Kids Kountry Day Care

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

The child shall not be left unattended at any time while on the diapering table.

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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due May 28, 2026

Staff/child ratio requirements were not met as evidenced by 17 children , ages 5 to 12, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.082 (4) (D) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 20, 2026

The diapering area requirements were not met as evidenced by warm running water was not adjacent to the diapering area.

Required correction: The facility shall supply the diapering area as required.

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

Caregivers shall not leave any child without competent supervision.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

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

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

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

The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

Violation substantiated · 5 CSR 25-500.082(2)(A)5.

The facility shall be dry, temperature controlled, well-ventilated and free of drafts. Children shall not be overheated or chilled. The temperature of the rooms shall be no less than sixty-eight degrees Fahrenheit (68F) and no more than eighty-five degrees Fahrenheit (85F) when measured two feet (2') from the floor.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

Violation substantiated · 5 CSR 25-500.112(1)(A)

The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with discipline, supervision, ratios and physical plant concerns.

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

The diapering area requirements were not met as evidenced by warm running water was not adjacent to the diapering area.

Required correction: The facility shall supply the diapering area as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. I · Correction due March 6, 2026

An infant was observed sleeping in a/an infant swing. Caregiver K.P. stated the infant, age 6 months old, had been sleeping in the swing for approximately 10 minutes. CI Muckelrath requested infant to be moved to a crib to complete their nap. Infant was removed from the swing.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due January 1, 2026

A.S., M.M., and K.M. 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 25-600.020 (1) · General Requirements · Correction due January 29, 2026

Criminal background check results were not on file for S.S., A.S., M.M., K.M., A.C., and M.B.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due February 6, 2026

Medical examination report(s) was/were not on file for A.S., M.M., and K.M. 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 25-500.102 (1) (P) · Personnel · Correction due January 20, 2026

The facility did not conduct a Family Care Safety Registry screening for Addison Stevenson, who was hired on 9/24/25.

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

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

A.S., M.M., and K.M. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Medical examination report(s) was/were not on file for A.S., M.M., and K.M. 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 S.S., A.S., M.M., K.M., A.C., and M.B.

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Addison Stevenson, who was hired on 9/24/25.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due October 7, 2025

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 9, 2025

The walls located basement classrooms was/were not finished with material which can be cleaned easily as evidenced by peeling paint in large areas on multiple walls.

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 11, 2025

The floors located in the hallway and in the eating area was/were not in good condition as evidenced by multiple gaps in the flooring causing a tripping hazard as well as unable to be cleaned properly.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 9, 2025

The facility's outdoor space was not safe for children's activities as evidenced by concrete blocks under the stairs on the younger playground and under spiral slide on older playground both playgrounds that are exposed above the resilient material.

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

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

Outdoor equipment, Little Tykes Car, in younger playground was not in good condition as evidenced by broken plastic with exposed screws.

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 September 9, 2025

Outdoor equipment, slide, in younger playground was not in good condition as evidenced by cracking on both sides of the slide at the bottom causing a possible pinching hazard with sharp edges.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 16, 2025

Safe sleep training was not completed within the past 3 years for the following staff K.F.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due October 9, 2025

Jasmine Huntley and Krystal Pennington did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 23, 2025

Medical examination report(s) was/were not on file for D.J., C.L., J.M. and G.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 September 9, 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: K.P. and G.R.

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 (5) · General Requirements · Correction due October 9, 2025

Criminal background check results were older than five (5) years for Kamber Frost.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due September 11, 2025

Criminal background check results were not on file for K.K. and K.P.

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

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

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

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

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

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due September 5, 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 · Correction due September 5, 2025

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 · Correction due September 5, 2025

Children were not restricted to approved space as evidenced by Kitchen door is open.

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 5, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that no safety covers on outlet.

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 5, 2025

Hazardous items as follows were accessible to children: The Works Bathroom Cleaner and Scrubbing Bubbles. The item(s) was/were located under sink in basement unlocked.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in the hallway and in the eating area was/were not in good condition as evidenced by multiple gaps in the flooring causing a tripping hazard as well as unable to be cleaned properly.

