 12, 2025

The provider failed to maintain accurate records to meet administrative requirements as evidenced by two children did not have acknowledgement D signed.

Required correction: Accurate records shall be maintained.

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

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due November 18, 2025

Criminal background check results were older than five (5) years for Adina Shabazz.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due September 30, 2025

Criminal background check results were not on file for A.P. (ok 6/30/25), S.R. (ok 8/12/25), A.H. (ok 8/29/25), T.C. (ok 9/30/25).

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.G.

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

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2025

Hazardous items as follows were accessible to children: 1 can lysol (Preschool closet), kitchen knife (kitchen drawer), 1 can disinfectant spray (kitchen cabinet), insulating foam sealant (kitchen cabinet), foam hand sanitizer (kitchen cabinet), 1 bottle spray nine (kitchen cabinet), 1 bottle all purpose cleaner(kitchen cabinet), 1 bottle spray Fire Guard (laundry room), 2 bottles laundry detergent (laundry room),and 3 gallons hand sanitizer foam (laundry room) . The item(s) was/were located in the unlocked kitchen and laundry room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2025

Children were not restricted to approved space as evidenced by the kitchen, laundry room and 2 storage rooms were not closed/locked making them accessible to children.

Required correction: Caregivers shall restrict children to approved space.

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

Stationary equipment, the permanent airplane structure, was unsafe as evidenced by the equipment had exposed footings.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due May 21, 2025

An infant was observed sleeping in a/an bouncie seat rocker.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due May 21, 2025

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 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due May 21, 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 6 sheets & 1 blanket in the 2 year old room and 4 sheets in the preschool room.

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

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

Anebel Perez and Arthurine Henderson 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 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.D. (11) and Adina Shabazz (8.75).

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.P., S.R. and A.H.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Anebel Perez hired on 3/17/25, Silvia Robinson hired on 5/8/25 (ok 5/21/25), Teresa Carson hired on 1/14/25, who was hired on dates listed.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: T.C.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due May 21, 2025

Staff/child ratio requirements were not met as evidenced by six children , ages infants/toddlers, were cared for by one adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for T.C. 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 (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 January 10, 2024, October 22, 2024 and September 25, 2021 (Total of 3 children).

Required correction: Child medical requirements shall be completed and 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: T.C.

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

5 CSR 25-500.192 · Health Care (4) (B) 2. B.

There was no parental written objection to immunizations on file for one child(ren).

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due May 21, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by lunch was tuna on bread, watermelon, milk/water and did not include a vegetable.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.222 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by two children did not have acknowledgement D signed.

Required correction: Accurate records shall be maintained.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.P., S.R., A.H., T.C.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Adina Shabazz.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by the kitchen, laundry room and 2 storage rooms were not closed/locked making them accessible to children.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers

Hazardous items as follows were accessible to children: 1 can lysol (Preschool closet), kitchen knife (kitchen drawer), 1 can disinfectant spray (kitchen cabinet), insulating foam sealant (kitchen cabinet), foam hand sanitizer (kitchen cabinet), 1 bottle spray nine (kitchen cabinet), 1 bottle all purpose cleaner(kitchen cabinet), 1 bottle spray Fire Guard (laundry room), 2 bottles laundry detergent (laundry room),and 3 gallons hand sanitizer foam (laundry room) . The item(s) was/were located in the unlocked kitchen and laundry room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 · 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 6 sheets & 1 blanket in the 2 year old room and 4 sheets in the preschool room.

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

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 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I

An infant was observed sleeping in a/an bouncie seat rocker.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

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

Stationary equipment, the permanent airplane structure, was unsafe as evidenced by the equipment had exposed footings.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: T.C.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Anebel Perez hired on 3/17/25, Silvia Robinson hired on 5/8/25, Teresa Carson hired on 1/14/25, who was hired on dates listed.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.P., S.R. and A.H.

Required correction: All caregivers shall obtain a MOPD ID.

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 2024, the staff listed need the following information: T.D. (11) and Adina Shabazz (8.75).

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

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

Anebel Perez and Arthurine Henderson 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 (1) (T) · Personnel

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

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

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

Staff/child ratio requirements were not met as evidenced by six children , ages infants/toddlers, were cared for by one adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for T.C. 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: T.C.

