Creative World Belton

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 19, 2026

The walls located in the Zebra room windowsill was/were not in good condition as evidenced by peeling paint and hole in the windowsill.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due March 17, 2026

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

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: C.K. needs 2.25 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 17, 2026

Medical examination report(s) was/were not on file for T.B. 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 25-500.052 (2) (C) · Annual Requirements · Correction due March 17, 2026

The Family Care Safety Registry check was not conducted for D.W. and K.T. 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 25-500.090 (3) (A) · Disaster and Emergency Preparedness

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

5 CSR 25-500.102 (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: C.K. needs 2.25 hours.

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

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

Medical examination report(s) was/were not on file for T.B. 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 25-500.222 (2) (D) · Records and Reports · Correction due March 4, 2026

A & B 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) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for D.W. and K.T. within thirty (30) days prior to the anniversary date.

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

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

The walls located in the Zebra room windowsill was/were not in good condition as evidenced by peeling paint and hole in the windowsill.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due March 10, 2025

The Family Care Safety Registry check was not conducted for K.T. 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 (1) (A) 2. · Furniture, Equipment and Materials · Correction due March 10, 2025

The passage to an exit located back hallway by the whales room was not clear as evidenced by a folded up stroller and a wagon are stored in the hallway blocking the exit.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 13, 2025

Staff/child ratio requirements were not met as evidenced by 17 children , ages fifteen 2-years-old and two 3-years-old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 13, 2025

Group size requirements were not met as evidenced by 17 children, ages fifteen 2-years-old and two 3-years-old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 11, 2025

Medical examination report(s) was/were not on file for E.R. and J.M. 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 25-600.020 (5) · General Requirements · Correction due March 11, 2025

Criminal background check results were older than five (5) years for Shyanna Roe.

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 K.T. 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 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 4, 2025

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

Group size requirements were not met as evidenced by 17 children, ages fifteen 2-years-old and two 3-years-old, were cared for by 2 adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for E.R. and J.M. 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 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Shyanna Roe.

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

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

The passage to an exit located back hallway by the whales room was not clear as evidenced by a folded up stroller and a wagon are stored in the hallway blocking the exit.

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

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

Staff/child ratio requirements were not met as evidenced by 17 children , ages fifteen 2-years-old and two 3-years-old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program · Correction due December 23, 2024

A child was left without competent supervision as evidenced by child left in the bathroom when teacher and class transitioned to another classroom.

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

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

A child was left without competent supervision as evidenced by child left in the bathroom when teacher and class transitioned to another classroom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 11, 2024

Hazardous items as follows were accessible to children: B.P. The item(s) was/were located Panda Room in an unlocked cabinet.

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 · Correction due October 11, 2024

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 9 inches when pushed on. Gap is located on the playground for the 2 to 3 year olds west of the gate..

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 15, 2024

The walls located in the Giraffes room was/were not in good condition as evidenced by chipping in the paint in 2 places.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 11, 2024

There was evidence of dirt/debris in bottom of cubbies in the Elephant Room.

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

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: B.P. The item(s) was/were located Panda Room in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the Giraffes room was/were not in good condition as evidenced by chipping in the paint in 2 places.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in bottom of cubbies in the Elephant Room.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 9 inches when pushed on. Gap is located on the playground for the 2 to 3 year olds west of the gate..

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

Violation substantiated · 5 CSR 25-500.182(1)(C)11.

Children shall not be permitted to intimidate or harm others, harm themselves, or destroy property.

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

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

The equipment list was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due March 13, 2024

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 March 13, 2024

The Family Care Safety Registry check was not conducted for D.A., A.B., S.C., E.C., K.F., E.F., T.G., S.J., C.K., I.L., L.M., J.O., L.O., C.R., S.R., K.S., M.T., K.V., K.W. within thirty (30) days prior to the anniversary date.