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

5 CSR 25-500.082 (3) (C) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 5, 2025

The facility did not have an adequate number of flush toilets and hand wash sinks in the infant/toddler unit as evidenced by Bathroom was unusable as it was being used as storage..

Required correction: The facility shall provide one flush toilet and one adjacent hand wash sink for every 24 children in the infant/toddler unit.

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 concrete blocks under the stairs on the younger playground and under spiral slide on older playground both playgrounds that are exposed above the resilient material.

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

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

The walls located basement classrooms was/were not finished with material which can be cleaned easily as evidenced by peeling paint in large areas on multiple walls.

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

Outdoor equipment, slide, in younger playground was not in good condition as evidenced by cracking on both sides of the slide at the bottom causing a possible pinching hazard with 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, Little Tykes Car, in younger playground was not in good condition as evidenced by broken plastic with exposed screws.

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 September 5, 2025

Outdoor equipment, metal truck and tricycle , in younger playground was not in good condition as evidenced by had rust and sharp edges.

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

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

Safe sleep training was not completed within the past 3 years for the following staff K.F.

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

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

Jasmine Huntley and Krystal Pennington did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

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

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

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

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

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 (5) · General Requirements

Criminal background check results were older than five (5) years for Kamber Frost.

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 K.K. and K.P.

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 April 4, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that cover is broken off on older playground.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due April 4, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky residue on the shelfs of the yellow cabinets.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 3, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that no safety plug in the 1-year-old 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 April 3, 2025

Hazardous items as follows were accessible to children: B.P. and diaper cream. The item(s) was/were located on changing table in the 2-year-old room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 3, 2025

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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 3, 2025

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located Toddler 2 room.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 3, 2025

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located Older 2's room.

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 April 3, 2025

Hazardous items as follows were accessible to children: Clorex cleaner and toilet bowel cleaner. The item(s) was/were located under sink in the downstairs bathroom.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that cover is broken off on older playground.

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 · Correction due April 3, 2025

Furniture/equipment, 2 yellow shelves, in downstairs classroom was not in good condition as evidenced by chipping paint and splintering wood on the edges.

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 April 3, 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 (2) (A) 1. · Furniture, Equipment and Materials

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky residue on the shelfs of the yellow cabinets.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 23, 2024

The facility's outdoor space was not safe for children's activities as evidenced by a hole in the supports on the top of the smaller slide on the younger playground. This could cause a pinching hazard and also has sharp 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 November 23, 2024

The facility's outdoor space was not safe for children's activities as evidenced by younger playground had chipping of paint on the handles and poles of the metal structure.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 20, 2024

Medical examination report(s) was/were not on file for J.A., T.H., C.L., J.M., M.R., and A.W. as evidenced by a medical examination was not on file at the facility at the time of initial licensure.

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

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 younger playground had chipping of paint on the handles and poles of the metal structure.

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

The facility's outdoor space was not safe for children's activities as evidenced by a hole in the supports on the top of the smaller slide on the younger playground. This could cause a pinching hazard and also has sharp jagged edges.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. G · Correction due November 13, 2024

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by unused swaddle in two different cribs both with a sleeping infant and a blanket hanging over the edge of a crib with a sleeping infant.

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

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

Medical examination report(s) was/were not on file for J.A., T.H., C.L., J.M., M.R., and A.W. as evidenced by a medical examination was not on file at the facility at the time of initial licensure.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due September 12, 2024

The Family Care Safety Registry check was not conducted for J.A., L.A., J.B., G.D., T.E., C.F., L.G., K.G., K.G., T.H., C.L., E.M., R.M., J.R., M.R., L.W., A.W., K.F., M.H.D., and K.M. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due September 6, 2024

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 · Correction due September 17, 2024

The equipment list was not submitted.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 31, 2024

Hazardous items as follows were accessible to children: staff purses. The item(s) was/were located in cabinet under the sink in the infant room, lock and cabinet door are broken.

