Just Like Family Child Care Home, LLC

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 24, 2026

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 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 24, 2026

Medical examination report(s) was/were not on file for S.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) . · Correction due August 24, 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: S.B.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 3, 2026

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

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 25-500.102 (1) (O) · Personnel · Correction due August 3, 2026

Child care staff member, Latoya Taylor, has a disqualifying background screening result and is/was present on the premises of the facility.

Required correction: Child care staff member(s) with disqualifying background screening results shall be prohibited from being present on the premises of the facility

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

Medical examination report(s) was/were not on file for L.J. & Jaurdin Mallory 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 August 3, 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: L.J. & Jaurdin Mallory.

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 · Medical Examination Reports (1) (B) .

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

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) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for S.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 25-600.020 (1) · General Requirements · Correction due August 3, 2026

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

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 21, 2026

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

Required correction: Caregivers shall restrict children to approved space.

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

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

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 · Correction due July 21, 2026

The ceilings located in bathroom 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 July 21, 2026

The facility's outdoor space was not safe for children's activities as evidenced by exposed ground covering and broken gutter.

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

Outdoor equipment, blue trike, in playground was not in good condition as evidenced by torn seat cushion and missing handle bar covers.

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

5 CSR 25-500.102 (1) (O) · Personnel

Child care staff member, Latoya Taylor, has a disqualifying background screening result and is/was present on the premises of the facility.

Required correction: Child care staff member(s) with disqualifying background screening results shall be prohibited from being present on the premises of the facility

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due July 21, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: S.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 L.J. & Jaurdin Mallory 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: L.J. & Jaurdin Mallory.

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

5 CSR 25-600.020 (1) · General Requirements

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

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 March 10, 2026

Children were not restricted to approved space as evidenced by no door on laundry room.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. C. · Correction due March 12, 2026

The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by space was reduced by storage of non-child care items.

Required correction: The facility shall provide thirty-five square feet of usable space per child.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 10, 2026

The floors located in 3-years-old 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 10, 2026

The ceilings located in 3 and 4-years old rooms 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 10, 2026

Furniture/equipment, shelf, in 3-year-old room was unsafe as evidenced by tips when pulling on handle.

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 March 10, 2026

Outdoor equipment, trike, in on playground was not in good condition as evidenced by missing handle bar covers.

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

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due March 10, 2026

The director is not routinely on duty, as evidenced by assistant director informed CI Smith-Jackson that director, M.R., is only present "as needed".

Required correction: The director/group home provider shall be routinely on duty, 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 3-years-old 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in 3 and 4-years old rooms 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 · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. C.

The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by space was reduced by storage of non-child care items.

Required correction: The facility shall provide thirty-five square feet of usable space per child.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 23, 2026

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

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 door on laundry room.

Required correction: Caregivers shall restrict children to approved space.

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

Furniture/equipment, shelf, in 3-year-old room was unsafe as evidenced by tips when pulling on handle.

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

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

Outdoor equipment, trike, in on playground was not in good condition as evidenced by missing handle bar covers.

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

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

The director is not routinely on duty, as evidenced by assistant director informed CI Smith-Jackson that director, M.R., is only present "as needed".

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due July 17, 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: H.L.

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

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

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due July 17, 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.F.

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 July 17, 2025

Medical examination report(s) was/were not on file for L.T. and H.L. 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) (D) · Medical Examination Reports · Correction due July 17, 2025

A school-age child's health report was not on file at the time of enrollment as evidenced by no school-age health report on file for one child-enrollment date (6/4/2025).

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

5 CSR 25-600.020 (1) · General Requirements · Correction due July 17, 2025

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

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

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

Children were not restricted to approved space as evidenced by lock on kitchen 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 July 8, 2025

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

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: P.F.

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

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

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

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

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

A school-age child's health report was not on file at the time of enrollment as evidenced by no school-age health report on file for one child-enrollment date (6/4/2025).

Required correction: Child medical requirements 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 M.N.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 20, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2 outlets were missing covers.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due July 29, 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.R.

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 25-500.087 (2) (F) · Fire Safety · Correction due July 30, 2024

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 July 30, 2024

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 (3) (A) · Furniture, Equipment and Materials · Correction due July 29, 2024

Outdoor equipment, Trike and door to playhouse, in play area was not in good condition as evidenced by broken.

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due July 30, 2024

The facility did not conduct a Family Care Safety Registry screening for Alexandria Riley, who was hired on 2/20/2024.

