KinderCare Learning Centers LLC

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

The Family Care Safety Registry check was not conducted for Jenifer Dalberg(6/4/2026, Tom Wyatt(6/4/2026), Alyssa Marcille, and Rachel Wilfley(6/4/2026) 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

The ceilings located in pre-K room was/were not in good condition as evidenced by insulation laying directly on vent .

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 floors located in preschool, pre-K, and 2-year-old classroom was/were not clean as evidenced by soiled area rugs, tape residue, label/tape peeling off floors, and debris (after repositioning changing table).

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 toddler-twos room, was/were not clean as evidenced by sticky residue on half door and changing table.

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 toddler two's and 2-year-old rooms was/were not clean as evidenced by dusty vent and ceiling tiles .

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 erosion around the preschool playground fence causing deep ditches, creating a tripping hazard; bottom of splash pad pillars rusted.

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

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

The facility did not meet requirements for push-pull toys. The facility needed an additional two items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Aryonne Washington and ShaRon Danner did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

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

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

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

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

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 10/22/2025 & 2/15/2026.

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

5 CSR 25-500.182 (1) (C) 3. · Child Care Program · Correction due June 4, 2026

Constructive, age-appropriate methods of discipline were not used as evidenced by caregiver, S.D., carried a child inside from playground in a football hold when she put her down, she grabbed her by her wrist to keep her from running away.

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due June 4, 2026

Caregiver used a discipline technique that included speaking harshly, abusively or with profanity as evidenced by CI heard caregiver, G.D. (arrived after attendance), whisper "shut up" twice while n the classroom. When asked if she was talking to a child, she said she was talking to the other staff in the room. .

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

5 CSR 25-500.192 (3) (D) · Health Care

The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

5 CSR 25-500.192 (3) (I) · Health Care

The requirements for administering medication were not met as follows: medication was given to a child but not recorded promptly after administration.

Required correction: All medication shall be administered and recorded as required.

5 CSR 25-500.202 (1) (E) · Nutrition and Food Service · Correction due June 4, 2026

One serving of fluid milk was not served with each meal.

Required correction: Milk shall be served 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.

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

The Family Care Safety Registry check was not conducted for J.D., T.W., A.M., and R.W. 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

The ceilings located in toddler two's and 2-year-old rooms was/were not clean as evidenced by dusty vent and ceiling tiles .

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 May 27, 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 facing the wall in the 2-years-old room.

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

The facility's outdoor space was not safe for children's activities as evidenced by erosion around the preschool playground fence causing deep ditches, creating a tripping hazard; bottom of splash pad pillars rusted.

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 in pre-K room was/were not in good condition as evidenced by insulation laying directly on vent .

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 floors located in preschool, pre-K, and 2-year-old classroom was/were not clean as evidenced by soiled area rugs, tape residue, label/tape peeling off floors, and debris (after repositioning changing table).

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 toddler-twos room, was/were not clean as evidenced by sticky residue on half door and changing table.

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 (2) (C) 1. A.

The facility did not meet requirements for push-pull toys. The facility needed an additional two items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Aryonne Washington and ShaRon Danner 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due May 27, 2026

Staff/child ratio requirements were not met as evidenced by twelve children , ages 2-to-3-years-old, were cared for by one adult caregiver(s).

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

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

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

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

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

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

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 10/22/2025 & 2/15/2026.

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

5 CSR 25-500.182 (1) (C) 3. · Child Care Program

Constructive, age-appropriate methods of discipline were not used as evidenced by caregiver, S.D., carried a child inside from playground in a football hold when she put her down, she grabbed her by her wrist to keep her from running away.

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program

Caregiver used a discipline technique that included speaking harshly, abusively or with profanity as evidenced by CI heard caregiver, G.D. (arrived after attendance), whisper "shut up" twice while n the classroom. When asked if she was talking to a child, she said she was talking to the other staff in the room. .

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

5 CSR 25-500.192 (3) (D) · Health Care

The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Required correction: Medications shall be stored and labeled as required.

5 CSR 25-500.192 (3) (I) · Health Care

The requirements for administering medication were not met as follows: medication was given to a child but not recorded promptly after administration.

Required correction: All medication shall be administered and recorded as required.

5 CSR 25-500.202 (1) (E) · Nutrition and Food Service

One serving of fluid milk was not served with each meal.

Required correction: Milk shall be served 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.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

The ceilings located in preschool, pre-k, twos-A and twos-B was/were not clean as evidenced by dusty vents, ceiling tiles (one stained tile in preschool room).