Required correction: Hazardous items shall be inaccessible to children.

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 a hole in the supports on the top of the smaller slide on the younger playground. This could cause a pinching hazard and also has sharp 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

The facility's outdoor space was not safe for children's activities as evidenced by younger playground had chipping of paint on the handles and poles of the metal structure.

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

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

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by unused swaddle in two different cribs both with a sleeping infant and a blanket hanging over the edge of a crib with a sleeping infant.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due September 3, 2024

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

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 October 1, 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: J.A. needs 2 hours and Katia Gonzalez needs 12 hours.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due September 12, 2024

L.A., C.L., M.R., and M.H. 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) . · Correction due September 12, 2024

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

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

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

Medical examination report(s) was/were not on file for J.A., T.H., C.L., J.M., M.R., and A.W. as evidenced by a medical examination was not on file at the facility at the time of initial licensure.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 12, 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: L.G., T.H., C.L., J.M., M.R., S.S., and L.W.

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 31, 2024

Criminal background check results were not on file for J.B., T.H., C.L., J.M., M.H., and K.M.

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

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

The Family Care Safety Registry check was not conducted for J.A., L.A., J.B., G.D., T.E., C.F., L.G., K.G., K.G., T.H., C.L., E.M., R.M., J.R., M.R., L.W., A.W., K.F., M.H.D., and K.M. within thirty (30) days prior to the anniversary date.

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

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

The staff sheet was not submitted.

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

5 CSR 25-500.052 (1) (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 (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 a hole in the supports on the top of the smaller slide on the younger playground. This could cause a pinching hazard and also has sharp 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

The facility's outdoor space was not safe for children's activities as evidenced by younger playground had chipping of paint on the handles and poles of the metal structure.

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

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

Hazardous items as follows were accessible to children: staff purses. The item(s) was/were located in cabinet under the sink in the infant room, lock and cabinet door are broken.

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: L.G., T.H.,, L.W., and K.M.

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: J.A. needs 2 hours and Katia Gonzalez needs 12 hours.

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

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

L.A., C.L., M.R., and M.H. 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 J.A.

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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 3, 2024

Staff/child ratio requirements were not met as evidenced by 7 children , ages 1 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 J.A., T.H., C.L., J.M., M.R., and A.W. as evidenced by a medical examination was not on file at the facility at the time of initial licensure.

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.G., T.H., C.L., J.M., M.R., S.S., and L.W.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.B., T.H., C.L., J.M., M.H., and K.M.

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

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

Staff/child ratio requirements were not met as evidenced by 7 children , ages 1 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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 26, 2024

Hazardous items as follows were accessible to children: 2 staff purses. The item(s) was/were located on a table in the school-age room accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due July 11, 2024

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (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 25-500.082 (2) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 25, 2024

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that I could not see to count how many children were in the room during naptime in the 1-year-old room.

Required correction: Rooms used by children shall be equipped with required lighting.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due June 3, 2024

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

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due June 3, 2024

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due April 15, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.052 (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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 24, 2024

Hazardous items as follows were accessible to children: P.P., B.P., and Destin. The item(s) was/were located in the changing table and on the cots in the 3 year old room.

Required correction: Hazardous items shall be inaccessible to children.

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

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

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

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

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) (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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

The walls located in school age room was/were not in good condition as evidenced by molding is peeling off walls in various places.

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) 5. · 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 no resilient material was present.

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

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

The provider did not provide resilient material necessary for the protection of children as evidenced by bare ground exposed.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 14, 2024

Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 14, 2024

Outdoor equipment, slide, in older playground was not free of pointed parts as evidenced by broken and sharp edges on bottom of slide.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due March 14, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Jacklyn Armintrout-6 hours, Alyssa Baker-12 hours, Brianna Brown-3 hours, Taylor Eason-2 hours, Camron Ferguson-5 hours, LeAnna Galey-12 hours, Katia Gonzalez-12 hours, Laura Schaefer-4 hours.

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

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

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

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

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.