KinderCare Learning Centers LLC

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

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

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

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

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

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

Violation substantiated · 5 CSR 25-500.102(1)(J)

All staff shall acquaint themselves with the child abuse and neglect law and shall make a report of any suspected child abuse or neglect to the Children's Division at the toll-free number 1-800-392-3738 or online at https://apps.dss.mo.gov/OnlineCanReporting/default.aspx.

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 25-500.082 (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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for P.H., N.W., M.L., C.F., T.M., K.H., M.K. 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) (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) (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 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that a section of the fence between the garden area that is never used and the PS playground was less than 42" high and the top rail was bent.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

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

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

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

The walls located in the SA room was/were not clean as evidenced by substance splattered on the wall near the fire extinguisher, dirt on other walls.

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

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

Children were not restricted to approved space as evidenced by 3 doors to unapproved space were unlocked in the SA building (HVAC/water heater room, utility closet, and storage closet).

Required correction: Caregivers shall restrict children to approved space.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that multiple outlets in both the main building and the school-age building were without covers.

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

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

The ceilings located in the back bathroom of the SA building was/were not clean as evidenced by dirt/dust buildup on ceiling tiles and mechanical ventilation .

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 26, 2026

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

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

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 wall was soiled.

Required correction: Bathrooms shall be clean and odor free.

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the height of the fence was less than 42 inches high - the measured height was approximately 36".

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

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

The facility's outdoor space was not safe for children's activities as evidenced by trash (water bottles, plastic trash) observed on the playground.

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

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

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

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

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

Furniture/equipment, the table with the tablet on it, in the SA building was not in good condition as evidenced by handle was broken and the table was covered with dirt/dust.

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 2025, the staff listed need the following information: C.F. needs 8 more hours documented and Tashaye Midgette needs 5 more hours documented.

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

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., S.M., S.N.,, A.W.

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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for P.H. and N.W.

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

5 CSR 25-500.102 (3) (C) · Personnel · Correction due February 19, 2026

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.T. needs 10 hours and Tashaye Midgette needs 4 hours .

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 11, 2025

The Family Care Safety Registry check was not conducted for K.C., D.F., J.G., V.K., S.M., A.M., S.N., K.R., S.S., A.S., C.T., A.W., C.Y., T.M., T.T. , C.F. 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 February 19, 2026

The walls located in a SA bathroom was/were not in good condition as evidenced by chipping paint under the mirror.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 19, 2026

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 the toddler/2s room diaper tables are facing the wall.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due November 26, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2'.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due February 19, 2026

Safe sleep training was not completed within the past 3 years for the following staff D.F., T.T., and T.M.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due November 26, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 26, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 26, 2025

3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

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

The Family Care Safety Registry check was not conducted for K.C., D.F., J.G., V.K., S.M., A.M., S.N., K.R., S.S., A.S., C.T., A.W., C.Y., T.M., T.T. , C.F. within thirty (30) days prior to the anniversary date.

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

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

Children were not restricted to approved space as evidenced by in the SA building, the mechanical room with the HVAC system and hot water heater, the mop closet with cleaning chemicals, and a closet with 4 gallons of paint were unlocked and accessible to children.

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 November 25, 2025

Hazardous items as follows were accessible to children: large bottle of sunscreen. The item(s) was/were located low shelf accessible to children.

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 June 19, 2025

The ceilings located SA building was/were not in good condition as evidenced by one ceiling tile is broken near the entrance.

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 June 19, 2025

The ceilings located SA building was/were not in good condition as evidenced by mechanical ventilation vent not in correct position leaving an opening in the ceiling of the staff bathroom.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 19, 2025

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

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 19, 2025

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

Required correction: Bathrooms shall be clean and odor free.

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

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located the toddler/2s room diaper tables are facing the wall.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 19, 2025

The facility's outdoor space was not safe for children's activities as evidenced by trash observed in the outdoor play area, especially the fenced area at the front of the building including a broken broom , a styrofoam cup, and paper trash.

