Duncan Academy, Inc.

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

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for A.B., A.B., J.B. and N.L. 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

Hazardous items as follows were accessible to children: multiple patches of brown mushrooms. The item(s) was/were located on the preschool playground in the grass area and around the border of the small equipment area.

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 Dragon Fly 2 room, Ladibugs 1 room and the Bbmble Bee room was/were not clean as evidenced by dirt / stains were observed on the area rugs.

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

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 in an area on the preschool playground and 1 area on the toddler playground.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 6 - 7 inches by 18 inches wide.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

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

There was evidence of ants in the infant room on the floor, in the window and in a crib.

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

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

The walls located in the DragonFly Room 1 was/were not in good condition as evidenced by chipping and peeling paint was observed.

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 · Correction due June 9, 2026

Hazardous items as follows were accessible to children: plastic container of sunscreen lotions (approximately 6-7 bottles) and clorox wipes (16 containers). The item(s) was/were located the sunscreen was located in the children's bathroom of the Dragon Fly 1 room on a low shelf and the clorox wipes were located in the multi purpose/cafeteria room on a low shelf.

Required correction: Hazardous items shall be inaccessible 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: A.B. and S.H.

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

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

Required correction: All caregivers shall obtain a MOPD ID.

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

Morgan Hart and Sidney Hemme did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

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

Medical examination report(s) was/were not on file for M.H. 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: M.H.

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 (6) · Admission Policies and Procedures

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-500.192 (3) (I) · Health Care

The requirements for administering medication were not met as follows: medication was given to a child but not recorded promptly after administration.

Required correction: All medication shall be administered and recorded as required.

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

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by several children were observed to be eating lunch provided from their homes.

Required correction: Nourishing food shall be provided as required.

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

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing parent acknowledgment statement signatures.

Required correction: Accurate records shall be maintained.

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

One child(ren) records did not include employers' address 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

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

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

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

One 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.B., M.H. and C.M.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 22, 2026

The walls located in ducklings monkeys-1, and tadpoles was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 22, 2026

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that light switch cover missing in Dragonfly bathroom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 22, 2026

Hazardous items as follows were accessible to children: various cleaning products. The item(s) was/were located in school-age closet.

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 May 22, 2026

The ceilings located in dragonfly and dragonfly-2 was/were not clean as evidenced by dusty vents.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 22, 2026

The facility's outdoor space was not safe for children's activities as evidenced by connector on pipes broken.

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 May 22, 2026

Outdoor equipment, large climber, in preschool playground was not in good condition as evidenced by large rust spot and covering peeling off.

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

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

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

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 3, 2026

Medical examination report(s) was/were not on file for Kristi fellers(1/13/2026), Jordan Fischer(1/13/2026), Elizabeth Holladay(1/13/2026), Riley Parrott, and Shea Wilper 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 April 27, 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: Kristi fellers(1/3/2026), Jordan Fischer(1/13/2026), Elizabeth Holladay, and Shea Wilper(1/13/2026).

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

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

Criminal background check results were not on file for K.E. and R.P.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due December 1, 2025

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 walls located in ducklings monkeys-1, and tadpoles was/were not in good condition as evidenced by chipping paint.

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 ceilings located in dragonfly and dragonfly-2 was/were not clean as evidenced by dusty vents.

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

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 connector on pipes broken.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2026

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 children were observed playing outdoors in unapproved space - the space was located on the southwest corner of the building, outside of the fenced in area.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2026

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2026

The floors located in school-age, bumblebees, and dragonflies rooms was/were not clean as evidenced by stained area rugs.

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: various cleaning products. The item(s) was/were located in school-age closet.

Required correction: Hazardous items shall be inaccessible to children.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that light switch cover missing in Dragonfly bathroom.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2026

Children were not restricted to approved space as evidenced by lock on staff bathroom door not working.

Required correction: Caregivers shall restrict children to approved space.

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

Outdoor equipment, large climber, in preschool playground was not in good condition as evidenced by large rust spot and covering peeling off.

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due July 30, 2025

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due July 30, 2025

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

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

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

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

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.122 (2) (D) · Medical Examination Reports · Correction due July 30, 2025

A school-age child's health report was not on file at the time of enrollment as evidenced by one child missing a school-age health report.

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

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

Medical examination report(s) was/were not on file for Kristi fellers(1/13/2026), Jordan Fischer(1/13/2026), Elizabeth Holladay(1/13/2026), Riley Parrott, and Shea Wilper 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: Kristi fellers(1/3/2026), Jordan Fischer(1/13/2026), Elizabeth Holladay, and Shea Wilper(1/13/2026).

