KinderCare Learning Centers LLC

Violation substantiated · 5 CSR 25-500.182(1)(E)4.

Diapers and wet clothing shall be changed promptly.

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) (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 25-500.192 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

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 25-500.192 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

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 · Correction due March 24, 2026

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

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

5 CSR 25-500.052 (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 C.P., A.B., A.H., A.T., B.D., B.G., I.H., K.M., L.H., M.B., M.W., S.G., N.S., R.H., S.P. and T.M. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.052 (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 25-500.102 · Personnel (4) (A) . · Correction due March 19, 2025

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

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 · Personnel (4) (A) . · Correction due March 19, 2025

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due February 28, 2025

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due February 28, 2025

Criminal background check results were not on file for K.M., N.S., E.S., F.S., M.W., A.T. and D.D.

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

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

Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.

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 25-500.102 (2) (A) 3. · Personnel · Correction due August 30, 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) .

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

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

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

The staff sheet was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for B.D., K.B., R.H., D.H., M.C., K.M., N.S., F.S., M.W., A.T. and D.D. 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 (1) (K) . · Correction due November 12, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.W., R.H., K.M., N.S., E.S., F.S., A.T. and D.D.

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 · Personnel (4) (A) .

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

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 November 12, 2024

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

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

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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for K.M., N.S., E.S., F.S., M.W., A.T. and D.D.

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

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 (1) (C) · Annual Requirements · Correction due August 27, 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 August 27, 2024

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 B.D., K.B., R.H., D.H., M.C., K.M., N.S., F.S., M.W., A.T. and D.D. 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 (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: M.W., R.H., K.M., N.S., E.S., F.S., A.T. and D.D.

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 · Personnel (4) (A) .

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

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 N.S. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for K.M., N.S., E.S., F.S., M.W., A.T. and D.D.

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

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

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

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

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

Information regarding the date and circumstance of any accident or injury shall be noted in the child's record.

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 25-500.102 (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 (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.

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

Caregivers shall not leave any child without competent adult supervision.

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

Violation substantiated · 5 CSR 25-500.222(1)

The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

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

Violation substantiated · 5 CSR 25-500.222(2)

An individual file shall be kept to identify each child and enable the provider to communicate with the parent(s) , guardian or legal custodian of the child in an emergency. Records shall include:

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

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

Birth Through Two (2) Years. Groups composed of mixed ages through two (2) years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;

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

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

Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2) -year olds. When there are more than four (4) two (2) -year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.

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

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

An approved certificated group child care home provider or center director shall be responsible for planning, monitoring, and managing the facility's daily program.

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

Violation substantiated · 5 CSR 25-500.102(2)(A)2.

Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.

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

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

The licensee is required to maintain an approved certificated group child care home provider or center director on staff.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. . · Correction due November 17, 2023

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by no director on site/quitting mid week.

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

5 CSR 25-500.102 (1) (E) · Personnel · Correction due November 17, 2023

A caregiver was not knowledgeable of the needs of children as evidenced by preschool children, ages 2-years-old to 4-years-old were instructed to remain on their cots after one hour of rest time, even though none of the children were sleeping and created an unsafe environment by climbing on shelves and chairs, flipping over cots and jumping on them, dumping toys out of buckets and throwing the plastic containers at other children in the classroom, playing with cords from a stereo equipment and attempting to pull the cords out of the wall outlets without offering another activty for the children to participate in.

Required correction: Caregivers shall meet child care personnel requirements.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due November 17, 2023

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

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due November 17, 2023

The facility does not have an approved director on staff.

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

5 CSR 25-500.182 (1) (A) 6. · Child Care Program · Correction due November 17, 2023

Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.

Required correction: Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 19, 2023

The facility's outdoor space was not safe for children's activities as evidenced by observed plant overgrowth on the fencing and overgrown grass.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due October 10, 2023

Safe sleep training was not completed within the past 3 years for the following staff E.M.

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

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

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by no director on site/quitting mid week.

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

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

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

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due October 10, 2023

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: M.C. (needs 12 hours).

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

5 CSR 25-500.182 (1) (A) 6. · Child Care Program

Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.

Required correction: Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due August 14, 2023

The staff sheet was not fully completed as evidenced by staff sheet was not signed and dated by an approved authority.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 29, 2023

There was evidence of dirt/debris in toddler 2 where dirt and staining was observed on cots used for older toddlers.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 29, 2023

There was evidence of dirt/debris in toddler room 1 where a floor covering was observed to have yard debris and dirt ground into the fabric.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (VIII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due October 10, 2023

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by one 3-year-old being placed in the toddler classroom to separate the child from the other preschool children due to challenging behaviors from that child.

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 7, 2023

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4-5 inches under the gate leading to the storage area.

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 September 19, 2023

The facility's outdoor space was not safe for children's activities as evidenced by visible presence of trash on the playground including but not limited to a broken plastic spork, used plastic wrappers and aluminum can topper.

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

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not knowledgeable of the needs of children as evidenced by preschool children, ages 2-years-old to 4-years-old were instructed to remain on their cots after one hour of rest time, even though none of the children were sleeping and created an unsafe environment by climbing on shelves and chairs, flipping over cots and jumping on them, dumping toys out of buckets and throwing the plastic containers at other children in the classroom, playing with cords from a stereo equipment and attempting to pull the cords out of the wall outlets without offering another activty for the children to participate in.