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 · Correction due November 25, 2025

Hazardous items as follows were accessible to children: matches and body spray. The item(s) was/were located on the paper towel holder in the 2s bathroom.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: bottle of Pepto-Bismol. The item(s) was/were located low shelf in a preschool room.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in a SA bathroom was/were not in good condition as evidenced by chipping paint under the mirror.

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

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

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2'.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.T. needs 10 hours and Tashaye Midgette needs 4 hours .

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due November 25, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: C.F. needs 12 hours and Domiyan Porter needs 12 hours (not listed on MOPD).

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

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

Safe sleep training was not completed within the past 3 years for the following staff D.F., T.T., and T.M.

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

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

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

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

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

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

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

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

3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 9, 2025

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

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due May 9, 2025

The staff sheet was not fully completed as evidenced by 4 staff were left off the list.

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

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

The Family Care Safety Registry check was not conducted for K.C., L.D., D.F., J.G., V.K., S.M., Sherry MArshall, A.M., S.N., K.R., S.S., A.S., C.T., A.W., C.Y., T.M., D.P., T.T. , C.F. 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) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 9, 2025

Hazardous items as follows were accessible to children: cleaning chemicals. The item(s) was/were located in the utility closet in the SA building (door wide open).

Required correction: Hazardous items shall be inaccessible to children.

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

The ceilings located SA building was/were not in good condition as evidenced by mechanical ventilation vent not in correct position leaving an opening in the ceiling of the staff bathroom.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

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

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

5 CSR 25-500.082 (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 wall was soiled.

Required correction: Bathrooms shall be clean and odor free.

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

The facility's outdoor space was not safe for children's activities as evidenced by trash observed in the outdoor play area, especially the fenced area at the front of the building including a broken broom , a styrofoam cup, and paper trash.

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 ceilings located SA building was/were not in good condition as evidenced by one ceiling tile is broken near the entrance.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due May 9, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2'.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.T. needs 10 hours and Tashaye Midgette needs 7 hours (not listed on MOPD).

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: C.F. needs 12 hours and Domiyan Porter needs 12 hours (not listed on MOPD).

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

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

Safe sleep training was not completed within the past 3 years for the following staff C.F., D.P., T.T., and T.M. (none are listed on MOPD).

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 25-500.222 (2) (A) · Records and Reports

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

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

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

3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

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

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

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 11, 2025

The facility's outdoor space was not safe for children's activities as evidenced by LArge playground on south side of the building has two large picnic tables that are rusted and the metal is breaking apart leaving sharp and jagged edges posing a hazard to children.

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

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

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

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due February 11, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2 feet in 3 preschool rooms.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due December 13, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: For 2023, Bridgette Nimmo (no longer employed) needs documentation of 3 more hours of training and Stacy Stovall needs documentation of 3 more hours of training.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 13, 2024

Furniture/equipment, teal chair, in the school age building was not in good condition as evidenced by the material is torn on the arm.

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

5 CSR 25-500.042 (12) · Licensing Process · Correction due December 13, 2024

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 13, 2024

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 in the infant room where caregivers have difficulty supervising children behind the table.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured greater than 3.5 inches at the latch side at the bottom of the big gate on the north side.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by chipping/peeling paint on the bricks on the outside of the building in the approved child care space .

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 LArge playground on south side of the building has two large picnic tables that are rusted and the metal is breaking apart leaving sharp and jagged edges posing a hazard to children.

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

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

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

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 December 13, 2024

Hazardous items as follows were accessible to children: Stove, the burners were on and hot. The item(s) was/were located in the kitchen with the door open and no staff member near.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: Restroom cleaner spray bottle, Clicksan Disinfectant spray bottle, Eco lab TB Disinfectant and QRS Glass, Multi Surface cleaner spray bottle (all on the thirds shelf which was within a child's reach), and Febreze spray can (on the bottom shelf which was in child's reach). The item(s) was/were located a teachers cabinet within the PreK room.

Required correction: Hazardous items shall be inaccessible to children.

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

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2 feet in 3 preschool rooms.

