KinderCare Learning Center #300170

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

The annual fire safety inspection was not conducted.

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

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

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration 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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.E., A.S., B.M., C.A., D.W., D.H., D.S., G.B., K.D., L.F., M.C., O.R., S.H., S.H., S.P. and S.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) (D) · Annual Requirements

The staff sheet was not submitted.

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

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

Donna Samuels and Daisie Wood 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.W., K.D., M.K., S.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

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

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 01/30/2023 and 06/29/2025.

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

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

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

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

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that there was no written diet plan for 1 infant/toddler.

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

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

2 child(ren) records did not include name, address and telephone number 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) (D) · Records and Reports

3 child(ren) records did not include name of family physician or hospital.

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 A.S., B.M., G.B., K.D., L.F., M.K., O.R.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 1, 2026

The Family Care Safety Registry check was not conducted for T.F., S.H., M.C., O.R., D.H., S.P., M.M., T.B., J.P., N.F., S.R., A.H., M.B., J.C., S.S. and B.B. 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 25-500.102 (2) (A) 3. · Personnel · Correction due April 1, 2026

The facility does not have an approved director on staff.

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

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

Safe sleep training was not completed within the past 3 years for the following staff K.C., D.H. and O.R.

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 April 1, 2026

Maycee Bailey (1/29/2025), Brionne Bears (1/20/2025), Serenity DeWitt (3/28/2025), Ashlyn McQueen (3/31/2025), Natya Fredricks (7/12/2024), Sabrina Ross (3/18/2024) and Sierra Schmoe (1/30/2025) 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 (5) · General Requirements · Correction due April 1, 2026

Criminal background check results were older than five (5) years for Taylor Baldwin, Sheria Parrish, Debra Hendricks, Shavonne Hull and Tim Fugitt.

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

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

Criminal background check results were not on file for M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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 T.F., S.H., M.C., O.R., D.H., S.P., M.M., T.B., J.P., N.F., S.R., A.H., M.B., J.C., S.S. and B.B. within thirty (30) days prior to the anniversary date.

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

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

The annual sanitation inspection was not approved.

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

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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff K.C., D.H. and O.R.

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

Maycee Bailey (1/29/2025), Brionne Bears (1/20/2025), Serenity DeWitt (3/28/2025), Ashlyn McQueen (3/31/2025), Natya Fredricks (7/12/2024), Sabrina Ross (3/18/2024) and Sierra Schmoe (1/30/2025) 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 March 9, 2026

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due March 9, 2026

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due March 9, 2026

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were varied dates for 3 children.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due March 9, 2026

Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Taylor Baldwin, Sheria Parrish, Debra Hendricks, Shavonne Hull and Tim Fugitt.

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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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 T.F., S.H., M.C., O.R., D.H., S.P., M.M., T.B., J.P., N.F., S.R., A.H., M.B., J.C., S.S. and B.B. within thirty (30) days prior to the anniversary date.

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

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

The annual sanitation inspection was not approved.

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

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

Maycee Bailey (1/29/2025), Brionne Bears (1/20/2025), Serenity DeWitt (3/28/2025), Ashlyn McQueen (3/31/2025), Natya Fredricks (7/12/2024), Sabrina Ross (3/18/2024) and Sierra Schmoe (1/30/2025) 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 K.C., D.H. and O.R.

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) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were varied dates for 3 children.

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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Taylor Baldwin, Sheria Parrish, Debra Hendricks, Shavonne Hull and Tim Fugitt.

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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due May 14, 2025

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for T.F., S.H., M.C., O.R., D.H., S.P., M.M., T.B., J.P., N.F., S.R., A.H., M.B., J.C., S.S. and B.B. 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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff K.C., D.H. and O.R.

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

Maycee Bailey (1/29/2025), Brionne Bears (1/20/2025), Serenity DeWitt (3/28/2025), Ashlyn McQueen (3/31/2025), Natya Fredricks (7/12/2024), Sabrina Ross (3/18/2024) and Sierra Schmoe (1/30/2025) 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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were varied dates for 3 children.

