Just Like Home Kids, Inc

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 16, 2026

The walls located in the 1 year old room was/were not clean as evidenced by sticky residue on the back wall.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 11, 2026

Outdoor equipment, steps onto the playground set, in preschool playground was not in good condition as evidenced by the plastic covering of steps was peeling off.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due March 11, 2026

The annual fire safety inspection was not conducted.

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

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

Hazardous items as follows were accessible to children: razor scrapper. The item(s) was/were located in unlocked drawer in 5 year old room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due September 11, 2025

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large area rugs in the toddler classroom.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized 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 the 1 year old room was/were not clean as evidenced by sticky residue on the back wall.

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 October 21, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the piping / guttering was broken on the preschool playground creating a ponding area evidenced by mud on the preschool playground.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 21, 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 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 21, 2025

Outdoor equipment, the picnic table, in the outside play space was not in good condition as evidenced by the hard plastic on the seating was cracked creating pinch points/sharp edges.

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

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

Outdoor equipment, steps onto the playground set, in preschool playground was not in good condition as evidenced by the plastic covering of steps was peeling off.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due November 11, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: S.S.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due February 26, 2026

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due February 26, 2026

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 21, 2025

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due October 21, 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.S.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due October 21, 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 September 16, 2024.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due March 11, 2026

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the snack in the 2 year old room only had one out of two food components.

Required correction: Nourishing food shall be provided as required.

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

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets were not covered in the school age classroom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2025

Hazardous items as follows were accessible to children: 1 bottle of sunscreen. The item(s) was/were located in a child's cubby in the 2 year old room.

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large area rugs in the toddler classroom.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2025

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by the piping / guttering was broken on the preschool playground creating a ponding area evidenced by mud on the preschool playground.

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

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

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

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due September 11, 2025

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the prek classroom didn't have the emergency plan accessible.

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

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

Outdoor equipment, the picnic table, in the outside play space was not in good condition as evidenced by the hard plastic on the seating was cracked creating pinch points/sharp edges.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: S.S.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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

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

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 September 16, 2024.

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 · Correction due June 18, 2025

The walls located in Twos room was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 9, 2025

Furniture/equipment, computer desk, in in Pre K room was not in good condition as evidenced by laminate chipped exposing particle board and wooden dowel.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 9, 2025

Furniture/equipment, cabinet under sink, in in Pre K was not in good condition as evidenced by false drawer plate was missing.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due April 16, 2025

Outdoor equipment, Wooden post of shade shelter, in older playground was not in good condition as evidenced by wooden post is splitting.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 9, 2025

Outdoor equipment, White handrails on climbing piece, in younger and older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the Preschool room has one outlet uncovered.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2025

Hazardous items as follows were accessible to children: spackle for walls. The item(s) was/were located School age room in 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 walls located in Twos room was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2025

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 26, 2025

Furniture/equipment, shelf , in School Age room was not in good condition as evidenced by adhesive residue on yellow shelf.

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, White handrails on climbing piece, in younger and older playground was not in good condition as evidenced by chipping paint.

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

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

Outdoor equipment, Wooden post of shade shelter, in older playground was not in good condition as evidenced by wooden post is splitting.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 26, 2025

Furniture/equipment, blue shelf, in School age room was not in good condition as evidenced by adhesive residue on side of shelf.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 26, 2025

Furniture/equipment, shelf, in Pre k room was not in good condition as evidenced by laminate on top has chipped exposing particle board.

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

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

Furniture/equipment, computer desk, in in Pre K room was not in good condition as evidenced by laminate chipped exposing particle board and wooden dowel.

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

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

Furniture/equipment, cabinet under sink, in in Pre K was not in good condition as evidenced by false drawer plate was missing.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 26, 2025

Furniture/equipment, rug, in School agers was not in good condition as evidenced by has torn in the seam leaving a hole.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due January 3, 2025

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

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 January 3, 2025

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

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due October 22, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 9, 2024

The facility's outdoor space was not safe for children's activities as evidenced by standing water under down spout.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 9, 2024

Furniture/equipment, desk, in K Prep was not in good condition as evidenced by trim is missing exposing particle board.

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

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: E.F. and L.K.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due December 10, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: B.H. needs four hours and Savannah Hermanson needs 12 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 E.F., B.L. and L.K. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due October 8, 2024

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: E.F., B.L., K.R. and L.K.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due October 8, 2024

Criminal background check results were not on file for L.K.

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

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.

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

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

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

Violation substantiated · 5 CSR 25-500.192(5)(A)

In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.

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

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

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by standing water under down spout.

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

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

Furniture/equipment, desk, in K Prep was not in good condition as evidenced by trim is missing exposing particle board.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 19, 2024

Furniture/equipment, red couch, in twos was not in good condition as evidenced by torn vinyl.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 19, 2024

Furniture/equipment, 2 green trim shelves, in K Prep was not in good condition as evidenced by adhesive residue.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. H · Correction due September 19, 2024

Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.

Required correction: Infant sleeping requirements shall be met.

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: E.F. and L.K.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: B.H. needs four hours and Savannah Hermanson needs 12 hours.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 19, 2024

Group size requirements were not met as evidenced by 17 children, ages ages one and two years, 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 (1) (A) · Medical Examination Reports · Correction due September 19, 2024

Medical examination report(s) was/were not on file for E.F., B.L., K.R., L.K. ,Alicia Craig 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: E.F., B.L., K.R. and L.K.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 19, 2024

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/24/24 RD, ad 9/3/24 WG.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 19, 2024

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/24/24 RD.

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

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

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due September 19, 2024

Criminal background check results were not on file for S.J. and L.K.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.K.

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

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

The annual sanitation inspection was not conducted.