Required correction: Caregivers shall meet child care personnel 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due October 10, 2023

Staff/child ratio requirements were not met as evidenced by 8 children children, ages one 23 months old and seven 2 years old, were cared for by one caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

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

Safe sleep training was not completed within the past 3 years for the following staff E.M.

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

5 CSR 25-500.102 (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: M.C. (needs 12 hours).

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

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

The staff sheet was not fully completed as evidenced by staff sheet was not signed and dated by an approved authority.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in toddler 2 where dirt and staining was observed on cots used for older toddlers.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in toddler room 1 where a floor covering was observed to have yard debris and dirt ground into the fabric.

Required correction: The facility shall be clean and pest free.

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

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by one 3-year-old being placed in the toddler classroom to separate the child from the other preschool children due to challenging behaviors from that child.

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

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 4-5 inches under the gate leading to the storage area.

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 visible presence of trash on the playground including but not limited to a broken plastic spork, used plastic wrappers and aluminum can topper.

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 observed plant overgrowth on the fencing and overgrown grass.

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

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not knowledgeable of the needs of children as evidenced by preschool children, ages 2-years-old to 4-years-old were instructed to remain on their cots after one hour of rest time, even though none of the children were sleeping and created an unsafe environment by climbing on shelves and chairs, flipping over cots and jumping on them, dumping toys out of buckets and throwing the plastic containers at other children in the classroom, playing with cords from a stereo equipment and attempting to pull the cords out of the wall outlets without offering another activty for the children to participate in.

Required correction: Caregivers shall meet child care personnel requirements.

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 no director on site/quitting mid week.

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

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

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

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

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

The facility does not have an approved director on staff.

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

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

Staff/child ratio requirements were not met as evidenced by 8 children children, ages one 23 months old and seven 2 years old, were cared for by one caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-500.182 (1) (A) 6. · Child Care Program

Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.

Required correction: Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

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

The facility does not have an approved director on staff.

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

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

The staff sheet was not fully completed as evidenced by staff sheet was not signed and dated by an approved authority.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in toddler 2 where dirt and staining was observed on cots used for older toddlers.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in toddler room 1 where a floor covering was observed to have yard debris and dirt ground into the fabric.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (VIII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due September 25, 2023

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by one 3-year-old being placed in the toddler classroom to separate the child from the other preschool children due to challenging behaviors from that child.

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

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 4-5 inches under the gate leading to the storage area.

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 visible presence of trash on the playground including but not limited to a broken plastic spork, used plastic wrappers and aluminum can topper.

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 observed plant overgrowth on the fencing and overgrown grass.

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

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not knowledgeable of the needs of children as evidenced by preschool children, ages 2-years-old to 4-years-old were instructed to remain on their cots after one hour of rest time, even though none of the children were sleeping and created an unsafe environment by climbing on shelves and chairs, flipping over cots and jumping on them, dumping toys out of buckets and throwing the plastic containers at other children in the classroom, playing with cords from a stereo equipment and attempting to pull the cords out of the wall outlets without offering another activty for the children to participate in.

Required correction: Caregivers shall meet child care personnel requirements.

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: M.C. (needs 12 hours).

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 no director on site/quitting mid week.

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

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

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

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

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

Safe sleep training was not completed within the past 3 years for the following staff E.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 25-500.182 (1) (A) 6. · Child Care Program

Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.

Required correction: Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · No longer displayed by the state

The staff sheet was not fully completed as evidenced by staff sheet was not signed and dated by an approved authority.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

There was evidence of dirt/debris in toddler 2 where dirt and staining was observed on cots used for older toddlers.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

There was evidence of dirt/debris in toddler room 1 where a floor covering was observed to have yard debris and dirt ground into the fabric.

Required correction: The facility shall be clean and pest free.

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

Safe sleep training was not completed within the past 3 years for the following staff E.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 25-500.182 (1) (A) 6. · Child Care Program · No longer displayed by the state

Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.

Required correction: Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

5 CSR 25-500.082 (VIII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · No longer displayed by the state

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by one 3-year-old being placed in the toddler classroom to separate the child from the other preschool children due to challenging behaviors from that child.

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or children.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4-5 inches under the gate leading to the storage area.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by visible presence of trash on the playground including but not limited to a broken plastic spork, used plastic wrappers and aluminum can topper.

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 observed plant overgrowth on the fencing and overgrown grass.

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

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

A caregiver was not knowledgeable of the needs of children as evidenced by preschool children, ages 2-years-old to 4-years-old were instructed to remain on their cots after one hour of rest time, even though none of the children were sleeping and created an unsafe environment by climbing on shelves and chairs, flipping over cots and jumping on them, dumping toys out of buckets and throwing the plastic containers at other children in the classroom, playing with cords from a stereo equipment and attempting to pull the cords out of the wall outlets without offering another activty for the children to participate in.

Required correction: Caregivers shall meet child care personnel requirements.

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 2022, the staff listed need the following information: M.C. (needs 12 hours).

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

5 CSR 25-500.102 · Personnel (2) (A) 1. . · No longer displayed by the state

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by no director on site/quitting mid week.

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

5 CSR 25-500.102 (2) (A) 2. · Personnel · No longer displayed by the state

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

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · No longer displayed by the state

The facility does not have an approved director on staff.

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