Holy Cross Lutheran Church of Kansas City

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 4, 2026

Hazardous items as follows were accessible to children: Styrofoam covering. The item(s) was/were located under rocking chair in infant room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 4, 2026

The Family Care Safety Registry check was not conducted for M.C., K.M., C.P., E.W. within thirty (30) days prior to the anniversary date.

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

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

The Family Care Safety Registry check was not conducted for B.M. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.B. and J.F. (8/4/2026).

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

The walls located in whales bathroom was/were not in good condition as evidenced by chipping paint and holes present from paper towel holder being removed.

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 whales room, hallway leading to bathroom, and movie room was/were not clean as evidenced by stained 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 (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 rail road ties splintering and tilting .

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due August 4, 2026

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

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) (F) 1. · Personnel · Correction due August 4, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: J.B.

Required correction: All caregivers shall obtain a MOPD ID.

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

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

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) (F) 1. · Personnel

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

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 4, 2026

Staff/child ratio requirements were not met as evidenced by twelve children , ages 3-to-10-years, were cared for by one adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for J.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 · 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: J.B.

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

5 CSR 25-500.122 (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 8/13/2025 & 5/26/2023.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due August 4, 2026

Requirements for immunization reports on file were not met as evidenced by 2 immunization record(s) was/were not on file.

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

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

The Family Care Safety Registry check was not conducted for M.C., K.M., C.P., E.W. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 27, 2026

Hazardous items as follows were accessible to children: glitter & acrylic paint. The item(s) was/were located on low shelf.

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 in whales room, hallway leading to bathroom, and movie room was/were not clean as evidenced by stained 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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 27, 2026

There was evidence of spiders/webs in both hallway bathrooms.

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

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 rail road ties splintering and tilting .

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

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

The walls located in whales bathroom was/were not in good condition as evidenced by chipping paint and holes present from paper towel holder being removed.

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: Styrofoam covering. The item(s) was/were located under rocking chair in infant room.

Required correction: Hazardous items shall be inaccessible to children.

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: J.B. and I.S.

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) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: J.B.

Required correction: All caregivers shall obtain a MOPD ID.

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

Medical examination report(s) was/were not on file for J.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 · 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: J.B.

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

5 CSR 25-500.122 (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 8/13/2025 & 5/26/2023.

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program · Correction due July 27, 2026

A child was left without competent supervision as evidenced by a 10-year-old child (staff's child) was in the cafeteria with no caregiver present.

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

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 2 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 J.B. and J.F.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due May 15, 2026

The annual fire safety inspection was not approved.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due March 18, 2026

Safe sleep training was not completed within the past 3 years for the following staff S.L.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due April 13, 2026

Medical examination report(s) was/were not on file for A.E., B.G., P.M., R.M., B.M., E.P., R.W., K.W., K.G., K.H., M.D. (all previous corrected-1/29/2026), and M.N. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due March 18, 2026

Criminal background check results were not on file for P.M., Rebekah Meissner(1/29/2026), Karmen Gonzalez(1/29/2026) and Craig Meissner(1/29/2026).

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due September 15, 2025

The Family Care Safety Registry check was not conducted for K.M., P.M., C.P., E.W., and C.M. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.052 (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 · Correction due January 29, 2026

The staff sheet was not submitted.

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 · Correction due January 29, 2025

The ceilings located in Lions and boys bathroom was/were not clean as evidenced by missing/stained ceiling tiles 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 January 29, 2025

The walls located in Crusaders, Lambs and Angels was/were not clean as evidenced by tape residue on window and dirt/residue on window sill and 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 August 4, 2025

The floors located in Preschool/Pre-K room was/were not clean as evidenced by sticky residue.

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 August 4, 2025

There was evidence of dirt/debris in that there was sticky residue on crib in toddler .

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 · Correction due August 4, 2025

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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed in preschool play ground, and chipping paint on deck outside Angels room.

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 September 15, 2025

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 (8) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 29, 2026

Animal excrement was observed in an indoor area used by children; the location of the excrement was in chinchilla cage accessible to the children.

Required correction: No animal excrement shall be in areas used by children.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due January 29, 2026

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 (1) (C) 2. · Furniture, Equipment and Materials · Correction due January 29, 2026

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.

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

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

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: P.M., R.M., E.P., K.H.,

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) (C) · Personnel · Correction due January 29, 2026

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.G. 1 hour.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due January 29, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: , Karmen White, Karmen Gonzalez, Piper Handcock Kayla Hernandez, Mykel Dupree, and McKenzie Newsom.