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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

There was evidence of dirt/debris in sticky residue on shelf in pre-k.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 9, 2026

The facility's outdoor space was not safe for children's activities as evidenced by pole pad ripped, and chipped paint on sprinkler poles and outside classroom doors.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 22, 2025

Medical examination report(s) was/were not on file for G.D., Kaila Orr,Brittany Rodriguez, and T.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 25-500.052 (2) (A) · Annual Requirements · Correction due March 27, 2026

The annual fire safety inspection was not approved.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due June 5, 2025

The annual sanitation inspection was not approved.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 4, 2025

Hazardous items as follows were accessible to children: various cleaning sprays, Excedrin, diaper creams, and adult scissors. The item(s) was/were located in unlocked cabinets and on low shelves.

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 25, 2025

The floors located throughout the center was/were not clean as evidenced by floors dirty/sticky and area rugs soiled/stained.

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 18, 2025

The walls located in preschool and toddler A rooms was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 18, 2025

There was evidence of dirt/debris in in that cabinet and shelves in the infant and toddler rooms had sticky residue on them.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

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 pole pad ripped, and chipped paint on sprinkler poles and outside classroom doors.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 sticky residue on shelf in pre-k.

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

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

The ceilings located in preschool, pre-k, twos-A and twos-B was/were not clean as evidenced by dusty vents, ceiling tiles (one stained tile in preschool room).

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

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

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

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

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

Medical examination report(s) was/were not on file for G.D., Kaila Orr,Brittany Rodriguez, and T.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) . · Correction due November 4, 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: Gabriella Delacerda,Paige Valentine, and Tahmarina Whale.

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 November 4, 2025

Criminal background check results were not on file for G.D., K.O., B.R., and T.W.

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 25-500.192(5)(A)

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

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

5 CSR 25-500.052 (2) (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 25-500.052 (2) (C) · Annual Requirements · Correction due June 3, 2025

The Family Care Safety Registry check was not conducted for P.T. & Brittany Rodriguez 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 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due June 3, 2025

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

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

The floors located throughout the center was/were not clean as evidenced by floors dirty/sticky and area rugs soiled/stained.

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 preschool and toddler A rooms was/were not in good condition as evidenced by chipping paint.

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

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

There was evidence of dirt/debris in in that cabinet and shelves in the infant and toddler rooms had sticky residue on them.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due June 3, 2025

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

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

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

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 A.J. and J.P.

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

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

Medical examination report(s) was/were not on file for G.D., Kaila Orr,Brittany Rodriguez, and T.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: Gabriella Delacerda,Paige Valentine, and Tahmarina Whale.

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 G.D., K.O., B.R., and T.W.

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

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 P.T. & Brittany Rodriguez 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 May 19, 2025

Children were not restricted to approved space as evidenced by copy room unlocked.

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 May 19, 2025

Hazardous items as follows were accessible to children: glass cleaner, purse, various diaper creams and lotion. The item(s) was/were located in unlocked cabinets.

Required correction: Hazardous items shall be inaccessible to children.

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

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due May 19, 2025

Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily.

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

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

The walls located in preschool and toddler A rooms was/were not in good condition as evidenced by chipping paint.

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

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

There was evidence of dirt/debris in in that cabinet and shelves in the infant and toddler rooms had sticky residue on them.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.

Required correction: Bathroom fixtures shall be functional and convenient.

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

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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located throughout the center was/were not clean as evidenced by floors dirty/sticky and area rugs soiled/stained.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due May 19, 2025

Outdoor equipment, table and football , in splash pad play area was not in good condition as evidenced by broken and flat.

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

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: G.D. and K.O.

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 A.J. and J.P.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due May 19, 2025

Staff/child ratio requirements were not met as evidenced by 9 children , ages 2-to-3-years-old (eight 2-years-old), were cared for by 1 adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for G.D., Kaila Orr,Brittany Rodriguez, and T.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: Gabriella Delacerda,Paige Valentine, and Tahmarina Whale.

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 G.D., K.O., B.R., and T.W.

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

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

The annual sanitation inspection was not approved.

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

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

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

Children were not restricted to approved space as evidenced by the copy room and laundry rooms were unlock and accessible to children.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 13, 2025

The ceilings located in pre-K room was/were not clean as evidenced by dusty vent.

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 November 18, 2024

The floors located in the preschool room was/were not clean as evidenced by the carpets are stained and need cleaned in the preschool room.

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

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

Furniture/equipment, cabinet, drawers and half door, in infant B room was not in good condition as evidenced by sticky residue.

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

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

Safe sleep training was not completed within the past 3 years for the following staff Jonathan Gutierrez,Mevlina Muhic,Sanita Muhic, and Holly Robertson.

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

Children were not restricted to approved space as evidenced by the copy room and laundry rooms were unlock and accessible to children.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 7, 2024

The walls located two year old room was/were not in good condition as evidenced by chipped paint on the lower half of the cream wall.