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

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

Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Taylor Baldwin, Sheria Parrish, Debra Hendricks, Shavonne Hull and Tim Fugitt.

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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due May 12, 2025

The equipment list was not submitted.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due May 12, 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) (A) · Annual Requirements · Correction due May 12, 2025

The Annual Declaration was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for T.F., S.H., M.C., O.R., D.H., S.P., M.M., T.B., J.P., N.F., S.R., A.H., M.B., J.C., S.S. and B.B. 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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff K.C., D.H. and O.R.

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

Maycee Bailey (1/29/2025), Brionne Bears (1/20/2025), Serenity DeWitt (3/28/2025), Ashlyn McQueen (3/31/2025), Natya Fredricks (7/12/2024), Sabrina Ross (3/18/2024) and Sierra Schmoe (1/30/2025) 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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were varied dates for 3 children.

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

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

Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Taylor Baldwin, Sheria Parrish, Debra Hendricks, Shavonne Hull and Tim Fugitt.

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 M.C., B.B., J.P., J.C., N.M., S.S., S.R., M.M. and M.B.

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

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 26, 2024

The premises were not safe and suitable as evidenced by car stops/bollards were not present to prevent vehicles from making contact with child care spaces or entering the playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 27, 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: L.F. needs 12 training hours.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due September 27, 2024

The staff sheet was not submitted.

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

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

The premises were not safe and suitable as evidenced by car stops/bollards were not present to prevent vehicles from making contact with child care spaces or entering the playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 27, 2024

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due October 9, 2024

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

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 27, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by a classroom that was not in use was being used for storage and children's play materials were absent.

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

5 CSR 25-500.092 (2) (B) 1. · Furniture, Equipment and Materials · Correction due September 27, 2024

The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by a classroom not currently in use did not have children's play materials present and was being used for storage.

Required correction: The facility shall provide age-appropriate equipment and materials as required.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due October 9, 2024

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 27, 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: L.F. needs 12 training hours.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due September 27, 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 25-500.102 · Personnel (4) (A) . · Correction due September 27, 2024

Safe sleep training was not completed within the past 3 years for the following staff L.F., M.F., D.H., M.M., S.P. and J.P.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 27, 2024

Medical examination report(s) was/were not on file for T.B. and J.P. 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 27, 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: T.B. and J.P.

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 (1) · Records and Reports · Correction due October 9, 2024

The provider failed to maintain accurate records to meet administrative requirements as evidenced by a specialized care plan was not on file for 1 child.

Required correction: Accurate records shall be maintained.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due August 12, 2024

The equipment list was not submitted.

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

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

The staff sheet was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due July 3, 2024

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due May 13, 2024

The annual sanitation inspection was not approved.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due July 8, 2024

The Family Care Safety Registry check was not conducted for all staff and facility administration within thirty (30) days prior to the anniversary date.

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

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

The premises were not safe and suitable as evidenced by car stops/bollards were not present to prevent vehicles from making contact with child care spaces or entering the playground.

Required correction: The premises shall be safe and suitable for the care of children.

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 8, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 8, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

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

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

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

5 CSR 25-500.092 (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 a classroom that was not in use was being used for storage and children's play materials were absent.

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

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

The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by a classroom not currently in use did not have children's play materials present and was being used for storage.

Required correction: The facility shall provide age-appropriate equipment and materials as required.

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due July 8, 2024

The facility did not conduct a Family Care Safety Registry screening for Jayla Powell, who was hired on 2023.

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

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: L.F. needs 12 training hours.

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

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 2022, the staff listed need the following information: L.F. needs 12 training hours.

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

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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff L.F., M.F., D.H., M.M., S.P. and J.P.

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 T.B. and J.P. 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: T.B. and J.P.

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 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by a specialized care plan was not on file for 1 child.