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due December 13, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: B.W. (no longer employed 12/13) and Chelsea Fuller

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 (2) (A) 6. · Personnel · Correction due December 10, 2024

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due December 10, 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 13, 2024

Staff/child ratio requirements were not met as evidenced by 20 children , ages all school age, were cared for by 1 adult caregiver(s).

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

5 CSR 25-600.020 (1) · General Requirements · Correction due December 10, 2024

Criminal background check results were not on file for A.M. (legal name Scheele).

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 30, 2024

The ceilings located in Stacy and JoAnn's room was/were not in good condition as evidenced by stained ceiling tile.

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 August 30, 2024

The walls located in the school-age building was/were not in good condition as evidenced by hole near the bottom of the door.

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

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

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant room where caregivers have difficulty supervising children behind the table.

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

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: For 2023, Bridgette Nimmo needs documentation of 3 more hours of training and Stacy Stovall needs documentation of 3 more hours of training.

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

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 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 30, 2024

The Family Care Safety Registry check was not conducted for K.D., S.M., S.N., C.B., A.W., J.W., K.R., E.T., K.C., D.F., D.H., S.M., C.T., Christine YOunger, V.K., B.N., A.S., C.F., J.J., 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) (A) · Annual Requirements · Correction due August 30, 2024

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 August 30, 2024

The staff sheet was not submitted.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 30, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the fenced outdoor areas in the front of the building and the west side of the building do not have barricades to prevent vehicles from accidentally running into the space.

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 chipping/peeling paint on the bricks on the outside of the building in the approved child care space .

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 LArge playground on south side of the building has two large picnic tables that are rusted and the metal is breaking apart leaving sharp and jagged edges posing a hazard to children.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured greater than 3.5 inches at the latch side at the bottom of the big gate on the north side.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 30, 2024

The ceilings located bathroom in the school-age building was/were not in good condition as evidenced by stained ceiling tile.

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

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

Hazardous items as follows were accessible to children: cleaning chemicals. The item(s) was/were located in the unlocked laundry room.

Required correction: Hazardous items shall be inaccessible to children.

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: Stove, the burners were on and hot. The item(s) was/were located in the kitchen with the door open and no staff member near.

Required correction: Hazardous items shall be inaccessible to children.

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: Restroom cleaner spray bottle, Clicksan Disinfectant spray bottle, Eco lab TB Disinfectant and QRS Glass, Multi Surface cleaner spray bottle (all on the thirds shelf which was within a child's reach), and Febreze spray can (on the bottom shelf which was in child's reach). The item(s) was/were located a teachers cabinet within the PreK room.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: 1 gallon of SunX30 sunscreen . The item(s) was/were located in the school age building on the floor next to the sink.

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 2 outlets in School age building each missing one protective cover.

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

Furniture/equipment, teal chair, in the school age building was not in good condition as evidenced by the material is torn on the arm.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due August 30, 2024

Stacy Stovall 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 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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 (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: B.W. and C.F.

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

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

Staff/child ratio requirements were not met as evidenced by 20 children , ages all school age, 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 · Medical Examination Reports (1) (B) . · Correction due August 30, 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: B.W.

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

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

Medical examination report(s) was/were not on file for B.W. 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 A.M.

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

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.

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.

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

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

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

Violation substantiated · 5 CSR 25-500.182(1)(C)8.

No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.

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

5 CSR 25-500.052 (2) (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 K.D., S.M., S.N., C.B., A.W., J.W., K.R., E.T., K.C., D.F., D.H., S.M., C.T., Christine YOunger, V.K., B.N., A.S., C.F., J.J., 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 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

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

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

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant room where caregivers have difficulty supervising children behind the table.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured greater than 3.5 inches at the latch side at the bottom of the big gate on the north side.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by chipping/peeling paint on the bricks on the outside of the building in the approved child care space .

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 the fenced outdoor areas in the front of the building and the west side of the building do not have barricades to prevent vehicles from accidentally running into the space.

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: cleaning chemicals. The item(s) was/were located in the unlocked laundry room.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the school-age building was/were not in good condition as evidenced by hole near the bottom of the door.

