Children's Playhouse and Learning Center

5 CSR 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 7, 2026

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 no resilient material was present.

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

5 CSR 25-500.082 (6) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 7, 2026

The provider did not provide resilient material necessary for the protection of children as evidenced by dirt and roots can be seen throughout most of the playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 23, 2026

The walls located pre-K room was/were not in good condition as evidenced by molding around base of sink coming off.

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

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

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 September 30, 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 September 30, 2025

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 September 30, 2025

The Family Care Safety Registry check was not conducted for S.M., J.H., R.G., L.G., C.C., S.B., J.B., K.G., A.C., D.B. and B.P. 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 pre-K room was/were not in good condition as evidenced by molding around base of sink coming off.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 19, 2026

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (6) (A) 5. · 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 no resilient material was present.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by dirt and roots can be seen throughout most of the playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 9, 2025

Furniture/equipment, carpet, in 2/3 year old room was not in good condition as evidenced by was not clean.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due December 4, 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: C.C. needs 3.5, L.G. needs 9.25, R.G. needs 8.5, J.H. needs 3.5, and S.M. needs 4.5.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 30, 2025

Child E child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file 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 (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 S.M., J.H., R.G., L.G., C.C., S.B., J.B., K.G., A.C., D.B. and B.P. 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 August 8, 2025

Children were not restricted to approved space as evidenced by child opened door and entered Kitchen. Kitchen should be locked and inaccessible 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 · Correction due August 8, 2025

Hazardous items as follows were accessible to children: Diaper ointment and Aquaphor. The item(s) was/were located under changing table with door open.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 8, 2025

There was evidence of insects in found on top of Sterlite box in the school-age area.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 8, 2025

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 facing half wall while children were playing behind caregiver.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by dirt and roots can be seen throughout most of the playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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

Furniture/equipment, carpet, in 2/3 year old room was not in good condition as evidenced by was not clean.

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

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due August 8, 2025

The passage to an exit located in infant room exit door was not clear as evidenced by baby gate blocking the path of exit.

Required correction: Caregivers shall keep passageways to all exits clear.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due August 8, 2025

Outdoor equipment, white playhouse, in younger playground was unsafe as evidenced by plastic side was broken causing sharp edges and a pinching hazard.

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 2024, the staff listed need the following information: C.C. needs 3.5, L.G. needs 9.25, R.G. needs 8.5, J.H. needs 3.5, and S.M. needs 4.5.

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

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

Child E child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due February 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 25-500.102 (3) (A) · Personnel · Correction due April 8, 2025

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: S.B. needs 3.5 hours, L.G. needs 6.75 hours, K.G. needs 6 hours, R.G. needs 9 hours, J.H. needs 8 hours, and S.M. needs 3 hours.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due April 1, 2025

Safe sleep training was not completed within the past 3 years for the following staff K.G. and R.G.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due December 3, 2024

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 December 3, 2024

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 December 3, 2024

The Family Care Safety Registry check was not conducted for C.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 25-500.092 · 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 (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: S.B. needs 3.5 hours, L.G. needs 6.75 hours, K.G. needs 6 hours, R.G. needs 9 hours, J.H. needs 8 hours, and S.M. needs 3 hours.

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

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

Safe sleep training was not completed within the past 3 years for the following staff K.G. and R.G.

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 25-500.122 (2) (A) · Medical Examination Reports · Correction due January 16, 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 10/24/22 and 3/21/?.

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 December 3, 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 25-500.052 (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

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

The Family Care Safety Registry check was not conducted for C.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) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 26, 2024

Hazardous items as follows were accessible to children: staff purses and bags. The item(s) was/were located on counter and in teacher area that is accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due August 27, 2024

Outdoor equipment, chair, in younger playground was not in good condition as evidenced by broken seat that could not be used.

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 2023, the staff listed need the following information: S.B. needs 3.5 hours, L.G. needs 6.75 hours, K.G. needs 6 hours, R.G. needs 9 hours, J.H. needs 8 hours, and S.M. needs 3 hours.

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

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

Safe sleep training was not completed within the past 3 years for the following staff K.G. and R.G.

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 25-500.122 (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 10/24/22 and 3/21/?.

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 25-500.222 (2) (C) · Records and Reports · Correction due August 26, 2024

Child B 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 25-500.052 (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

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

The Family Care Safety Registry check was not conducted for C.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) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 21, 2024

Hazardous items as follows were accessible to children: staff purse. The item(s) was/were located on a baby rocker in the infant room.

Required correction: Hazardous items shall be inaccessible to children.

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: staff purses and bags. The item(s) was/were located on counter and in teacher area that is accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

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

Outdoor equipment, chair, in younger playground was not in good condition as evidenced by broken seat that could not be used.