Required correction: Accurate records shall be maintained.

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

The equipment list was not submitted.

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

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

The staff sheet was not submitted.

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

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

The Annual Declaration was not submitted.

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

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

The annual sanitation inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for all staff and facility administration within thirty (30) days prior to the anniversary date.

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

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

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

The premises were not safe and suitable as evidenced by car stops/bollards were not present to prevent vehicles from making contact with child care spaces or entering the playground.

Required correction: The premises shall be safe and suitable for the care of children.

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

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

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

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.

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

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 a classroom that was not in use was being used for storage and children's play materials were absent.

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

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

The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by a classroom not currently in use did not have children's play materials present and was being used for storage.

Required correction: The facility shall provide age-appropriate equipment and materials as required.

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Jayla Powell, who was hired on 2023.

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

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 2022, the staff listed need the following information: L.F. needs 12 training hours.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 7, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff L.F., M.F., D.H., M.M., S.P. and J.P.

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

5 CSR 25-500.102 (3) (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: L.F. needs 12 training 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 T.B. and J.P. 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: T.B. and J.P.

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 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by a specialized care plan was not on file for 1 child.

Required correction: Accurate records shall be maintained.

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

The annual sanitation inspection was not approved.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due February 6, 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 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

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 a classroom that was not in use was being used for storage and children's play materials were absent.

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

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

The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by a classroom not currently in use did not have children's play materials present and was being used for storage.

Required correction: The facility shall provide age-appropriate equipment and materials as required.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: L.F. needs 12 training hours.

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

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 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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 25-500.092 (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 a classroom that was not in use was being used for storage and children's play materials were absent.

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

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2024

Children were not restricted to approved space as evidenced by copy room door was open and unattended.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2024

Hazardous items as follows were accessible to children: 1 open gallon of bleach, 1 open and partially used gallon of Neutral Floor Cleaner and nine 1 gallon jugs of Kay glass and multisurface cleaner with two being open and partially used. The item(s) was/were located in an unlocked and partially open utility closet. All cleaning supplies were stored on the floor.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2024

Children were not restricted to approved space as evidenced by the utility closet was unlocked and not fully closed.

Required correction: Caregivers shall restrict children to approved space.

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

The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by a classroom not currently in use did not have children's play materials present and was being used for storage.

Required correction: The facility shall provide age-appropriate equipment and materials as required.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: L.F. needs 12 training hours.

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

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 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by there is no approved director on staff.

Required correction: The director or group home provider shall be responsible for the daily program.

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

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

Children were not restricted to approved space as evidenced by copy room door was open and unattended.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 2023

Children were not restricted to approved space as evidenced by utility closet on the prek side was not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 2023

Hazardous items as follows were accessible to children: nine 1 gallon jugs of Kay Glass and Multi-surface cleaner (one being partially used and all with caps on) and one 1 gallon jug of bleach (partially used and with cap on). The item(s) was/were located in the unlocked utility closet.

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 December 12, 2023

The walls located prek side of the infant/toddler door was/were not clean as evidenced by tape residue was observed on the door throughout a 2'+ section.

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 December 12, 2023

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was present along the fence.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 2023

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

Required correction: Bathrooms shall be clean and odor free.

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by there is no approved director on staff.

Required correction: The director or group home provider shall be responsible for the daily program.

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 25-500.102 (3) (A) · Personnel

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: L.F. needs 12 training hours.

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

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 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

5 CSR 25-500.192 (5) (A) · Health Care · Correction due December 12, 2023

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when a child in sustained an injury in the 2 year old room requiring an ice pack.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

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

Children were not restricted to approved space as evidenced by utility closet on the prek side was not locked.

Required correction: Caregivers shall restrict children to approved space.

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

Hazardous items as follows were accessible to children: nine 1 gallon jugs of Kay Glass and Multi-surface cleaner (one being partially used and all with caps on) and one 1 gallon jug of bleach (partially used and with cap on). The item(s) was/were located in the unlocked utility closet.