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

5 CSR 25-500.102 (1) (R) · Personnel · Correction due July 30, 2024

An individual was present on the premises that presented a threat to the health, safety or welfare of the children as evidenced by - On 7/9/2024, Child A's mom, Mariah Long, gave Michelle a two week notice for her child due to the time out incident. At 7:42 AM, Mariah sent a message to caregiver Dynasti on Brightwheel regarding the timeout incident. Messages went back and forth between Mariah and Dynasti. Mariah mentioned that she was going to come and pick Child A up. Another staff member moved Child A to the front office to wait for her mom, so that Mariah and Dynasti did not have to interact. Mariah showed up around 8:00 AM to pick up Child A. Caregiver Dynasti went to the front and asked her if she could talk to her. Mariah informed Dynasti that she did not want to talk. At some point, a full-blown argument ensued. Either the caregiver or parent said we can take this outside. Another staff member had to step in between the two women. Eventually, the parent was asked to leave the building which she did. At around 8:30 AM, the director M.R. came, and sent caregiver Dynasti home for the next two days. All of this happened in front of the daycare children. Michelle is still trying to decide how to handle the situation. Michelle notified the parents of the incident, via Brightwheel at 2:25 PM. Child A has not come back to daycare, since the incident occurred.

Required correction: No person who presents a threat to children shall be on the premises during child care hours.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due July 30, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.R. 3 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due July 30, 2024

Medical examination report(s) was/were not on file for C.K. and A.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 August 6, 2024

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: C.K. and A.R.

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

5 CSR 25-500.182 (1) (C) 5. · Child Care Program · Correction due July 30, 2024

Brief separation from the group was more than one minute for each year of the child’s age as evidenced by Director M.R. disclosed that on July 8, 2024 caregiver D.D. sent 4 year old female child inside from the playground to another staff member for time out. When the child was sent back outside, caregiver Dynasti made her sit until the end of the play period. It is unknown how long the child was in time out for, but it was longer than 4 minutes.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due July 30, 2024

Criminal background check results were not on file for A.R.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 11, 2024

Hazardous items as follows were accessible to children: purse. The item(s) was/were located on a desk .

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 July 11, 2024

The ceilings located front room and bathrooms 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 25-500.087 (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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, Trike and door to playhouse, in play area was not in good condition as evidenced by broken.

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

5 CSR 25-500.102 (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.R. 3 hours.

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

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.R.

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 (1) (R) · Personnel

An individual was present on the premises that presented a threat to the health, safety or welfare of the children as evidenced by - On 7/9/2024, Child A's mom, Mariah Long, gave Michelle a two week notice for her child due to the time out incident. At 7:42 AM, Mariah sent a message to caregiver Dynasti on Brightwheel regarding the timeout incident. Messages went back and forth between Mariah and Dynasti. Mariah mentioned that she was going to come and pick Child A up. Another staff member moved Child A to the front office to wait for her mom, so that Mariah and Dynasti did not have to interact. Mariah showed up around 8:00 AM to pick up Child A. Caregiver Dynasti went to the front and asked her if she could talk to her. Mariah informed Dynasti that she did not want to talk. At some point, a full-blown argument ensued. Either the caregiver or parent said we can take this outside. Another staff member had to step in between the two women. Eventually, the parent was asked to leave the building which she did. At around 8:30 AM, the director M.R. came, and sent caregiver Dynasti home for the next two days. All of this happened in front of the daycare children. Michelle is still trying to decide how to handle the situation. Michelle notified the parents of the incident, via Brightwheel at 2:25 PM. Child A has not come back to daycare, since the incident occurred.

Required correction: No person who presents a threat to children shall be on the premises during child care hours.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Alexandria Riley, who was hired on 2/20/2024.

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

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

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: C.K. and A.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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for C.K. and A.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 25-500.182 (1) (C) 5. · Child Care Program

Brief separation from the group was more than one minute for each year of the child’s age as evidenced by Director M.R. disclosed that on July 8, 2024 caregiver D.D. sent 4 year old female child inside from the playground to another staff member for time out. When the child was sent back outside, caregiver Dynasti made her sit until the end of the play period. It is unknown how long the child was in time out for, but it was longer than 4 minutes.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.R.

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 March 14, 2024

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

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 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 (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 February 7, 2024

Hazardous items as follows were accessible to children: L.S. The item(s) was/were located on changing table.

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 lock on laundry room door broken.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 4, 2023

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: F.S. & Ke'Aisha Releford.

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) (A) · Medical Examination Reports · Correction due December 4, 2023

Medical examination report(s) was/were not on file for F.S. & Ke'Aisha Releford 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 December 4, 2023

Criminal background check results were not on file for F.S. and J.R.

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

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: F.S. & Ke'Aisha Releford.

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) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for F.S. & Ke'Aisha Releford 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

Criminal background check results were not on file for F.S. and J.R.

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