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 2023, the staff listed need the following information: S.B. needs 3.5 hours, L.G. needs 6.75 hours, K.G. needs 6 hours, R.G. needs 9 hours, J.H. needs 8 hours, and S.M. needs 3 hours.

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

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

Safe sleep training was not completed within the past 3 years for the following staff K.G. and R.G.

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 25-500.122 (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 10/24/22 and 3/21/?.

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 25-500.222 (2) (A) · Records and Reports · Correction due August 21, 2024

Child B child(ren) records did not include date care begins and ends.

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

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

Child B 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 25-500.082 (6) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2024

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.042 (12) · Licensing Process · Correction due April 10, 2024

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due April 10, 2024

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the wooden gate is falling off the hinges and is unsafe.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

The facility's outdoor space was not safe for children's activities as evidenced by broken lockers on the older playground with sharp metal edges.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

The facility's outdoor space was not safe for children's activities as evidenced by standing water on unassembled slide on the older playground.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

The facility's outdoor space was not safe for children's activities as evidenced by large tree branch on the younger playground.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

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 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.087 (1) (M) · Fire Safety · Correction due February 26, 2024

The means of egress in the preschool room was obstructed in that the door sticks so much that I had to put all my strength to get it to open.

Required correction: Means of egress must be unobstructed.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 14, 2024

Furniture/equipment, block shelf, in 2-3's Room was not in good condition as evidenced by needs cleaned.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 14, 2024

Furniture/equipment, carpet, in 2-3's Room was not in good condition as evidenced by needs cleaned.

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

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due March 14, 2024

The passage to an exit located in the infant room was not clear as evidenced by baby gate on the exit door.

Required correction: Caregivers shall keep passageways to all exits clear.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 14, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Pink doll bed is dirty.

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

5 CSR 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

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

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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

Hazardous items as follows were accessible to children: Off bug spray. The item(s) was/were located on the table in the older playground.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (V) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due March 14, 2024

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 14, 2024

Outdoor equipment, younger playground, in green and yellow Little Tikes slide was not in good condition as evidenced by broken with sharp edges.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 14, 2024

Outdoor equipment, on the older kids playground, in Airplane equipment was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 14, 2024

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

5 CSR 25-500.182 (2) (B) 4. · Child Care Program · Correction due March 14, 2024

The daily activities for preschool and school-age children failed to meet requirements as evidenced by less than one hour of outdoor play was provided.

Required correction: Daily activities for preschool and school-age children shall be provided as required.

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

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

Hazardous items as follows were accessible to children: Off bug spray. The item(s) was/were located on the table in the older playground.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the wooden gate is falling off the hinges and is unsafe.

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

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 large tree branch on the younger playground.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of 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 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

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

Required correction: Bathrooms shall be clean and odor free.

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

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

Required correction: Bathrooms shall be clean and odor free.

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

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

Required correction: Bathrooms shall be clean and odor free.

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 broken lockers on the older playground with sharp metal edges.

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

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 standing water on unassembled slide on the older playground.

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

5 CSR 25-500.087 (1) (M) · Fire Safety

The means of egress in the preschool room was obstructed in that the door sticks so much that I had to put all my strength to get it to open.

Required correction: Means of egress must be unobstructed.

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

Furniture/equipment, carpet, in 2-3's Room was not in good condition as evidenced by needs cleaned.

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

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due February 20, 2024

The passage to an exit located 2-3 year old room was not clear as evidenced by Train table was blocking exit door.

Required correction: Caregivers shall keep passageways to all exits clear.

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Pink doll bed is dirty.

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

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

Outdoor equipment, on the older kids playground, in Airplane equipment was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

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

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

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

Outdoor equipment, younger playground, in green and yellow Little Tikes slide was not in good condition as evidenced by broken with sharp edges.

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

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

The passage to an exit located in the infant room was not clear as evidenced by baby gate on the exit door.

Required correction: Caregivers shall keep passageways to all exits clear.

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

Furniture/equipment, block shelf, in 2-3's Room was not in good condition as evidenced by needs cleaned.

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

5 CSR 25-500.182 (2) (B) 4. · Child Care Program

The daily activities for preschool and school-age children failed to meet requirements as evidenced by less than one hour of outdoor play was provided.

Required correction: Daily activities for preschool and school-age children shall be provided as required.

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

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

5 CSR 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of 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 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, on the older kids playground, in not in good condition was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

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

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of 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) 2. G · Correction due December 19, 2023

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by Blanket located in the crib with an infant.

Required correction: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

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

Outdoor equipment, on the older kids playground, in not in good condition was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

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

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of 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) 2. G

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by Blanket located in the crib with an infant.

Required correction: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

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

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

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

Outdoor equipment, on the older kids playground, in not in good condition was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due October 2, 2023

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 · Correction due October 25, 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) (C) · Annual Requirements · Correction due September 14, 2023

The Family Care Safety Registry check was not conducted for S.M., J.H., J.B., S.B., R.G., K.G., J.B., L.G. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2023

Hazardous items as follows were accessible to children: Triple paste, Vaseline, Destine, and Butt Paste. The item(s) was/were located in changing table in the 2-3 year old room unlocked.

