Emmanuel Family & Child Development Center and Emergency Shelter for Children

Violation substantiated · 5 CSR 25-500.042(14)

The license shall not be transferable and shall apply only to the person(s) and address shown on the license.

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 23, 2026

The floors located in a toddler room was/were not clean as evidenced by rug near exit door was dirty.

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 April 23, 2026

The facility's outdoor space was not safe for children's activities as evidenced by exposed landscaping material on the preschool playground presents 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. D. · Correction due April 23, 2026

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.

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

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: A.F. needs documentation of 4 hours for 2025 (not in MOPD), T.T. needs documentation of 1 hour for 2025 (not in MOPD), M.K. needs documentation of 3 hours of training for 2025 (not in MOPD).

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: D.M. needs 1.50 more hours, .

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

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

A.F., C.M., T.T., H.M., M.K. 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 V.D., A.C., L.P., M.K. 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: V.D., A.C., L.P., M.K.

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

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

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

Violation substantiated · 5 CSR 25-500.182(1)(C)7.

Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.

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)(C)9.

Punishment or threat of punishment shall not be associated with food, rest, or toilet training.

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) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2025

Hazardous items as follows were accessible to children: a staff purse. The item(s) was/were located on a low shelf in a toddler 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 a toddler room was/were not clean as evidenced by rug near exit door was dirty.

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 exposed landscaping material on the preschool playground presents a tripping hazard.

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 November 20, 2025

The passage to an exit located in a 2s room was not clear as evidenced by play stove/fridge were positioned in front of the exit.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due November 20, 2025

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 less than 2'.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due April 22, 2025

The equipment list was not submitted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 22, 2025

The Family Care Safety Registry check was not conducted for any staff (see 3-page listing of staff) 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 May 9, 2025

The ceilings located Deers room was/were not in good condition as evidenced by one stained ceiling tile.

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 9, 2025

The facility's outdoor space was not safe for children's activities as evidenced by exposed landscaping material observed which poses 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. D. · Correction due July 1, 2025

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 less than 2' (observed in all preschool rooms and an I/T room).

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 1, 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: M.B. needs 5 more hours, P.R. needs 3 more hours, and A.W. needs 4 more hours (no longer employed).

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

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

Safe sleep training was not completed within the past 3 years for the following staff M.C.G.

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

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

The Family Care Safety Registry check was not conducted for any staff (see 3-page listing of staff) 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 25-500.052 (1) (A) · Annual Requirements · Correction due April 22, 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 April 22, 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

The equipment list was not submitted.

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

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

The ceilings located Deers room was/were not in good condition as evidenced by one stained ceiling tile.

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 exposed landscaping material observed which poses 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. 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 less than 2' (observed in all preschool rooms and an I/T room).

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

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: M.B. needs 5 more hours, P.R. needs 3 more hours, and A.W. needs 4 more 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 M.C.G.

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

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

The walls located in the Caterpillars room was/were not in good condition as evidenced by chipping paint by the cot storage.

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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

Hazardous items as follows were accessible to children: two staff purses. The item(s) was/were located on a chair and on a low cabinet.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the Caterpillars room was/were not in good condition as evidenced by chipping paint by the cot storage.

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 November 20, 2024

Hazardous items as follows were accessible to children: can of Lysol. The item(s) was/were located under an unlocked sink.

Required correction: Hazardous items shall be inaccessible to children.

Violation substantiated · 5 CSR 25-500.082(1)(A)

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

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due September 4, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 10, 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: M.B. needs 1 hour, C.G. needs 12 hours, T.M. needs 8 hours, M.M. needs 3 hours, J.P. needs 8 hours, M.T.G. needs 0.5 hour, K.W. needs 1.5 hours, P.P. needs 3.5 hours- 8/20/24- all staff compliant except T.M. who still needs 2 training hours for 2023 (compliance verified 9/10/24).