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 floors located in the preschool room was/were not clean as evidenced by the carpets are stained and need cleaned in the preschool room.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2024

The facility's outdoor space was not safe for children's activities as evidenced by trash throughout the playground - paper cups, sucker wrappers, styrofoam bowls, spoon, paper plates and plastic bag and the trash can on the playground is overflowing with trash.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 7, 2024

The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was stopped up.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 7, 2024

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

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

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

The ceilings located in pre-K room was/were not clean as evidenced by dusty vent.

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

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

Furniture/equipment, cabinet, drawers and half door, in infant B room was not in good condition as evidenced by sticky residue.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due November 7, 2024

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 12 cots were missing sheets.

Required correction: The facility shall provide sleeping equipment and bedding 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 Jonathan Gutierrez,Mevlina Muhic,Sanita Muhic, and Holly Robertson.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due November 14, 2024

Staff/child ratio requirements were not met as evidenced by 8 children , ages 2 - 23 month old's and 6 two year old's, were cared for by 1 adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due November 14, 2024

Group size requirements were not met as evidenced by while out on the playground 19 children, ages Infant, toddler and two years olds, were cared for by 4 adult caregiver(s).

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2024

There was evidence of dirt/debris in the overall facility needs cleaning and sweeping.

Required correction: The facility shall be clean and pest 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 throughout the playground - paper cups, sucker wrappers, styrofoam bowls, spoon, paper plates and plastic bag and the trash can on the playground is overflowing with trash.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 6, 2024

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

Required correction: Bathrooms shall be clean and odor free.

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

The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was stopped up.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 6, 2024

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.

Required correction: Bathroom fixtures shall be functional and convenient.

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 the overall facility needs cleaning and sweeping.

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

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

The walls located two year old room was/were not in good condition as evidenced by chipped paint on the lower half of the cream wall.

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 floors located in the preschool room was/were not clean as evidenced by the carpets are stained and need cleaned in the preschool room.

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 6, 2024

Hazardous items as follows were accessible to children: C.R. cleaner and Glass and Multi surface cleaner. The item(s) was/were located in the teacher cabinet in the preschool 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 6, 2024

Hazardous items as follows were accessible to children: A+D, Critic Aid Skin Past, Gentle Steps diaper cream. The item(s) was/were located in the preschool accessible to children.

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 6, 2024

Hazardous items as follows were accessible to children: A.C. and T.P. The item(s) was/were located in 2 B room in the cabinet under the diaper changing table which was unlocked .

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 6, 2024

Hazardous items as follows were accessible to children: I.D., and G.S. diaper creams. The item(s) was/were located in infant room B under the diaper changer which was unlocked .

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 6, 2024

Hazardous items as follows were accessible to children: plastic shopping bags. The item(s) was/were located in the infant room under the cabinet which was unlocked.

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 · Correction due November 6, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there were no protective covers were missing in the preschool room..

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

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 the copy room and laundry rooms were unlock and accessible to children.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due November 6, 2024

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 1 foot.

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

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

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 12 cots were missing sheets.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 6, 2024

A.J., O.M., K.S., D.S., T.T., Amanda O'Neil did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Safe sleep training was not completed within the past 3 years for the following staff Jonathan Gutierrez,Mevlina Muhic,Sanita Muhic, and Holly Robertson.

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

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

Staff/child ratio requirements were not met as evidenced by 8 children , ages 2 - 23 month old's and 6 two year old's, were cared for by 1 adult caregiver(s).

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

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

Group size requirements were not met as evidenced by while out on the playground 19 children, ages Infant, toddler and two years olds, were cared for by 4 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 September 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: A.J., C.L., D.S., T.T.

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 September 30, 2024

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

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due June 17, 2024

The Family Care Safety Registry check was not conducted for J.W., K.K., R.W., C.W. 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 June 17, 2024

The floors located in infant B was/were not clean as evidenced by sticky residue/stickers peeling off and debris under cabinet.

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 17, 2024

The walls located in twos' infant B, and preschool rooms was/were not in good condition as evidenced by sticky residue/ chipping paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 17, 2024

The ceilings located in two's and preschool rooms was/were not clean as evidenced by dusty vent and stained tiles.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 20, 2024

Outdoor equipment, flower poles, in two-year-old playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due August 23, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 7 items in this category.

Required correction: The facility shall provide approved equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 17, 2024

Furniture/equipment, shelves and cribs, in two's and infant B was not in good condition as evidenced by sticky residue.

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

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

A.J., O.M., K.S., D.S., T.T., Amanda O'Neil did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 · 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: A.J., C.L., D.S., T.T.

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

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

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

5 CSR 25-500.192 (6) (B) · Health Care · Correction due June 10, 2024

Requirements for handwashing were not met as evidenced by staff member did not have child wash hands after changing her pull-up.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due June 14, 2024

Criminal background check results were not on file for A.J., N.P., R.W.

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

5 CSR 25-500.192 (6) (A) · Health Care · Correction due June 10, 2024

Requirements for handwashing were not met as evidenced by staff member changed a diaper and did not wash her hands after.