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

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 January 10, 2024, October 22, 2024 and September 25, 2021 (Total of 3 children).

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due May 12, 2025

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

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

5 CSR 25-500.192 · Health Care (4) (B) 2. B.

There was no parental written objection to immunizations on file for one child(ren).

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by lunch was tuna on bread, watermelon, milk/water and did not include a vegetable.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.222 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by two children did not have acknowledgement D signed.

Required correction: Accurate records shall be maintained.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Adina Shabazz.

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 A.P., S.R., A.H., T.C.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due March 17, 2025

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

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due February 24, 2025

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

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due February 24, 2025

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

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due February 6, 2025

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 greater than 30 days for two children.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due February 6, 2025

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due February 24, 2025

Three child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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 March 17, 2025

Two 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 25-500.052 (2) (A) · Annual Requirements · Correction due December 3, 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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 17, 2025

Children were not restricted to approved space as evidenced by the kitchen door was open as well as a storage room was not locked allowing access to children..

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due December 9, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: A.S. (12) and Tracey Davis (7).

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due January 17, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: A.S., T.D., L.J. and E.J.

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.122 (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 greater than 30 days for two children.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care · Correction due December 9, 2024

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

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

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

Three child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

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

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

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

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

Two 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 25-500.052 (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 · Correction due November 19, 2024

The Family Care Safety Registry check was not conducted for A.S., T.D., L.J., R.J. and E.J. 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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by the kitchen door was open as well as a storage room was not locked allowing access to children..

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due October 5, 2024

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

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 25-500.102 (4) (A) 3. · Personnel · Correction due November 6, 2024

Regina Jones 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 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: A.S. (12) and Tracey Davis (7).

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: A.S., T.D., L.J. and E.J.

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.102 (1) (T) · Personnel

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

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due October 30, 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 February 5, 2024.

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

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 greater than 30 days for two children.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care

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

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due November 19, 2024

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by am snack in the 2 year old room was yogurt. Staff member added a bread item to the snack during the inspection.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due November 19, 2024

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by lunch was turkey, dressing, rolls and apple sauce, milk. Provider was missing a vegetable component so added in chopped celery during the inspection.

Required correction: Nourishing food shall be provided as required.

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

Three child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

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

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

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

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

Two 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 25-500.222 (10) · Records and Reports · Correction due November 19, 2024

Records were not available for inspection by the department upon request as evidenced by director was not on premises upon arrival for inspection. Staff designated in charge could get some of the children and staff records but director has documents on her phone that had to be pulled up.

Required correction: Records shall be available at the facility for inspection.

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due August 13, 2024

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

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

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

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 25-500.102 (4) (A) 3. · Personnel

Regina Jones 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 (3) (F) 1. · Personnel · Correction due August 23, 2024

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: R.J.

Required correction: All caregivers shall obtain a MOPD ID.

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 2023, the staff listed need the following information: A.S. (12), T.D. (7), L.J. (6-ok as of 8/22/24).

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due August 23, 2024

Documentation of caregiver completion of the facility orientation was not on file for the following staff: R.J.

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 February 5, 2024.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due August 23, 2024

Requirements for immunization reports on file were not met as evidenced by Three (3) immunization record(s) was/were not on file.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 23, 2024

Hazardous items as follows were accessible to children: F.S. and hand sanitizer. The item(s) was/were located on a shelf in the 2 year old room accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (C) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 23, 2024

The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chairs were not located in a bathroom.

Required correction: The facility shall provide, clean, and disinfect potty training equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due May 23, 2024

An infant was observed sleeping in a/an bouncy seat.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

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

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

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 25-500.102 (4) (A) 3. · Personnel

Regina Jones 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 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: R.J.

Required correction: All caregivers shall obtain a MOPD ID.

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 2023, the staff listed need the following information: A.S. (12), T.D. (7), L.J. (6).

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: R.J.

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 February 5, 2024.

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

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by Three (3) immunization record(s) was/were not on file.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due April 23, 2024

The staff sheet was not submitted.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 17, 2024

Children were not restricted to approved space as evidenced by the kitchen door and storage rooms were not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 18, 2024

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 up against the wall in the 2 year old room.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due April 23, 2024

Evangelia Johnson 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 25-500.222 (2) (B) · Records and Reports · Correction due April 23, 2024

Five (5) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due April 23, 2024

Two (2) child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 24, 2024

Criminal background check results were not on file for Z.P. (1/8/24), E.J. and R.J.