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there were uncovered outlet in School age 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 September 6, 2024

The walls located School age room was/were not in good condition as evidenced by hole in wall.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by standing water under down spout.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by hose holder had cracked edges.

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

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

Furniture/equipment, 2 green trim shelves, in K Prep was not in good condition as evidenced by adhesive residue.

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

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

Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib.

Required correction: Infant sleeping requirements shall be met.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 6, 2024

Furniture/equipment, desk, in K Prep was not in good condition as evidenced by hole on side showing particle board.

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

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

Furniture/equipment, desk, in K Prep was not in good condition as evidenced by trim is missing exposing particle board.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 6, 2024

Furniture/equipment, cabinet, in twos was not in good condition as evidenced by handle is loose on one end.

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

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

Furniture/equipment, red couch, in twos was not in good condition as evidenced by torn vinyl.

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

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: E.F. and L.K.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: B.H. needs four hours and Savannah Hermanson needs 12 hours.

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 17 children, ages ages one and two years, 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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for E.F., B.L., K.R., L.K. ,Alicia Craig 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: E.F., B.L., K.R. and L.K.

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 6/24/24 RD, ad 9/3/24 GW.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due September 6, 2024

Four child(ren) records did not include date care begins and ends.

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 6, 2024

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

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due September 6, 2024

Two child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 6, 2024

One 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.J. and L.K.

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 March 21, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there was an uncovered outlet in the school age room.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 21, 2024

Hazardous items as follows were accessible to children: teachers purse. The item(s) was/were located in unlocked cabinet in K Prep room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 21, 2024

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

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 21, 2024

Furniture/equipment, two shelves, in 3's room was not in good condition as evidenced by missing plastic molding on sides of shelves leaving particle board exposed.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due March 21, 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 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 21, 2024

Outdoor equipment, picnic table, in Older Playground was not in good condition as evidenced by holes in plastic on the seats of the picnic table.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due November 30, 2023

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due October 26, 2023

Safe sleep training was not completed within the past 3 years for the following staff A.F., S.H., W.M.

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

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

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 13, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that in the schoolage room and electrical plate is broken exposing sharp edges.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches at gate to playground.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 13, 2023

The facility's outdoor space was not safe for children's activities as evidenced by cracked drain pipe causing jagged edges.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 5, 2023

The facility's outdoor space was not safe for children's activities as evidenced by weeds growing along perimeter of fence.

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

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

Furniture/equipment, Shelves, in in School age room was not in good condition as evidenced by adhesive residue.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due November 13, 2023

Furniture/equipment, Cabinetry, in Preschool was not in good condition as evidenced by wood piece of cabinet facing was missing on the sink cabinet.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due November 13, 2023

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

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 5, 2023

Outdoor equipment, merry go round, in older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 5, 2023

Outdoor equipment, ladder steps, in the older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 5, 2023

Outdoor equipment, green car, in the younger playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 5, 2023

Outdoor equipment, Five seat trike, in older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.102 (1) (Q) · Personnel · Correction due October 5, 2023

Background screening information was not kept confidential for all staff.

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due October 25, 2023

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due October 25, 2023

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: C.H., Kim FIick, E.S. and M.A.

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 (4) (A) 3. · Personnel · Correction due October 5, 2023

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

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

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

Safe sleep training was not completed within the past 3 years for the following staff A.F., S.H., W.M.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due November 13, 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: E.S., H.C., and M.A.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due October 5, 2023

One child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · No longer displayed by the state

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2023 · No longer displayed by the state

Children were not restricted to approved space as evidenced by door to furnace was unlocked in the Early Preschool room.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2023 · No longer displayed by the state

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 has no outlet cover in school age room.

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

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

Furniture/equipment, Cabinetry, in Preschool was not in good condition as evidenced by wood piece of cabinet facing was missing on the sink cabinet.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: lysol spray, soft scrub, bleach, Mr. Clean all purpose cleaner. The item(s) was/were located in an unlocked cabinet under the sink in the school age room .

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2023 · No longer displayed by the state

The walls located in the 2's room was/were not in good condition as evidenced by hole in wall where child could put their finger.

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 · No longer displayed by the state

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches at gate to playground.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by weeds growing along perimeter of fence.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by cracked drain pipe causing jagged edges.

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that in the schoolage room and electrical plate is broken exposing sharp edges.

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

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

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

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, Five seat trike, in older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, merry go round, in older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, ladder steps, in the older playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, green car, in the younger playground was not in good condition as evidenced by chipping paint.

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

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

Furniture/equipment, Shelves, in in School age room was not in good condition as evidenced by adhesive residue.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2023 · No longer displayed by the state

Furniture/equipment, counter, in school age was not in good condition as evidenced by chips in the surface exposing particle board.

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

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

Background screening information was not kept confidential for all staff.

Required correction: Background screening information shall be kept confidential.

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

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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: C.H., Kim FIick, E.S. and M.A.

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 (4) (A) 3. · Personnel · No longer displayed by the state

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

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

5 CSR 25-500.102 · Personnel (4) (A) . · No longer displayed by the state

Safe sleep training was not completed within the past 3 years for the following staff A.F., S.H., W.M.

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

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

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · 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: E.S., H.C., and M.A.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due September 11, 2023 · No longer displayed by the state

Five child(ren) records did not include date care begins and ends.

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 11, 2023 · No longer displayed by the state

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

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

5 CSR 25-500.222 (2) (C) · Records and Reports · No longer displayed by the state

One child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 11, 2023 · No longer displayed by the state

Two 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 25-500.222 (2) (B) · Records and Reports · Correction due September 11, 2023 · No longer displayed by the state

Five 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.