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 July 30, 2025

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for K.E. and R.P.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due June 5, 2025

The Annual Declaration was not submitted.

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

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

The equipment list was not submitted.

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

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

Children were not restricted to approved space as evidenced by lock on staff bathroom door not working.

Required correction: Caregivers shall restrict children to approved space.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that missing electrical plate around light switch in dragonfly room.

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

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

Hazardous items as follows were accessible to children: sunscreen and adult scissors . The item(s) was/were located on low shelves.

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 June 5, 2025

The walls located throughout the center was/were not clean as evidenced by sticky residue on doors and kickplates and dusty vent near kitchen.

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 June 5, 2025

There was evidence of dirt/debris in stained rocking chair in ducklings.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 5, 2025

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in school-age, bumblebees, and dragonflies rooms was/were not clean as evidenced by stained area rugs.

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet covers.

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

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

Outdoor equipment, large climber, in preschool playground was not in good condition as evidenced by large rust spot and covering peeling off.

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

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

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

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

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

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

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

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

Medical examination report(s) was/were not on file for Kristi fellers, Jordan Fischer, Elizabeth Holladay, Riley Parrott, and Shea Wilper 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: Kristi fellers, Jordan Fischer, Elizabeth Holladay, and Shea Wilper.

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 one child missing a school-age health report.

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

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

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

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

Required correction: Nourishing food shall be provided as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for K.E. and R.P.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 9, 2025

The walls located in monkeys #1 and back hallway was/were not clean as evidenced by chipping paint and dusty vent.

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 December 19, 2024

The ceilings located infant room bathroom was/were not clean as evidenced by dusty vent.

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 monkeys #1 and back hallway was/were not clean as evidenced by chipping paint and dusty vent.

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. D. · Correction due December 12, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1'.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 19, 2024

Staff/child ratio requirements were not met as evidenced by 8 children , ages under 24-months-old, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 19, 2024

Staff/child ratio requirements were not met as evidenced by 7 children , ages under 24-months-old, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 10, 2024

Children were not restricted to approved space as evidenced by kitchen door unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 10, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet covers.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 10, 2024

Hazardous items as follows were accessible to children: various sunscreens . The item(s) was/were located in an unlocked closet.

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 monkeys #1 and back hallway was/were not clean as evidenced by chipping paint and dusty vent.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 10, 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located infant room bathroom was/were not clean as evidenced by dusty vent.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 26, 2024

Furniture/equipment, chairs , in ducklings and ladybugs was not in good condition as evidenced by stained.

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

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

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1'.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

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

Staff/child ratio requirements were not met as evidenced by 7 children , ages under 24-months-old, were cared for by 1 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

Staff/child ratio requirements were not met as evidenced by 8 children , ages under 24-months-old, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.122 (1) (C) · Medical Examination Reports · Correction due September 19, 2024

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

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due November 25, 2024

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by a three year old child was restrained in a high chair due to her aggressive behavior.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (1) (C) 11. · Child Care Program · Correction due November 20, 2024

Children were permitted to intimidate or harm others as evidenced by a child at the facility kicked her caregiver, pulled her hair and knocked her glasses off her face.

Required correction: Children shall not be allowed to intimidate or harm others, harm themselves or destroy property.

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

Criminal background check results were not on file for S.B., A.G., H.H., and J.P.

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

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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, chairs , in ducklings and ladybugs was not in good condition as evidenced by stained.

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

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

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

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by a three year old child was restrained in a high chair due to her aggressive behavior.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (1) (C) 11. · Child Care Program

Children were permitted to intimidate or harm others as evidenced by a child at the facility kicked her caregiver, pulled her hair and knocked her glasses off her face.

Required correction: Children shall not be allowed to intimidate or harm others, harm themselves or destroy property.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for S.B., A.G., H.H., and J.P.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 31, 2024

Children were not restricted to approved space as evidenced by Kitchen, basement and maintenance room unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 18, 2024

The walls located kitchen hallway, Bumblebees, boys bathroom, monkey 1 was/were not in good condition as evidenced by dusty vent, broken closet door, sticky residue on hallway kickplate .

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 September 19, 2024

The ceilings located throughout center was/were not clean as evidenced by dusty vents and light covers.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 18, 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 broken board.

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 September 18, 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 6".

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

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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, chairs , in ducklings and ladybugs was not in good condition as evidenced by stained.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due September 26, 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 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due July 31, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 12 items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 13, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: L.G. 2.5 hrs; Melinda Zakovich needs-2 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 19, 2024

Medical examination report(s) was/were not on file for J.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 (1) (C) · Medical Examination Reports

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 19, 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: S.B., N.C., M.E., K.E., K.L., E.M., and J.P.