Required correction: Hazardous items shall be inaccessible to children.

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

The provider did not provide resilient material necessary for the protection of children as evidenced by small slide has no fall zone under it.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of 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 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due October 13, 2023

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by not available in each classroom.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due November 14, 2023

The passage to an exit located in the infant room was not clear as evidenced by a baby gate was blocking the exit.

Required correction: Caregivers shall keep passageways to all exits clear.

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

Outdoor equipment, slide and tunnel equipment, in the younger playgroup was unsafe as evidenced by not put together.

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

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

Outdoor equipment, on the older kids playground, in not in good condition was not in good condition as evidenced by broken seat and metal pieces sticking out that are sharp and can cause a hazard.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 14, 2023

Outdoor equipment, two bikes, and spinner, in on the younger kids playground was not in good condition as evidenced by broken pieces with sharp edges. .

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

5 CSR 25-500.102 (3) (C) · Personnel · Correction due November 7, 2023

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: L.G. needs 3 hours for 2022.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 29, 2023

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: S.B. needs 1.25 hours.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due September 14, 2023

Jazmyn Baker and Riley Gregg 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) (C) · Records and Reports · Correction due November 14, 2023

Child B 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 25-600.020 (1) · General Requirements · Correction due September 14, 2023

Criminal background check results were not on file for J.B.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 14, 2023

Child B 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.

Violation substantiated · 5 CSR 25-500.132(5)(A)

Placement of a two (2) year old in either the infant/toddler unit or the unit for older children shall be determined in consultation with the parent(s) ; and

Required correction: The provider shall create a plan that ensures children under the age of 24 months are not cared for outside of the infant/toddler unit and that children over age 3 are not cared for in the infant/toddler unit. The plan shall be reviewed with all staff members (paid employees and paid or unpaid volunteers) and all staff members shall sign a statement that they will adhere to the plan. A copy of the plan and the signed statements shall be provided to the Office of Childhood. Signs shall be posted at all entrances of the rooms displaying the required staff/child ratios. A statement indicating that this has been completed shall be submitted to the Office of Childhood.

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

If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;

Required correction: The provider shall create a plan that ensures children under the age of 24 months are not cared for outside of the infant/toddler unit and that children over age 3 are not cared for in the infant/toddler unit. The plan shall be reviewed with all staff members (paid employees and paid or unpaid volunteers) and all staff members shall sign a statement that they will adhere to the plan. A copy of the plan and the signed statements shall be provided to the Office of Childhood. Signs shall be posted at all entrances of the rooms displaying the required staff/child ratios. A statement indicating that this has been completed shall be submitted to the Office of Childhood.

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

Birth Through Two (2) Years. Groups composed of mixed ages through two (2) years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;

Required correction: The provider shall create a plan that ensures children under the age of 24 months are not cared for outside of the infant/toddler unit and that children over age 3 are not cared for in the infant/toddler unit. The plan shall be reviewed with all staff members (paid employees and paid or unpaid volunteers) and all staff members shall sign a statement that they will adhere to the plan. A copy of the plan and the signed statements shall be provided to the Office of Childhood. Signs shall be posted at all entrances of the rooms displaying the required staff/child ratios. A statement indicating that this has been completed shall be submitted to the Office of Childhood.

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

Ages Three Through Four (3-4) Years. Groups composed solely of three (3) - and four (4) -year olds shall haveno less than one (1) adult to ten (10) children;

Required correction: The provider shall create a plan that ensures children under the age of 24 months are not cared for outside of the infant/toddler unit and that children over age 3 are not cared for in the infant/toddler unit. The plan shall be reviewed with all staff members (paid employees and paid or unpaid volunteers) and all staff members shall sign a statement that they will adhere to the plan. A copy of the plan and the signed statements shall be provided to the Office of Childhood. Signs shall be posted at all entrances of the rooms displaying the required staff/child ratios. A statement indicating that this has been completed shall be submitted to the Office of Childhood.

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

Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2) -year olds. When there are more than four (4) two (2) -year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.

Required correction: The provider shall create a plan that ensures children under the age of 24 months are not cared for outside of the infant/toddler unit and that children over age 3 are not cared for in the infant/toddler unit. The plan shall be reviewed with all staff members (paid employees and paid or unpaid volunteers) and all staff members shall sign a statement that they will adhere to the plan. A copy of the plan and the signed statements shall be provided to the Office of Childhood. Signs shall be posted at all entrances of the rooms displaying the required staff/child ratios. A statement indicating that this has been completed shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.132(5)(B)

The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer.

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 25-500.082(2)(B)2.B.(III)

If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;

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.