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due June 20, 2024

The staff sheet was not fully completed as evidenced by the list did not include 8 staff.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due June 24, 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 25-500.052 (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 25-500.052 (2) (C) · Annual Requirements · Correction due June 20, 2024

The Family Care Safety Registry check was not conducted for E.C., J.M., E.A., S.S., C.J., M.B., A.W., P.B., R.D., J.W., M.C., M.T.G., J.F., L.F., C.G., E.M., S.M., P.R., T.F., 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 25-500.052 (2) (D) · Annual Requirements · Correction due June 20, 2024

The facility is owned by a legal entity that currently shows as dissolved on Missouri Secretary of State's website.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 20, 2024

The floors located in antelopes room was/were not in good condition as evidenced by tape residue and two broken floor 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 June 20, 2024

The ceilings located hallway on 2nd floor, toddler room, 3s and 4s room on the 1st floor, bathroom between toddler rooms was/were not in good condition as evidenced by stained or stained and sagging ceiling tiles.

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 July 26, 2024

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

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 2023, the staff listed need the following information: M.B. needs 1 hour, C.G. needs 12 hours, T.M. needs 8 hours, M.M. needs 3 hours, J.P. needs 8 hours, M.T.G. needs 0.5 hour, K.W. needs 1.5 hours, P.P. needs 3.5 hours- 8/20/24- all staff compliant except T.M. who still needs 2 training hours for 2023.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 29, 2024

Safe sleep training was not completed within the past 3 years for the following staff S.A., P.L.P., J.P., V.R., O.S., .

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due June 21, 2024

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 11/1/23, 7/31/22, 4/18/22, 2/9/22, 9/6/22, 11/1/23.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due July 26, 2024

Medical examination report(s) was/were not on file for D.J. 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 July 26, 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: D.J.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 20, 2024

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) (B) · Records and Reports · Correction due June 20, 2024

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

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due June 20, 2024

one child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due June 20, 2024

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

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

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

The facility is owned by a legal entity that currently shows as dissolved on Missouri Secretary of State's website.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

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

The Family Care Safety Registry check was not conducted for E.C., J.M., E.A., S.S., C.J., M.B., A.W., P.B., R.D., J.W., M.C., M.T.G., J.F., L.F., C.G., E.M., S.M., P.R., T.F., 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 25-500.052 (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 25-500.052 (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) (D) · Annual Requirements

The staff sheet was not fully completed as evidenced by the list did not include 8 staff.

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

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

The ceilings located hallway on 2nd floor, toddler room, 3s and 4s room on the 1st floor, bathroom between toddler rooms was/were not in good condition as evidenced by stained or stained and sagging ceiling 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 floors located in antelopes room was/were not in good condition as evidenced by tape residue and two broken floor tiles.

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

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

Safe sleep training was not completed within the past 3 years for the following staff S.A., P.L.P., J.P., V.R., O.S., .

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 25-500.102 (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: M.B. needs 1 hour, C.G. needs 12 hours, T.M. needs 8 hours, M.M. needs 3 hours, J.P. needs 8 hours, M.T.G. needs 0.5 hour, K.W. needs 1.5 hours, P.P. needs 3.5 hours.

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

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: S.M. and D.J.

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

Medical examination report(s) was/were not on file for D.J. 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.J.

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) (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 11/1/23, 7/31/22, 4/18/22, 2/9/22, 9/6/22, 11/1/23.

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

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

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

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

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

one child(ren) records did not include name, address and telephone number 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

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 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. G · Correction due September 22, 2023 · No longer displayed by the state

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by an infant sleeping in a crib with a bib on..

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due September 22, 2023 · No longer displayed by the state

An infant was observed sleeping in a/an swing.

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

5 CSR 25-500.112 (1) (B) · Staff/Child Ratios · Correction due September 22, 2023 · No longer displayed by the state

Staff/child ratio requirements were not met as evidenced by 13 children, ages 2 years old, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due August 30, 2023 · No longer displayed by the state

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) (A) · Annual Requirements · Correction due September 8, 2023 · No longer displayed by the state

The annual fire safety inspection was not approved.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. G · No longer displayed by the state

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a infant sleeping in a crib with a bib on.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · No longer displayed by the state

An infant was observed sleeping in a/an swing.

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

5 CSR 25-500.112 (1) (B) · Staff/Child Ratios · No longer displayed by the state

Staff/child ratio requirements were not met as evidenced by 13 children, ages 2 years old, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.