E D Lunn Child Care Center LLC

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 8, 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 the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5.5 inches.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 11, 2026

Children were not restricted to approved space as evidenced by back door to office needs a lock.

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 May 11, 2026

The ceilings located preschool room was/were not clean as evidenced by dusty ceiling fan.

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 May 11, 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 the fence was not in good condition in that post at the top of the fence broken.

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 that were between 3.5 and 9 inches and allow entrapment - the openings measured 5.5 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 · Correction due May 11, 2026

The facility's outdoor space was not safe for children's activities as evidenced by debris and trash on the side of the building (trach can had blown over) .

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 back door to office needs a lock.

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 April 6, 2026

Hazardous items as follows were accessible to children: disinfectant spray and air freshener . The item(s) was/were located on low shelf in 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 preschool room was/were not clean as evidenced by dusty ceiling fan.

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 5.5 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

The facility's outdoor space was not safe for children's activities as evidenced by debris and trash on the side of the building (trach can had blown over) .

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 was not in good condition in that post at the top of the fence broken.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due November 6, 2025

The Family Care Safety Registry check was not conducted for T.A., J.D., V.H., M.W., E.T. within thirty (30) days prior to the anniversary date.

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

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

The ceilings located in the bathroom was/were not clean as evidenced by dusty light fixture.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due November 6, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.W.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due November 6, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.A. 3 hours.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due November 6, 2025

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

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 25-600.020 (1) · General Requirements · Correction due November 6, 2025

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

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., J.D., V.H., M.W., E.T. within thirty (30) days prior to the anniversary date.

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

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

The ceilings located in the bathroom was/were not clean as evidenced by dusty light fixture.

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

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.W.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: T.A. 3 hours.

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

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

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

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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due October 29, 2025

Staff/child ratio requirements were not met as evidenced by eleven children , ages 2-7-years-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 25-500.182 (1) (A) 1. · Child Care Program · Correction due October 29, 2025

A child was left without competent supervision as evidenced by caregiver, V.H., left the infant/toddler room to get snacks. .

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

5 CSR 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due May 27, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by no milk or juice served with morning snack.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.042 (18) · Licensing Process · Correction due April 24, 2025

The ages of children was/were exceeded as evidenced by one child, 13-years-old in care.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due April 24, 2025

Caregiver did not provide frequent, direct contact as evidenced by child was sent to restroom in a different classroom; there was no other staff present to supervise.

Required correction: The facility shall provide competent adult supervision for each child 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 no milk or juice served with morning snack.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.042 (18) · Licensing Process

The ages of children was/were exceeded as evidenced by one child, 13-years-old in care.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 17, 2025

Children were not restricted to approved space as evidenced by laundry room not locked and children were permitted to go into staff office without a caregiver.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due April 17, 2025

Staff/child ratio requirements were not met as evidenced by 16 children , ages 2- to-13 years-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 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by child was sent to restroom in a different classroom; there was no other staff present to supervise.

Required correction: The facility shall provide competent adult supervision for each child 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 no milk or juice served with morning snack.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 22, 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 no resilient material was present.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due October 22, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 8 items in this category.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 24, 2024

Medical examination report(s) was/were not on file for A.G. 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 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.

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

5 CSR 25-500.092 · 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 8 items in this category.

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

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

Medical examination report(s) was/were not on file for A.G. 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 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 29, 2024

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering rolled up creating a tripping hazard. .

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 14, 2024

Children were not restricted to approved space as evidenced by no lock on kitchen door.

Required correction: Caregivers shall restrict children to approved space.

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 black ground covering rolled up creating a tripping hazard. .

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

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

The requirements for sleeping materials were not met as evidenced by 3 children 12 months or older, who nap or sleep, did not have a sheet.

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

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

Outdoor equipment, toy picnic set, in play area was not in good condition as evidenced by broken.

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

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 no lock on kitchen door.

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 May 7, 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 May 7, 2024

Hazardous items as follows were accessible to children: F.G.V. disinfectant wipes and spray, Glade air-freshner. The item(s) was/were located in unlocked bathroom cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 7, 2024

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

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

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

The requirements for sleeping materials were not met as evidenced by 3 children 12 months or older, who nap or sleep, did not have a sheet.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due May 7, 2024

An infant was observed sleeping in a/an a bouncer.

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

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

Outdoor equipment, ball, in play area was not in good condition as evidenced by flat.

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, toy picnic set, in play area was not in good condition as evidenced by broken.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 1, 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 25-500.052 (2) (B) · Annual Requirements · Correction due November 30, 2023

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 5, 2023

The walls located common area 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 · Correction due December 5, 2023

The floors located infant/toddler room was/were not in good condition as evidenced by linoleum cracked and missing edging piece.

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

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 · Correction due December 5, 2023

Furniture/equipment, shelf and table, in common area and infant toddler room was not in good condition as evidenced by wood wearing .

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

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

The annual sanitation inspection was not conducted.

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

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

The floors located infant/toddler room was/were not in good condition as evidenced by linoleum cracked and missing edging piece.

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

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 walls located common area 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelf and table, in common area and infant toddler room was not in good condition as evidenced by wood wearing .

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