Dreamland Daycare & Learning Center LLC

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 20, 2026

Hazardous items as follows were accessible to children: Bleach, cleaning bottles and toilet cleaning. The item(s) was/were located in the school aged classroom in both bathrooms in the school aged room.

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 · Correction due July 20, 2026

The walls located in the school agers room on the turquoise wall was/were not in good condition as evidenced by a hole approximately 4 inches wide in the wall near the floor.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 20, 2026

The floors located in the school agers room on the blue wall to the right was/were not in good condition as evidenced by the trim along most of the wall is off and missing.

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

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: Bleach, cleaning bottles and toilet cleaning. The item(s) was/were located in the school aged classroom in both bathrooms in the school aged room.

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 floors located in the school agers room on the blue wall to the right was/were not in good condition as evidenced by the trim along most of the wall is off and missing.

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

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

The walls located in the school agers room on the turquoise wall was/were not in good condition as evidenced by a hole approximately 4 inches wide in the wall near the floor.

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 January 2, 2026

The Family Care Safety Registry check was not conducted for D.C. and C.M. 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 January 2, 2026

Hazardous items as follows were accessible to children: bleach, cleaning sprays, and various cleaning products. The item(s) was/were located in the building at 3509 in the school aged bathroom under the sink.

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 · Correction due January 7, 2026

The floors located in the school aged room at 3509 building was/were not in good condition as evidenced by trim coming up near the bathroom doors and trim falling off by the back outside door and trim coming off on the wall to the right when you walk in.

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

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

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.087 (2) (F) · Fire Safety · Correction due January 2, 2026

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

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

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

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: D.C. needs 12 hours. She is not in the Professional Development system.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due February 4, 2026

Medical examination report(s) was/were not on file for J.A., G.S. and H.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 January 15, 2026

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: H.C. and D.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 (4) (A) · Health Care · Correction due January 7, 2026

Requirements for immunization reports on file were not met as evidenced by 5 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) (A) · Records and Reports · Correction due January 2, 2026

1 child(ren) records did not include child's address.

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

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

1 child(ren) records did not include work schedule of 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) (B) · Records and Reports · Correction due January 2, 2026

1 child(ren) records did not include employers' name of 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 January 2, 2026

1 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 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for D.C. and C.M. 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 December 9, 2025

Hazardous items as follows were accessible to children: lotions, sprays, and cleaning tablets. The item(s) was/were located in the staff bathroom on the counter and under the sink that was open and can not remain closed. Will need to fix the door so it remains closed or move the hazardous items.

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 floors located in the school aged room at 3509 building was/were not in good condition as evidenced by trim coming up near the bathroom doors and trim falling off by the back outside door and trim coming off on the wall to the right when you walk in.

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

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: bleach, cleaning sprays, and various cleaning products. The item(s) was/were located in the building at 3509 in the school aged bathroom under the sink.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (2) (F) · Fire Safety

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

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 2024, the staff listed need the following information: D.C. needs 12 hours. She is not in the Professional Development system.

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 J.A., G.S. and H.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: H.C. and D.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 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 5 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) (A) · Records and Reports

1 child(ren) records did not include child's address.

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

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

1 child(ren) records did not include employers' name of 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

1 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) (B) · Records and Reports

1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

Required correction: Child enrollment information 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 September 2, 2025

Hazardous items as follows were accessible to children: lotion, air spray, toilet spray, clorox bleach, gallon size handwashing soap. The item(s) was/were located lotion, air spray, toilet spray located in the staff bathroom that the door did not stay closed when pulled, and the clorox bleach, gallon size handwashing soap were in the preschool rooms kitchen that did not have a lock on the door.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due August 18, 2025

Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily.

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

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: lotion, air spray, toilet spray, clorox bleach, gallon size handwashing soap. The item(s) was/were located lotion, air spray, toilet spray located in the staff bathroom that the door did not stay closed when pulled, and the clorox bleach, gallon size handwashing soap were in the preschool rooms kitchen that did not have a lock on the door.

