Journey with Me Learning Center

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness · Correction due August 13, 2026

The facility's evacuation route diagram was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. D. · Correction due August 13, 2026

The facility’s name and phone number of the building’s owner/manager was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B. · Correction due August 13, 2026

The facility's list of emergency numbers are not posted in each room used for child care, specifically each room.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A. · Correction due August 13, 2026

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due August 13, 2026

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/4/2025 & 6/4/2025.

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

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. D.

The facility’s name and phone number of the building’s owner/manager was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness

The facility's evacuation route diagram was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.082 (V) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due August 3, 2026

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 3, 2026

The floors located in preschool room was/were not clean as evidenced by soiled area rug.

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due August 3, 2026

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan available in the preschool room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically each room.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due August 3, 2026

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due August 3, 2026

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due August 3, 2026

An infant was observed sleeping in a/an bouncer.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 3, 2026

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

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 3, 2026

Staff/child ratio requirements were not met as evidenced by eleven children , ages 3-to-5-years-old, were cared for by one adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 3, 2026

Staff/child ratio requirements were not met as evidenced by twenty-four children , ages 6-months-to-5-years-old, were cared for by four adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 3, 2026

Staff/child ratio requirements were not met as evidenced by five children , ages 6-months-to-23-months-old, were cared for by one (outside on playground, after initial attendance had been taken) adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 3, 2026

Group size requirements were not met as evidenced by twenty-five children, ages 6-months-to-5-years-old, were cared for by four adult caregiver(s).

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/4/2025 & 6/4/2025.

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

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

The floors located in preschool room was/were not clean as evidenced by soiled area rug.

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 5, 2026

The floors located in two-year-old room was/were not clean as evidenced by tape peeling off floor.

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

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

The walls located in infant room was/were not clean as evidenced by door and frame 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 May 5, 2026

The floors located in infant room was/were not clean as evidenced by sticky.

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 July 21, 2026

Hazardous items as follows were accessible to children: various diaper creams . The item(s) was/were located in cabinet under changing table (lock not working).

Required correction: Hazardous items shall be inaccessible to children.

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

Children were not restricted to approved space as evidenced by utility closet not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 21, 2026

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

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan available in the preschool room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically each room.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. D.

The facility’s name and phone number of the building’s owner/manager was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness

The facility's evacuation route diagram was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due July 21, 2026

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due July 21, 2026

Outdoor equipment, stroller, in in playground was not in good condition as evidenced by cushion coming out of seat.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 18, 2026

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: B.H. 9.75 hrs; Princess Harris-needs 9.5 hrs; Rose Franklin-needs 2 hrs (3/3/2026).

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

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

Staff/child ratio requirements were not met as evidenced by eleven children , ages 3-to-5-years-old, were cared for by one adult caregiver(s).

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

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

Staff/child ratio requirements were not met as evidenced by five children , ages under 24-months-old, 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 · Correction due July 8, 2026

Medical examination report(s) was/were not on file for D.B., B.C., R.F. 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 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/4/2025 & 6/4/2025.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due July 21, 2026

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

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

Children were not restricted to approved space as evidenced by utility closet not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due March 3, 2026

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

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

The floors located in infant room was/were not clean as evidenced by sticky.

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 two-year-old room was/were not clean as evidenced by tape peeling off floor.

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

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

The walls located in infant room was/were not clean as evidenced by door and frame dirty .

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

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

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

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan available in the preschool room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically each room.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. D.

The facility’s name and phone number of the building’s owner/manager was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

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 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due March 3, 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 · Furniture, Equipment and Materials (2) (C) 1. A. · Correction due March 3, 2026

The facility did not meet requirements for push-pull toys. The facility needed an additional four items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: B.H. 9.75 hrs; Princess Harris-needs 9.5 hrs; Rose Franklin-needs 2 hrs (3/3/2026).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 3, 2026

Staff/child ratio requirements were not met as evidenced by 10 children , ages 22-months-old- 2-years-old, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 3, 2026

Group size requirements were not met as evidenced by 10 children, ages 22-months-old- 2-years-old, were cared for by 1 adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for D.B., B.C., R.F. 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 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/4/2025 & 6/4/2025.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due March 3, 2026

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due March 3, 2026

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due March 3, 2026

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due March 3, 2026

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.182 (1) (C) 7. · Child Care Program · Correction due March 3, 2026

Physical punishment was used as evidenced by caregiver R.F. grabbed Child A (2-years-old) by the arm.

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due March 3, 2026

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by caregiver R.F. grabbed Child A (2-years-old) by the arm.

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

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

The walls located in infant room was/were not clean as evidenced by door and frame 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

The floors located in two-year-old room was/were not clean as evidenced by tape peeling off floor.

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

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

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 19, 2026

Hazardous items as follows were accessible to children: Clorox wipes and Lysol Spray. The item(s) was/were located in cabinets under changing tables (safety locks broken).