Required correction: All caregivers shall obtain a MOPD ID.

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

Safe sleep training was not completed within the past 3 years for the following staff S.L.

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 (4) (A) 3. · Personnel · Correction due January 29, 2026

P.M., B.M., E.P., K.W., K.G., K.H., M.D., M.N., and J.P. 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 A.E., B.G., P.M., R.M., B.M., E.P., R.W., K.W., K.G., K.H., M.D. (all previous corrected-1/29/2026), and M.N. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due January 29, 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: A.E., B.G., P.M., R.M., B.M., E.P., R.W., K.W., K.G., K.H., M.D., and M.N.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due January 29, 2026

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 January 29, 2026

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 feeding plan on file for child (admission date: 1/2/2024).

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 P.M., Rebekah Meissner(1/29/2026), Karmen Gonzalez(1/29/2026) and Craig Meissner(1/29/2026).

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

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

Safe sleep training was not completed within the past 3 years for the following staff S.L.

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 (4) (A) 3. · Personnel

P.M., B.M., E.P., K.W., K.G., K.H., M.D., M.N., and J.P. 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 A.E., B.G., P.M., R.M., B.M., E.P., R.W., K.W., K.G., K.H., M.D., and M.N. 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: A.E., B.G., P.M., R.M., B.M., E.P., R.W., K.W., K.G., K.H., M.D., and M.N.

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 No feeding plan on file for child (admission date: 1/2/2024.

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 P.M., R.M., K.G. and C.M.

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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 9, 2025

Hazardous items as follows were accessible to children: scissors and bleach spray solution. 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

The floors located in Preschool/Pre-K room was/were not clean as evidenced by sticky residue.

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

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

There was evidence of dirt/debris in that there was sticky residue on crib in toddler .

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 (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 exposed in preschool play ground, and chipping paint on deck outside Angels room.

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

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: K.G. 1 hour.

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

5 CSR 25-500.082 (8) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers

Animal excrement was observed in an indoor area used by children; the location of the excrement was in chinchilla cage accessible to the children.

Required correction: No animal excrement shall be in areas used by children.

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

The ceilings located in Lions and boys bathroom was/were not clean as evidenced by missing/stained ceiling tiles 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

The walls located in Crusaders, Lambs and Angels was/were not clean as evidenced by tape residue on window and dirt/residue on window sill and 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 · 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 (3) (A) · Furniture, Equipment and Materials · Correction due July 9, 2025

Outdoor equipment, ball , in infant/toddler 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 25-500.102 · 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: P.M., R.M., E.P., K.H.,

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) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: , Karmen White, Karmen Gonzalez, Piper Handcock Kayla Hernandez, Mykel Dupree, and McKenzie Newsom.

Required correction: All caregivers shall obtain a MOPD ID.

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

The staff sheet was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due July 9, 2025

The Annual Declaration was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for K.M., P.M., C.P., E.W., and C.M. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 9, 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 cover in eagles room.

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

5 CSR 25-500.082 (8) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 4, 2025

Food and water dishes used by animals were accessible to children as evidenced by no lock on storage door that has the chinchilla cage in it. The food and water is accessible through the cage.

Required correction: Food and water dishes used by animals shall not be accessible to children.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 4, 2025

There was evidence of dirt/debris in that cabinets in cafeteria and whales room dirty/sticky residue.

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 · Correction due February 19, 2025

The ceilings located in the lions room was/were not clean as evidenced by stained tile near back door.

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 February 4, 2025

The walls located in whales room 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 · Correction due February 19, 2025

Furniture/equipment, cabinet under the sink, in lions room was not in good condition as evidenced by broken.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due October 28, 2024

The annual fire safety inspection was not conducted.

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

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

The annual sanitation inspection was not approved.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2025

Hazardous items as follows were accessible to children: scissors. The item(s) was/were located on a low counter in the cafeteria 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 · Correction due October 22, 2024

The walls located in lions (room and bathroom) was/were not in good condition as evidenced by exposed putty/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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in that cabinets in cafeteria and whales room dirty/sticky residue.

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

5 CSR 25-500.082 (8) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers

Food and water dishes used by animals were accessible to children as evidenced by no lock on storage door that has the chinchilla cage in it. The food and water is accessible through the cage.

Required correction: Food and water dishes used by animals shall not be accessible to children.