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

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

The ceilings located in Stacy and JoAnn's room was/were not in good condition as evidenced by stained ceiling tile.

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

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

The ceilings located bathroom in the school-age building was/were not in good condition as evidenced by stained ceiling tile.

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 June 26, 2024

The floors located throughout the building was/were not in good condition as evidenced by dirty black marks and surfacing that is not able to be adequately cleaned plus sticky residue on the floor around a bookshelf in a toddler room.

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

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

Stacy Stovall 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 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: For 2023, Bridgette Nimmo needs documentation of 3 more hours of training and Stacy Stovall needs documentation of 3 more hours of training.

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

5 CSR 25-500.102 · Personnel (1) (K) .

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

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

5 CSR 25-500.102 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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

Medical examination report(s) was/were not on file for B.W. 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: B.W.

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

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

Hazardous items as follows were accessible to children: cleaning chemicals. The item(s) was/were located in the unlocked laundry room.

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: B.W. and C.F.

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

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

The Family Care Safety Registry check was not conducted for K.D., S.M., S.N., C.B., A.W., J.W., K.R., E.T., K.C., D.F., D.H., S.M., C.T., Christine YOunger, V.K., B.N., A.S., C.F., J.J., 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 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

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 May 17, 2024

The equipment list was not submitted.

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

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

The ceilings located in Stacy and JoAnn's room was/were not in good condition as evidenced by stained ceiling tile.

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

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

The ceilings located bathroom in the school-age building was/were not in good condition as evidenced by stained ceiling tile.

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

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

The walls located in the school-age building was/were not in good condition as evidenced by hole near the bottom of the door.

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 chipping/peeling paint on the bricks on the outside of the building in the approved child care space .

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

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

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant room where caregivers have difficulty supervising children behind the table.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured greater than 3.5 inches at the latch side at the bottom of the big gate on the north side.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by the fenced outdoor areas in the front of the building and the west side of the building do not have barricades to prevent vehicles from accidentally running into the space.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 17, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 9 outlets in the main building and 3 outlets in the 5s and SA building were missing covers.

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 May 17, 2024

Hazardous items as follows were accessible to children: several staff purses. The item(s) was/were located on low hooks accessible to children in two rooms.

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 throughout the building was/were not in good condition as evidenced by dirty black marks and surfacing that is not able to be adequately cleaned plus sticky residue on the floor around a bookshelf in a toddler room.

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

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

Stacy Stovall 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 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: For 2023, Bridgette Nimmo needs documentation of 3 more hours of training and Stacy Stovall needs documentation of 3 more hours of training.

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

5 CSR 25-500.102 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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

Medical examination report(s) was/were not on file for B.W. 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: B.W.

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

5 CSR 25-500.102 (2) (A) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 27, 2023

Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due November 16, 2023

The Family Care Safety Registry check was not conducted for M.N. 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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 16, 2023

The facility's outdoor space was not safe for children's activities as evidenced by the garden area was overgrown with grass and weeds.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 16, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet cover in the 3s room and two outlet covers in the 2s room were missing.

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 November 16, 2023

Hazardous items as follows were accessible to children: bottle of naproxen. The item(s) was/were located on the top of the cubbies within reach of children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 16, 2023

The facility's outdoor space was not safe for children's activities as evidenced by standing water in the sand/water table on the playground.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 16, 2023

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due August 29, 2023 · No longer displayed by the state

one child(ren) records did not include telephone number of family physician or hospital.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due August 29, 2023 · No longer displayed by the state

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 · No longer displayed by the state

The Family Care Safety Registry check was not conducted for M.N. 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 (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 the garden area was overgrown with grass and weeds.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 11, 2023 · No longer displayed by the state

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: C.B. needs 5 more hours, C.B. needs 2 more hours, S.M. needs 2 more hours.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due August 29, 2023 · No longer displayed by the state

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 one.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due August 29, 2023 · No longer displayed by the state

one child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due August 29, 2023 · No longer displayed by the state

one 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 · No longer displayed by the state

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

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