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 prek side of the infant/toddler door was/were not clean as evidenced by tape residue was observed on the door throughout a 2'+ section.

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 plant overgrowth was present along the fence.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

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

Required correction: Bathrooms shall be clean and odor free.

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

Children were not restricted to approved space as evidenced by copy room door was open and unattended.

Required correction: Caregivers shall restrict children to approved space.

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 2022, the staff listed need the following information: L.F. needs 12 training hours.

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

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 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by there is no approved director on staff.

Required correction: The director or group home provider shall be responsible for the daily program.

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 25-500.192 (5) (A) · Health Care

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when a child in sustained an injury in the 2 year old room requiring an ice pack.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of 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 plant overgrowth was present along the fence.

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

5 CSR 25-500.082 (3) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 24, 2023

Children were not monitored while in the bathroom as evidenced by a three year old child was observed usng the restroom without being monitored.

Required correction: Caregivers shall monitor children while in the bathroom.

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 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by there is no approved director on staff.

Required correction: The director or group home provider shall be responsible for the daily program.

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 25-500.102 (3) (A) · Personnel

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: L.F. needs 12 training hours.

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

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

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of 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 plant overgrowth was present along the fence.

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

5 CSR 25-500.082 (3) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not monitored while in the bathroom as evidenced by a three year old child was observed usng the restroom without being monitored.

Required correction: Caregivers shall monitor children while in the bathroom.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 12, 2023

Furniture/equipment, children's table, in the prek classroom was not in good condition as evidenced by a torn black top with missing pieces was observed.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by there is no approved director on staff.

Required correction: The director or group home provider shall be responsible for the daily program.

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 25-500.082 (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 the copy room was unlocked, open and unsupervised with no staff in the room or immediately nearby.

Required correction: Caregivers shall restrict children to approved space.

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

Furniture/equipment, children's table, in the prek classroom was not in good condition as evidenced by a torn black top with missing pieces was observed.

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

5 CSR 25-500.102 (3) (A) · Personnel · No longer displayed by the state

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: T.B. (1 hour), L.F. (12 hours), T.F. (1 hour), D.H. (5 hours), S.H. (1 hour), L.J. (8 hours), M.M. (1 hour), S.P. (1 hour), .

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due September 11, 2023 · No longer displayed by the state

Caregiver used a discipline technique that included speaking harshly, abusively or with profanity as evidenced by staff member McKenzie Roeder used a harsh voice when addressing a child that would not remain on their cot for nap time.

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

5 CSR 25-500.222 (10) · Records and Reports · Correction due September 11, 2023 · No longer displayed by the state

Records were not available for inspection by the department upon request as evidenced by OPEN training report was not available for review.

Required correction: Records shall be available at the facility for inspection.

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

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) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The premises were not safe and suitable as evidenced by exposed utility wiring was present on the prek playground.

Required correction: The premises shall be safe and suitable for the care of children.

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 the kitchen was unlocked, open and unsupervised as evident by the staff member present was in the far back room and was not aware that the CI had entered and conducted and inspection.

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 1 outlet was not covered by a safety cover in the 3 year old 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, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: kitchen scissors (3 pairs) and 8+ misc kitchen/cooking knives were present. The item(s) was/were located in the unlocked, open and unsupervised kitchen.

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 prek 1 was/were not in good condition as evidenced by chipped and peeling paint.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2023 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by broken drainage tray was present with sharp 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 · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was present along the fence.

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

5 CSR 25-500.082 (3) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

Children were not monitored while in the bathroom as evidenced by a three year old child was observed usng the restroom without being monitored.

Required correction: Caregivers shall monitor children while in the bathroom.

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: 1 open jar of petroleum jelly and 3 partially used tubes of A+D Prevent diaper rash cream. The item(s) was/were located in an unlocked cabinet below the diaper changing table in the 2 year old classroom.

Required correction: Hazardous items shall be inaccessible to children.