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due January 16, 2025

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 16, 2025

The walls located in the 3's bathroom was/were not in good condition as evidenced by chipping paint and wood near the hand washing station.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 16, 2025

Diapering requirements were not met as evidenced by there was no diapering table adjacent to the group space.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 21, 2025

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 large enough for a child to crawl or fall through - the openings measured unknown as the fence gate was moveable and can create a bigger hole. The fence gate had what was a bike lock on it but did not keep it closed enough creating a gap children could crawl through near the dumpster immediately accross from the red barn.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 21, 2025

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 approximately 4 inches in the Infant/Toddler playground area where the black fence is on the far side.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due January 16, 2025

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due January 23, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the red play seat in the preschool room had a rip and hole in it.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due January 16, 2025

Safe sleep training was not completed within the past 3 years for the following staff B.P.

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 (1) (A) · Medical Examination Reports · Correction due January 16, 2025

Medical examination report(s) was/were not on file for B.P. 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 23, 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: D.C. and T.W.

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

5 CSR 25-500.122 (2) (D) · Medical Examination Reports · Correction due January 23, 2025

A school-age child's health report was not on file at the time of enrollment as evidenced by 4 school aged children had no health report on file.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due January 23, 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 6/27/2022 and 10/22/2024.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due February 21, 2025

Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file.

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

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service · Correction due January 23, 2025

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that there was no written diet plan for one infant DOB: 5/13/24..

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-600.020 (5) · General Requirements · Correction due January 16, 2025

Criminal background check results were older than five (5) years for Tanya White, and Skylynn Riggs.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due February 21, 2025

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

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.A., D.C., and A.M. 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 December 11, 2024

Hazardous items as follows were accessible to children: clorox bleach wipes, hand sanitizer, bleach spray cleaner, multipurpose cleaner, lysol spray, etc.. The item(s) was/were located in the school aged room under both bathroom sinks and on the table.

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 3's bathroom was/were not in good condition as evidenced by chipping paint and wood near the hand washing station.

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

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 there was no diapering table adjacent to the group space.

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

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 approximately 4 inches in the Infant/Toddler playground area where the black fence is on the far side.

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

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 large enough for a child to crawl or fall through - the openings measured unknown as the fence gate was moveable and can create a bigger hole. The fence gate had what was a bike lock on it but did not keep it closed enough creating a gap children could crawl through near the dumpster immediately accross from the red barn.

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.092 (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 the red play seat in the preschool room had a rip and hole in it.

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

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

Safe sleep training was not completed within the past 3 years for the following staff B.P.

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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for B.P. 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: D.C. and T.W.

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

5 CSR 25-500.122 (2) (D) · Medical Examination Reports

A school-age child's health report was not on file at the time of enrollment as evidenced by 4 school aged children had no health report on file.

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 6/27/2022 and 10/22/2024.

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 4 immunization record(s) was/were not on file.

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

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that there was no written diet plan for one infant DOB: 5/13/24..

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Tanya White, and Skylynn Riggs.

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 C.M.

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

5 CSR 25-500.042 (18) · Licensing Process · Correction due May 28, 2024

The number of children was/were exceeded as evidenced by having 41 children when only licensed for 40 children.

Required correction: The facility shall maintain compliance with the specifications on the license.

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

The floors located in the 3509 building in the preschool room was/were not in good condition as evidenced by trim on the left wall has fallen off.

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

5 CSR 25-500.042 (18) · Licensing Process

The number of children was/were exceeded as evidenced by having 41 children when only licensed for 40 children.

Required correction: The facility shall maintain compliance with the specifications on the license.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 25, 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in the 3509 building in the preschool room was/were not in good condition as evidenced by trim on the left wall has fallen off.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 29, 2024

The facility's outdoor space was not safe for children's activities as evidenced by a hole/opening approximately 4 inches wide in the big red barn.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 29, 2024

Outdoor equipment, blue radio flyer, in the big playground was not in good condition as evidenced by the handle bars are off causing two holes that can pinch fingers.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due January 29, 2024

Medical examination report(s) was/were not on file for J.B. and S.R. 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 February 1, 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: K.D., C.M., and M.S.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (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 a hole/opening approximately 4 inches wide in the big red barn.

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

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due December 15, 2023

The passage to an exit located in the 2's room was not clear as evidenced by children's table and chairs against the door. This was corrected on site.

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

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

Outdoor equipment, blue radio flyer, in the big playground was not in good condition as evidenced by the handle bars are off causing two holes that can pinch fingers.

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

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

Medical examination report(s) was/were not on file for J.B. and S.R. 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: K.D., C.M., and M.S.

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