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 19, 2026

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

Children were not restricted to approved space as evidenced by utility closet not locked.

Required correction: Caregivers shall restrict children to approved space.

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

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

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan available in the preschool room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically each room.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. D.

The facility’s name and phone number of the building’s owner/manager was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

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 · Furniture, Equipment and Materials (1) (B) 2. B.

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

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. A.

The facility did not meet requirements for push-pull toys. The facility needed an additional four items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: B.H. 9.75 hrs; Princess Harris-needs 9.5 hrs; Rose Franklin-needs 2 hrs.

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

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

Group size requirements were not met as evidenced by 10 children, ages 22-months-old- 2-years-old, were cared for by 1 adult caregiver(s).

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

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

Staff/child ratio requirements were not met as evidenced by 10 children , ages 22-months-old- 2-years-old, were cared for by 1 adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for D.B., B.C., R.F. 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 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/4/2025 & 6/4/2025.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.182 (1) (C) 7. · Child Care Program

Physical punishment was used as evidenced by caregiver R.F. grabbed Child A (2-years-old) by the arm.

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

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

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by caregiver R.F. grabbed Child A (2-years-old) by the arm.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due October 17, 2025

The equipment list was not submitted.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (VII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 29, 2025

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 18, 2025

The walls located in infant and preschool rooms was/were not in good condition as evidenced by hole/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 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 5, 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 25-500.087 (2) (F) · Fire Safety · Correction due October 28, 2025

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

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due January 2, 2026

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 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due October 17, 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 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due August 18, 2025

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due August 18, 2025

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due October 22, 2025

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 5 items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 17, 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: S.C. (needs .25 clock hours), B.H. (needs 3 clock hours), P.H. (needs 10.5 clock hours) and Kaniesha Smith (needs 1.25 clock hours).

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 29, 2025

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2/22/2024 & 11/11/2024.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 29, 2025

1 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) (B) · Records and Reports · Correction due September 29, 2025

1 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 October 28, 2025

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

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

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due July 8, 2025

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 25-500.042 (13) (D) · Licensing Process · Correction due July 8, 2025

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

Required correction: The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

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 25-500.052 (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 · Correction due July 8, 2025

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

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

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

The walls located in infant and preschool rooms was/were not in good condition as evidenced by hole/chipping paint.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2025

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

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2025

The walls located in both bathrooms was/were not in good condition as evidenced by toilet paper holders broken.

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

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

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

5 CSR 25-500.082 (VII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due July 8, 2025

The infant/toddler unit did not have a method for heating bottles.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2025

Hazardous items as follows were accessible to children: Clorox wipes and bleach spray. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that electrical plate on pre-k wall broken .

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2025

Children were not restricted to approved space as evidenced by no locks on kitchen doors.

Required correction: Caregivers shall restrict children to approved space.

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

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

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

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A. · Correction due July 8, 2025

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B. · Correction due July 8, 2025

The facility's list of emergency numbers are not posted in each room used for child care, specifically all rooms.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

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 · Furniture, Equipment and Materials (1) (B) 2. B.

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

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 5 items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: S.C. (needs .25 clock hours), B.H. (needs 3 clock hours), P.H. (needs 10.5 clock hours) and Kaniesha Smith (needs 1.25 clock hours).

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 20, 2025

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due May 20, 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: S.H. and T.H.

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

5 CSR 25-500.122 (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 2/22/2024 & 11/11/2024.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due July 8, 2025

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

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

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

1 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) (B) · Records and Reports

1 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

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due May 20, 2025

Criminal background check results were not on file for S.H., K.S., and T.H.

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

5 CSR 25-500.042 (13) (D) · Licensing Process

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

Required correction: The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

5 CSR 25-500.042 (13) (B) · Licensing Process

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 was not submitted.

Required correction: The facility shall submit an equipment list 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 S.C., P.H., T.H., K.S., K.S., and S.H. 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 no locks on kitchen doors.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that electrical plate on pre-k wall broken .

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

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

The infant/toddler unit did not have a method for heating bottles.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

The walls located in both bathrooms was/were not in good condition as evidenced by toilet paper holders broken.

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

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

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

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

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically all rooms.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

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 · Furniture, Equipment and Materials (1) (B) 2. B.

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

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 5 items in this category.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: S.C. (needs .25 clock hours), B.H. (needs 3 clock hours), P.H. (needs 10.5 clock hours) and Kaniesha Smith (needs 1.25 clock hours).

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

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

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

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.H. and T.H.

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

5 CSR 25-500.122 (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 2/22/2024 & 11/11/2024.

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

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

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

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

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

1 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) (B) · Records and Reports

1 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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for S.H., K.S., and T.H.