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

The ceilings located in the lions room was/were not clean as evidenced by stained tile near back door.

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 whales room 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, cabinet under the sink, in lions room was not in good condition as evidenced by broken.

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 January 30, 2025

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

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

5 CSR 25-500.102 (3) (C) · Personnel · Correction due January 28, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: H.S. 11 hrs; Karmen Gonzales needs-1hr.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due January 30, 2025

Medical examination report(s) was/were not on file for A.D., K.G., J.M., H.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due January 30, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.D., K.G., J.M., H.R.

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 January 30, 2025

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that missing and non-updated feeding plans .

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

5 CSR 25-600.020 (5) · General Requirements · Correction due October 29, 2024

Criminal background check results were older than five (5) years for Susan Forson, Alesia Kendall, Sandra Ledford, Patty Mael, Kim McCoy, Christy Purl, Brandi Schaunaman, Tracy Watson, Stacy Williams.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 30, 2025

Criminal background check results were not on file for A.D., K.G., J.M., C.S., H.S.

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 conducted.

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 approved.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due September 16, 2024

The Family Care Safety Registry check was not conducted for A.D. 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 July 31, 2024

The Annual Declaration was not completed as evidenced by not signed by Board president-no designee on file.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due September 16, 2024

The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.

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 walls located in lions (room and bathroom) was/were not in good condition as evidenced by exposed putty/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 September 16, 2024

The ceilings located in lions 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 September 16, 2024

The facility's outdoor space was not safe for children's activities as evidenced by paint chipping and exposed rust on wall outside of Angels room.

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 September 16, 2024

Children were not restricted to approved space as evidenced by lock on furnace room not working.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 16, 2024

Furniture/equipment, cribs, in Noah's ark was not in good condition as evidenced by sticky redisdue.

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.

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

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due September 26, 2024

A.D., J.M., H.R., L.T., K.G. 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 · Personnel (1) (K) . · Correction due September 16, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.F., K.G., L.T.

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) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: H.S. 11 hrs; Karmen Gonzales needs-1hr.

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

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

Medical examination report(s) was/were not on file for A.D., K.G., J.M., H.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.D., K.G., J.M., H.R.

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 · Correction due September 16, 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 5/25/2023 & 2/22/2022.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due September 16, 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

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 followed for a child in that missing and non-updated feeding plans .

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Susan Forson, Alesia Kendall, Sandra Ledford, Patty Mael, Kim McCoy, Christy Purl, Brandi Schaunaman, Tracy Watson, Stacy Williams.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.D., K.G., J.M., C.S., H.S.

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

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 25-500.042 (13) (C) · Licensing Process · Correction due July 17, 2024

The name, address and telephone number of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due July 17, 2024

The name, address and telephone number of the owner(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the owner shall be posted near the license.

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

The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.

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

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

The Annual Declaration was not completed as evidenced by not signed by Board president-no designee on file.

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

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

The annual fire safety inspection was not conducted.

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

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

The Family Care Safety Registry check was not conducted for A.D. 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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by lock on furnace room 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 July 17, 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 cover.

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 July 17, 2024

Hazardous items as follows were accessible to children: Suave conditioner, Arm and Hammer Simple Saline, Modge Podge glue and sealer, glass cleaner, Goo Gone, bleach spray. The item(s) was/were located in unlocked cabinets and on low shelf.

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 in lions 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 paint chipping and exposed rust on wall outside of Angels room.

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

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

The walls located in lions (room and bathroom) was/were not in good condition as evidenced by exposed putty/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, cribs, in Noah's ark was not in good condition as evidenced by sticky redisdue.

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. A. · Correction due July 17, 2024

The requirements for sleeping materials were not met as evidenced by 5 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) 1. D. · Correction due July 17, 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 25-500.102 (4) (A) 3. · Personnel

A.D., J.M., H.R., L.T., K.G. 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 · 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: A.F., K.G., L.T.

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) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: H.S. 11 hrs; Karmen Gonzales needs-1hr.

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

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

Medical examination report(s) was/were not on file for A.D., K.G., J.M., H.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.D., K.G., J.M., H.R.

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 5/25/2023 & 2/22/2022.

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 (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 followed for a child in that missing and non-updated feeding plans .

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Susan Forson, Alesia Kendall, Sandra Ledford, Patty Mael, Kim McCoy, Christy Purl, Brandi Schaunaman, Tracy Watson, Stacy Williams.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.D., K.G., J.M., C.S., H.S.