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 September 18, 2024

Requirements for immunization reports on file were not met as evidenced by 1 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 September 26, 2024

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 two feeding plans missing one page.

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 (1) · General Requirements

Criminal background check results were not on file for S.B., A.G., H.H., and J.P.

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

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

Children were not restricted to approved space as evidenced by Kitchen, basement and maintenance room unlocked.

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 June 20, 2024

Hazardous items as follows were accessible to children: purse, Gain Air Mist, Sanitizing spray. The item(s) was/were located on top of a low refrigerator and shelf in staff bathroom.

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 ceilings located throughout center was/were not clean as evidenced by dusty vents and light covers.

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

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 6".

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

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 (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 broken board.

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

The walls located kitchen hallway, Bumblebees, boys bathroom, monkey 1 was/were not in good condition as evidenced by dusty vent, broken closet door, sticky residue on hallway kickplate .

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

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

Furniture/equipment, chairs , in ducklings and ladybugs was not in good condition as evidenced by stained.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due June 20, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1".

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

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

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 12 items in this category.

Required correction: The facility shall provide approved equipment 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 2023, the staff listed need the following information: L.G. 2.5 hrs; Melinda Zakovich needs-2 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 J.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 (1) (C) · Medical Examination Reports

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

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.B., N.C., M.E., K.E., K.L., E.M., and J.P.

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 1 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 two feeding plans missing one page.

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 (1) · General Requirements

Criminal background check results were not on file for S.B., A.G., H.H., and J.P.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 7, 2024

The floors located Bumble bee's & school-age rooms was/were not in good condition as evidenced by tape peeling off floor and broken tiles.

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 January 2, 2024

The walls located Bumblebee's, school-age room and Monkey's #1 was/were not in good condition as evidenced by edging strip missing and chunk missing/chipping paint.

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 November 28, 2023

The walls located hallway (storage door), dragonflies #2, ladybugs, dragonflies #1 was/were not in good condition as evidenced by exposed wood, holes and chipping paint, sticky residue on doors.

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) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 7, 2024

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

Furniture/equipment, step stools, counter and chairs, in boys bathroom and Bumblebees, dragonflies #1, was not in good condition as evidenced by overly soiled, chipped counter top, and rust on chair legs.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 7, 2024

Outdoor equipment, metal playhouse, in Dragonfly playground was not in good condition as evidenced by Chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 7, 2024

Outdoor equipment, large playground equipment, in preschool playground was not in good condition as evidenced by rusting, covering peeling off, and broken pieces.

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

5 CSR 25-500.102 (1) (Q) · Personnel · Correction due January 2, 2024

Background screening information was not kept confidential for Kaitlyn Bedard, Alyssa Caldwell, Gabrielle Cooper, Jennifer Giles, Lily Gonzolez, Jessica Herman, Jennifer Herrera, Emma Kratz, Paige McPheron, Virginia Neace, Donna Thompson, Nicole Love .

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due November 27, 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: C.D. 2 hours; Lily Gonzolez-needs 2 hours; Krystal Harper-needs 6.5 hours.

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

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

Caregivers shall not leave any child without competent adult supervision.

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.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

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 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 28, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlet covers missing.

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

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

The walls located hallway (storage door), dragonflies #2, ladybugs, dragonflies #1 was/were not in good condition as evidenced by exposed wood, holes and chipping paint, sticky residue on doors.

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 November 28, 2023

The floors located school-age, dragonflies #1 &2, ladybugs #1&2, was/were not clean as evidenced by sticky residue/tape and stained carpets.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 28, 2023

The facility's outdoor space was not safe for children's activities as evidenced by plastic timber piece broken.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 28, 2023

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) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

The floors located Bumble bee's & school-age rooms was/were not in good condition as evidenced by tape peeling off floor and broken tiles.

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 Bumblebee's, school-age room and Monkey's #1 was/were not in good condition as evidenced by edging strip missing and chunk missing/chipping paint.

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

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

Furniture/equipment, step stools, counter and chairs, in boys bathroom and Bumblebees, dragonflies #1, was not in good condition as evidenced by overly soiled, chipped counter top, and rust on chair legs.

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 November 28, 2023

Furniture/equipment, shelves, bench, in in school-age room, toddler rooms, Monkeys #1, dragonflies #2 was not in good condition as evidenced by chipping paint, exposed wood and sticky residue.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due November 28, 2023

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

Required correction: Safe and secure feeding equipment shall be provided as required.