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

5 CSR 25-500.042 (13) (D) · Licensing Process

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

Required correction: The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

5 CSR 25-500.042 (13) (B) · Licensing Process

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 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for S.C., P.H., T.H., K.S., K.S., and S.H. 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 February 13, 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 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by no locks on kitchen doors.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that electrical plate on pre-k wall broken .

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 13, 2025

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

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

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

The walls located in both bathrooms was/were not in good condition as evidenced by toilet paper holders broken.

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

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

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

The infant/toddler unit did not have a method for heating bottles.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

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

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

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 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B.

The facility's list of emergency numbers are not posted in each room used for child care, specifically all rooms.

Required correction: The facility must post all emergency numbers as required.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A.

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 5 items in this category.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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 (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: S.C. (needs .25 clock hours), B.H. (needs 3 clock hours), P.H. (needs 10.5 clock hours) and Kaniesha Smith (needs 1.25 clock hours).

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

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 2/22/2024 & 11/11/2024.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.H. and T.H.

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

5 CSR 25-500.122 (1) (G) · Medical Examination Reports · Correction due February 13, 2025

A caregiver worked when ill as evidenced by caregiver, S.H., present with a fever.

Required correction: Staff or volunteers shall not work when ill, endangering the health or well-being of children.

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

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

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

5 CSR 25-500.192 (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 25-500.222 (2) (B) · Records and Reports

1 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) (B) · Records and Reports

1 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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for S.H., K.S., and T.H.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 6, 2024

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

Required correction: Caregivers shall restrict children to approved space.

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

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

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

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due September 10, 2024

The director is not routinely on duty, as evidenced by no approved director at facility .

Required correction: The director/group home provider shall be routinely on duty, as required.

5 CSR 25-500.102 · Personnel (2) (A) 1. . · Correction due September 10, 2024

The director was not responsible for planning, monitoring, and managing the facility's daily program as evidenced by no approved director at facility.

Required correction: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program.

5 CSR 25-500.102 · Personnel (2) (A) 1. B. · Correction due September 10, 2024

The facility has not submitted the approval request for proposed director.

Required correction: An approval request form shall be submitted to the department.

5 CSR 25-500.102 · Personnel (2) (A) 1. B.

The facility has not submitted the approval request for proposed director.

Required correction: An approval request form shall be submitted to the department.

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

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

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

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

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.102 (2) (A) 2. · Personnel

The director is not routinely on duty, as evidenced by no approved director at facility .

Required correction: The director/group home provider shall be routinely on duty, as required.

5 CSR 25-500.102 · Personnel (2) (A) 1. .

The director was not responsible for planning, monitoring, and managing the facility's daily program as evidenced by no approved director at facility.

Required correction: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program.

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

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 6, 2024

Hazardous items as follows were accessible to children: bleach solution, Lysol spray, Febreze air-freshner, Bissell carpet cleaning solution, Coppertone sunscreen, A&D diaper ointment, purses. The item(s) was/were located in unlocked cabinets and on low shelves.

Required correction: Hazardous items shall be inaccessible to children.

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

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 9, 2024

The ceilings located in the entire facility 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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 9, 2024

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that retention bar poking through on playground side.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due April 9, 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: B.H. 9.75 hours and Savannah Bowersock-needs .5 hours.

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

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

Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.

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) (B) · Licensing Process · Correction due February 13, 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 25-500.042 (13) (D) · Licensing Process · Correction due February 13, 2024

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

Required correction: The name, address, and phone number of the LLC member(s) or LLC manager(s) shall be posted near the license.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 13, 2024

Hazardous items as follows were accessible to children: staff purse. The item(s) was/were located in an unlocked 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 ceilings located in the entire facility 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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that retention bar poking through on playground side.

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

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: B.H. 9.75 hours and Savannah Bowersock-needs .5 hours.

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

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

The floors located in infant room was/were not clean as evidenced by blue tape peeling off floor.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 6, 2023

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due October 23, 2023

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

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 25-600.020 (1) · General Requirements · Correction due October 10, 2023

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

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

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

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

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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 5, 2023 · No longer displayed by the state

The walls located in bathroom was/were not in good condition as evidenced by broken toilet paper holder.

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 5, 2023 · No longer displayed by the state

The walls located in kitchen and passageway was/were not in good condition as evidenced by chunk missing from wall, hole in door near door knob 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 · No longer displayed by the state

The floors located in infant room was/were not clean as evidenced by blue tape peeling off floor.

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

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

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

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

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

The facility did not conduct a Family Care Safety Registry screening for Mary Davis, who was hired on 6/15/2023.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

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

Staff/child ratio requirements were not met as evidenced by 14 children, ages 2-years-old-4-years-old, were cared for by 1 caregiver(s).

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 5, 2023 · No longer displayed by the state

Medical examination report(s) was/were not on file for M.D. 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 September 5, 2023 · No longer displayed by the state

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due September 5, 2023 · No longer displayed by the state

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

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

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

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

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