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

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 (2) (A) · Annual Requirements · Correction due December 20, 2023

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 · Correction due November 28, 2023

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by the kitchen door and storage rooms were not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

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 up against the wall in the 2 year old room.

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

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

Evangelia Johnson 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 January 14, 2024

Medical examination report(s) was/were not on file for A.W. (1/14/24) , L.J. (12/28/23), T.D. (12/20/23) , R.M. (7/5/23), C.W. (July 5, 2023) and Radiya Shabazz(7/5/23) 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 January 14, 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: A.W. (1/14/24).

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 20, 2023

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: A.W. (7/5/23), L.J. (12/20/23), T.D. (11/7/23), R.M. (7/5/23), C.W. (7/5/23) and Radiya Shabazz (7/5/23).

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

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

Five (5) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

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

Two (2) child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Z.P. (1/8/24), E.J. and R.J.

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

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 (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 conducted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due November 8, 2023

The Family Care Safety Registry check was not conducted for L.J., (11/7/23) Adina Shabazzm (11/7/23) Acacia Whitney (11/7/23) and Evangelia Johnson(11/7/23) 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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by the kitchen door and storage rooms were not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 8, 2023

Hazardous items as follows were accessible to children: Zarbee children's medication. The item(s) was/were located in a child's cubby accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

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 up against the wall in the 2 year old room.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 8, 2023

Acacia Whitney )7/5/23). T.D., R.M. (7/5/23), C.W. (7/5/23), and R.S. (7/5/23) 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 (1) (Q) · Personnel · Correction due November 8, 2023

Background screening information was not available for review for Acacia Whitney (7/5/23), LaTasha Jones (7/5/23), Tracey Davis, Raeesah Muhummad (7/5/23), Carrie Whitney (7/5/23) and Radiya Shabazz (7/5/23).

Required correction: Background screening information shall be available and kept confidential.

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

Evangelia Johnson 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

Medical examination report(s) was/were not on file for A.W. , L.J., T.D. , R.M. (7/5/23), C.W. (July 5, 2023) and Radiya Shabazz(7/5/23) 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: A.W. (7/5/23), L.J., T.D. (11/7/23), R.M. (7/5/23), C.W. (7/5/23) and Radiya Shabazz (7/5/23).

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

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

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

Five (5) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

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

Two (2) child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 8, 2023

Criminal background check results were not on file for Acacia Whitney(7/5/23) LaTasha Jones (7/5/23), Tracey Davis, (11/7/23) Raeesah Muhummad (7/5/23), Carrie Whittney (7/5/23) and Radiya Shabazz (7/5/23).

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 Z.P., E.J. and R.J.

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

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

Acacia Whitney )7/5/23). T.D., R.M. (7/5/23), C.W. (7/5/23), and R.S. (7/5/23) 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 (1) (L) · Personnel · Correction due August 10, 2023

Documentation of caregiver completion of the facility orientation was not on file for the following staff: Acacia Whitney(7/5/23) LaTasha Jones, Tracey Davis, Raeesah Muhammad (7/5/23), Carrie Whitney (7/5/23) and Radiya Shabazz(7/5/23).

5 CSR 25-500.102 (1) (Q) · Personnel

Background screening information was not available for review for Acacia Whitney (7/5/23), LaTasha Jones (7/5/23), Tracey Davis, Raeesah Muhummad (7/5/23), Carrie Whitney (7/5/23) and Radiya Shabazz (7/5/23).

Required correction: Background screening information shall be available and kept confidential.

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

Medical examination report(s) was/were not on file for A.W. (7/5/23), L.J., T.D., R.M. (7/5/23), C.W. (July 5, 2023) and Radiya Shabazz(7/5/23) 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: A.W. (7/5/23), L.J., T.D., R.M. (7/5/23), C.W. (7/5/23) and Radiya Shabazz (7/5/23).

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 Acacia Whitney(7/5/23) LaTasha Jones (7/5/23), Tracey Davis, Raeesah Muhummad (7/5/23), Carrie Whittney (7/5/23) and Radiya Shabazz (7/5/23).

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