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

Outdoor equipment, large playground equipment, in preschool playground was not in good condition as evidenced by rusting, covering peeling off, and broken pieces.

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, metal playhouse, in Dragonfly playground was not in good condition as evidenced by Chipping paint.

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

5 CSR 25-500.102 (1) (Q) · Personnel

Background screening information was not kept confidential for Kaitlyn Bedard, Alyssa Caldwell, Gabrielle Cooper, Jennifer Giles, Lily Gonzolez, Jessica Herman, Jennifer Herrera, Emma Kratz, Paige McPheron, Virginia Neace, Donna Thompson, Nicole Love .

Required correction: Background screening information shall be kept confidential.

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 2022, the staff listed need the following information: C.D. 2 hours; Lily Gonzolez-needs 2 hours; Krystal Harper-needs 6.5 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 21, 2023

Medical examination report(s) was/were not on file for C.D., M.F., K.F., S.C., J.H., K.L., P.M., C.M., D.T. 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 November 28, 2023

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: M.B., Y.B., K.F., C.M., D.T., S.H.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 28, 2023

Criminal background check results were not on file for C.B., M.B., C.D., S.C., M.F., K.F., K.L., C.M., T.P., K.P., M.M., S.H.

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

5 CSR 25-600.020 (1) · General Requirements · No longer displayed by the state

Criminal background check results were not on file for C.B., M.B., C.D., S.C., M.F., K.F., K.L., C.M., T.P., K.P., M.M., S.H.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due September 5, 2023 · No longer displayed by the state

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.082 (2) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 7, 2023 · No longer displayed by the state

The concrete floors located Monkeys #1 and boys bathroom was/were not covered with approved materials as evidenced by pieces of floor tiles missing.

Required correction: Floors shall be made of approved materials.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 19, 2023 · No longer displayed by the state

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 3.5-8 inches.

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 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by plastic timber piece broken.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located hallway (storage door), dragonflies #2, ladybugs, dragonflies #1 was/were not in good condition as evidenced by exposed wood, holes and chipping paint, sticky residue on doors.

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 · No longer displayed by the state

The floors located school-age, dragonflies #1 &2, ladybugs #1&2, was/were not clean as evidenced by sticky residue/tape and stained carpets.

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) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 7, 2023 · No longer displayed by the state

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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

Furniture/equipment, step stools, counter and chairs, in boys bathroom and Bumblebees, dragonflies #1, was not in good condition as evidenced by overly soiled, chipped counter top, and rust on chair legs.

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 · No longer displayed by the state

Furniture/equipment, shelves, bench, in in school-age room, toddler rooms, Monkeys #1, dragonflies #2 was not in good condition as evidenced by chipping paint, exposed wood and sticky residue.

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

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due September 19, 2023 · No longer displayed by the state

Stationary equipment, rock climbing wall, was unsafe as evidenced by the equipment had exposed footings.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due August 7, 2023 · No longer displayed by the state

Outdoor equipment, play kitchen, in toddler playground was not in good condition as evidenced by piece torn off.

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 August 7, 2023 · No longer displayed by the state

Outdoor equipment, playhouse, in preschool playground was unsafe as evidenced by hole in the floor.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, large playground equipment, in preschool playground was not in good condition as evidenced by rusting, covering peeling off, and broken pieces.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due August 7, 2023 · No longer displayed by the state

Shonda Hicks did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due September 6, 2023 · No longer displayed by the state

Documentation of caregiver completion of the facility orientation was not on file for the following staff: C.B., M.B., C.D., L.G., E.K., V.N. K.L.,.

5 CSR 25-500.102 (1) (Q) · Personnel · No longer displayed by the state

Background screening information was not kept confidential for Kaitlyn Bedard, Alyssa Caldwell, Gabrielle Cooper, Jennifer Giles, Lily Gonzolez, Jessica Herman, Jennifer Herrera, Emma Kratz, Paige McPheron, Virginia Neace, Donna Thompson, Nicole Love .

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (3) (A) · Personnel · No longer displayed by the state

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: C.D. 2 hours; Lily Gonzolez-needs 2 hours; Krystal Harper-needs 6.5 hours.

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

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

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: V.N. 2 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · No longer displayed by the state

Medical examination report(s) was/were not on file for C.D., M.F., K.F., S.C., J.H., K.L., P.M., C.M., D.T. 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) . · No longer displayed by the state

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: M.B., Y.B., K.F., C.M., D.T., S.H.

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

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service · Correction due September 6, 2023 · No longer displayed by the state

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 no toddler feeding plan on file.

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