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

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

The annual sanitation inspection was not approved.

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

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

Children were not restricted to approved space as evidenced by lock on storage door broken.

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 April 25, 2024

The walls located in Lambs was/were not clean as evidenced by sticky residue on back door.

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 May 29, 2024

The ceilings located in Lions and Whales was/were not in good condition as evidenced by stained/missing/holes in 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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 1, 2024

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed near tree on infant/toddler playground.

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 April 25, 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 (8) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 25, 2024

Animal excrement was observed in an indoor area used by children; the location of the excrement was guinea pig cage low and excrement accessible to children.

Required correction: No animal excrement shall be in areas used by children.

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

Furniture/equipment, table, in Lions was not in good condition as evidenced by Tape peeling off bottom.

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 May 1, 2024

Furniture/equipment, shelves and changing table, in Angels, Lions and Whales was not in good condition as evidenced by sticky residue.

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 April 25, 2024

Outdoor equipment, toy spaceship, in preschool playground was not in good condition as evidenced by chipping paint/exposed rust spots.

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

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

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

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

5 CSR 25-500.082 (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 storage door broken.

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 February 29, 2024

Hazardous items as follows were accessible to children: batteries, screwdriver, Windex, Triple S absorbent powder, bleach spray, Borax, Stay-Flo, Funkaway air freshner. The item(s) was/were located in unlocked cabinets and on low shelf.

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 in Lions and Whales was/were not in good condition as evidenced by stained/missing/holes in 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 (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 exposed near tree on infant/toddler playground.

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

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 (8) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers

Animal excrement was observed in an indoor area used by children; the location of the excrement was guinea pig cage low and excrement accessible to children.

Required correction: No animal excrement shall be in areas used by children.

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

The walls located in Lambs was/were not clean as evidenced by sticky residue on back door.

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, shelves and changing table, in Angels, Lions and Whales was not in good condition as evidenced by 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 February 29, 2024

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.

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, toy spaceship, in preschool playground was not in good condition as evidenced by chipping paint/exposed rust spots.

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

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

Furniture/equipment, table, in Lions was not in good condition as evidenced by Tape peeling off bottom.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due October 10, 2023

The Family Care Safety Registry check was not conducted for K.M., C.P., C.W., R.W., within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due July 12, 2023

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 · Correction due October 10, 2023

The staff sheet was not fully completed as evidenced by missing signature.

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 · Correction due October 17, 2023

The walls located in crusaders room, preschool room, was/were not clean as evidenced by sticky residue on chalk board walls, dusty window frame.

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 October 10, 2023

The floors located in toddler room and whales room was/were not clean as evidenced by dirty mats and tape peeling off floors.

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 October 10, 2023

The floors located in crusaders and eagles was/were not clean as evidenced by debris in corners and window sill dirty.

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 October 10, 2023

The walls located in eagles room and hallway was/were not in good condition as evidenced by paint chipping on poles and wood wearing on door.

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 October 3, 2023

The ceilings located infant room was/were not in good condition as evidenced by vent cover missing.

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) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 10, 2023

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 10, 2023

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (8) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 10, 2023

Animal excrement was observed in an indoor area used by children; the location of the excrement was in hallway; cages accessible to children.

Required correction: No animal excrement shall be in areas used by children.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due October 10, 2023

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

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 10, 2023

Furniture/equipment, shelves, cabinets, trash can, toy kitchen, in crusaders, whales, and lions rooms was not in good condition as evidenced by sticky residue and contact paper peeling, dirty, broken trash can, dust in crevices of kitchen.

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 October 10, 2023

Furniture/equipment, changing tables, in toddler room and whales rooms was not in good condition as evidenced by sticky residue.

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 October 10, 2023

Outdoor equipment, toy boat, in toddler playground was not in good condition as evidenced by broken.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due October 10, 2023

Safe sleep training was not completed within the past 3 years for the following staff R.O.

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 (4) (A) 3. · Personnel · Correction due October 10, 2023

J.B., J.B., M.B., B.G. 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 · Personnel (1) (K) . · Correction due October 10, 2023

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: J.B., J.B., B.G., T.W., E.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 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 10, 2023

Medical examination report(s) was/were not on file for M.B., B.G., E.W. 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 October 10, 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., B.G.

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 · Correction due October 10, 2023

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 11/15/2021.

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

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service · Correction due October 10, 2023

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.