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

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

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due April 2, 2024

Documentation of caregiver completion of the facility orientation was not on file for the following staff: K.B., A.B., S.C., L.H., S.J., I.L., L.M., L.O., L.P., C.R., A.R., S.R., S.R., M.T.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due March 26, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: S.R. needs .25 hours, K.W. needs 2.25 hours.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. . · Correction due March 26, 2024

The director was not approved as evidenced by no approval on file.

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

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due March 26, 2024

The director is not routinely on duty, as evidenced by no approved director.

Required correction: The director/group home provider shall be routinely on duty, as required.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due March 26, 2024

The facility does not have an approved director on staff.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due April 2, 2024

Medical examination report(s) was/were not on file for A.B. 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 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due April 2, 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 25-500.122 · Medical Examination Reports (1) (B) . · Correction due April 2, 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: L.O., A.B.

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

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

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

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

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

Medical examination report(s) was/were not on file for A.B. 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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for D.A., A.B., S.C., E.C., K.F., E.F., T.G., S.J., C.K., I.L., L.M., J.O., L.O., C.R., S.R., K.S., M.T., K.V., K.W. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 8, 2024

Hazardous items as follows were accessible to children: B.C. The item(s) was/were located Girls Bathroom in the Tiger room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 8, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 8, 2024

Hazardous items as follows were accessible to children: staff purse. The item(s) was/were located Zebra room supply cabinet unlocked.

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 · Correction due March 8, 2024

Hazardous items as follows were accessible to children: Febreze. The item(s) was/were located staff bathroom with door open.

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 · Correction due March 8, 2024

Hazardous items as follows were accessible to children: L.W. The item(s) was/were located staff lounge with door open and unlocked.

Required correction: Hazardous items shall be inaccessible to children.

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

The passage to an exit located back hallway was not clear as evidenced by 4 baby stroller was blocking the exit.

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

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

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

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

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

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: K.B., A.B., S.C., L.H., S.J., I.L., L.M., L.O., L.P., C.R., A.R., S.R., S.R., M.T.

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: S.R. needs .25 hours, K.W. needs 2.25 hours.

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

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

The director was not approved as evidenced by no approval on file.

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

5 CSR 25-500.122 · 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: L.O., A.B.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) 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 25-500.102 (2) (A) 2. · Personnel

The director is not routinely on duty, as evidenced by no approved director.

Required correction: The director/group home provider shall be routinely on duty, 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 · Correction due March 8, 2024

The staff sheet was not submitted.

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

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

The Annual Declaration was not submitted.

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

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

The facility does not have an approved director on staff.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 31, 2024

The walls located Tiger, Elephant, Zebra, and Giraffe rooms was/were not finished with material which can be cleaned easily as evidenced by no baseboard on part of the wall.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due January 31, 2024

The requirements for sleeping materials were not met as evidenced by 6 children 12 months or older, who nap or sleep, did not have a sheet.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 31, 2024

Outdoor equipment, Slide, in 2-4 year old playground was unsafe as evidenced by broken and roped off.

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

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

The walls located Tiger, Elephant, Zebra, and Giraffe rooms was/were not finished with material which can be cleaned easily as evidenced by no baseboard on part of the wall.

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

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

Outdoor equipment, Slide, in 2-4 year old playground was unsafe as evidenced by broken and roped off.

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

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

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

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 13, 2023

Hazardous items as follows were accessible to children: Windex and Lysol. The item(s) was/were located Staff Lounge under sink unlocked.

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 · Correction due October 13, 2023

Hazardous items as follows were accessible to children: S.C. The item(s) was/were located Exploratorium Closet that was not locked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 7, 2023 · No longer displayed by the state

The premises were not safe and suitable as evidenced by walls in the Tigers room had peeling paint and hole in drywall.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 7, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: Lysol and Windex. The item(s) was/were located Staff Breakroom unlocked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due September 7, 2023 · No longer displayed by the state

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: C.F. needs 1 hour, Q.N. needs .5 hours, T.T. needs 1 hour and Sarah Engleman needs 5.5 hours.

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