Required correction: Staff/children shall wash hands as required.

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.

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

The Family Care Safety Registry check was not conducted for J.W., K.K., R.W., C.W. 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 23, 2024

Hazardous items as follows were accessible to children: Bleach spray and Sun X sunscreen lotion. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in infant B was/were not clean as evidenced by sticky residue/stickers peeling off and debris under cabinet.

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 two's and preschool rooms was/were not clean as evidenced by dusty vent and stained tiles.

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 twos' infant B, and preschool rooms was/were not in good condition as evidenced by sticky residue/ chipping paint.

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

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

Furniture/equipment, shelves and cribs, in two's and infant B was not in good condition as evidenced by sticky residue.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. B. · Correction due May 23, 2024

The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled.

Required correction: Each child who naps shall be assigned a clean sheet and blanket as required.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due May 23, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by broken mirror on play mat.

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

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

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 7 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

Outdoor equipment, flower poles, in two-year-old playground was not in good condition as evidenced by chipping paint.

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

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

A.J., O.M., K.S., D.S., T.T., Amanda O'Neil did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Medical examination report(s) was/were not on file for A.J., C.L., K.S., D.S., T.T. 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: A.J., C.L., D.S., T.T.

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

5 CSR 25-500.192 (6) (A) · Health Care

Requirements for handwashing were not met as evidenced by staff member changed a diaper and did not wash her hands after.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-500.192 (6) (B) · Health Care

Requirements for handwashing were not met as evidenced by staff member did not have child wash hands after changing her pull-up.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.J., N.P., R.W.

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 February 20, 2024

The walls located preschool was/were not in good condition as evidenced by hole in door and chipping paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 17, 2024

The floors located preschool room was/were not in good condition as evidenced by area rug curled at edges.

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 January 17, 2024

The walls located throughout center was/were not clean as evidenced by sticky residue, dusty vent.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 20, 2024

Furniture/equipment, shelves, coat cubby, table, cabinets, in several rooms was not in good condition as evidenced by sticky residue, coat rack broken at base.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 17, 2024

Outdoor equipment, basketball goal, in in preschool playground was not in good condition as evidenced by torn net.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 17, 2024

Outdoor equipment, sprinkler poles and pole anchors for canopy, in in splash pad play area was not in good condition as evidenced by chipping paint and rusting .

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

Violation substantiated · 5 CSR 25-500.092(1)(B)1.A.

An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.

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)1.

Caregivers shall not leave any child without competent adult 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.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due December 7, 2023

The name, address and telephone number of the owner(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the owner shall be posted near the license.

5 CSR 25-500.042 (13) (C) · Licensing Process · Correction due December 7, 2023

The name, address and telephone number of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

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

The walls located throughout center was/were not clean as evidenced by sticky residue, dusty vent.

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 preschool was/were not in good condition as evidenced by hole in door and chipping paint.

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

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

The floors located preschool room was/were not in good condition as evidenced by area rug curled at edges.

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

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

Furniture/equipment, shelves, coat cubby, table, cabinets, in several rooms was not in good condition as evidenced by sticky residue, coat rack broken at base.

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

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

Outdoor equipment, sprinkler poles and pole anchors for canopy, in in splash pad play area was not in good condition as evidenced by chipping paint and rusting .

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

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

Outdoor equipment, basketball goal, in in preschool playground was not in good condition as evidenced by torn net.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 7, 2023

Furniture/equipment, calandar, in preschool room was not in good condition as evidenced by plastic sleeve torn and hanging.

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

5 CSR 25-500.192 (5) (A) · Health Care · Correction due December 7, 2023

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when child fell on playground.

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

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

Background screening information was not available for review for Marissa Bauer, Kendra Saunders, Nancy Purcell, Olivia Mitchell, Iyona Townsend, Victoria Kearney, and Maria Martin.

Required correction: Background screening information shall be available and kept confidential.

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

Criminal background check results were not on file for M.B., K.S., N.P., O.M., I.T., V.K., and M.M.

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 22, 2023 · No longer displayed by the state

The walls located two's-A was/were not in good condition as evidenced by chipping paint and missing piece of chair rail .

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 22, 2023 · No longer displayed by the state

The walls located 2 year old room and toddler-B was/were not clean as evidenced by sticky residue behind changing table and tape peeling off wall.

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

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

Background screening information was not available for review for Marissa Bauer, Kendra Saunders, Nancy Purcell, Olivia Mitchell, Iyona Townsend, Victoria Kearney, and Maria Martin.

Required correction: Background screening information shall be available and kept confidential.

5 CSR 25-600.020 (1) · General Requirements · No longer displayed by the state

Criminal background check results were not on file for M.B., K.S., N.P., O.M., I.T., V.K., and M.M.

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