KinderCare Learning Centers LLC

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due June 17, 2026

The staff sheet was not submitted.

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

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

The Annual Declaration was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

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

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

5 CSR 25-500.082 (6) (A) 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 inches and 5 inches.

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 area of bare ground in corner of playground.

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

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: A.G., B.A., C.D., K.R., K.C., L.M., R.C., R.Z., S.B., S.B. and S.C.

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

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

The facility does not have an approved director on staff.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 17, 2026

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due June 17, 2026

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

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 1/13/26 and unknown.

Required correction: Child medical requirements shall be completed and 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.G., B.A., C.D., K.R., K.C., L.M., R.C., R.Z., S.B. and S.C.

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.G., B.A., C.D., K.R., K.C., L.M., R.C., R.Z., S.B. and S.C. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

Requirements for immunization reports on file were not met as evidenced by 6 immunization record(s) was/were not on file.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.G., B.A., C.D., K.R., K.C., L.M., R.C., R.Z., S.B., S.B. and S.C.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due June 17, 2026

The equipment list was not submitted.

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

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

The equipment list was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

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

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 area of bare ground in corner of playground.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due January 21, 2026

The facility does not have an approved director on staff.

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

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

The facility does not have an approved director on staff.

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

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

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

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

5 CSR 25-500.122 · 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: O.M.

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

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

The equipment list was not submitted.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 20, 2026

The floors located in Pre K and Twos room was/were not in good condition as evidenced by peeling tape..

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 20, 2026

The walls located in Twos room was/were not in good condition as evidenced by chipping paint by cubbies.

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 20, 2026

The walls located in the Pre K room was/were not in good condition as evidenced by peeling contact paper.

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) 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 inches and 5 inches.

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 area of bare ground in corner of playground.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 20, 2026

Outdoor equipment, picnic table, in in younger playground was not in good condition as evidenced by crack in top of picnic table with jagged edges.

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

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 (4) (A) 3. · Personnel · Correction due January 20, 2026

Serina Perez and Briana Wright did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due January 20, 2026

Medical examination report(s) was/were not on file for O.M., B.A., S.A., T.D., , Taylor Dragoo,Kelli Johnson and Erika Darnell 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 January 20, 2026

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: O.M., B.A., S.A.E. Darnel,and Kelli Johnsonl.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due January 20, 2026

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were AS 8/25/24, MC 4/21/21, BW 8/1/22.

Required correction: Child medical requirements shall be completed and 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: O.M.

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

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due January 20, 2026

Requirements for immunization reports on file were not met as evidenced by three AS, ER, and BW immunization record(s) was/were not on file.

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

5 CSR 25-500.222 (2) (F) · Records and Reports · Correction due January 20, 2026

One child(ren) records did not include field trip and transportation authorization.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 20, 2026

Criminal background check results were not on file for B.W. and T.D.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 20, 2026

Children were not restricted to approved space as evidenced by unlocked electrical closet.

Required correction: Caregivers shall restrict children to approved space.

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

The equipment list was not submitted.

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

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

The staff sheet was not submitted.

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

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

The Annual Declaration was not submitted.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 12, 2025

Children were not restricted to approved space as evidenced by the electrical room was not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 12, 2025

Hazardous items as follows were accessible to children: glass cleaner and aquaphor ointment. The item(s) was/were located Infants A room on changing table.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the Pre K room was/were not in good condition as evidenced by peeling contact paper.

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 area of bare ground in corner of playground.

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 floors located in Pre K and Twos room was/were not in good condition as evidenced by peeling tape..

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 room was/were not in good condition as evidenced by chipping paint by cubbies.

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 June 12, 2025

Hazardous items as follows were accessible to children: aquaphor, eucerin cream, lotion and hand soap. The item(s) was/were located unlocked changing table cabinet in Toddler A.

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 June 12, 2025

Hazardous items as follows were accessible to children: sunscreen and Butt Paste. The item(s) was/were located on top of low shelf.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due June 12, 2025

The passage to an exit located in Toddler B was not clear as evidenced by trash can in front of half door.

Required correction: Caregivers shall keep passageways to all exits clear.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due June 12, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by yellow, orange and green pillows in Preschool were stained.

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

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

Outdoor equipment, picnic table, in in younger playground was not in good condition as evidenced by crack in top of picnic table with jagged edges.

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

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

Serina Perez and Briana Wright 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 O.M., B.A., S.A., T.D., , Taylor Dragoo,Kelli Johnson and Erika Darnell 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: O.M., B.A., S.A.E. Darnel,and Kelli Johnsonl.

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 AS 8/25/24, MC 4/21/21, BW 8/1/22.

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

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

Requirements for immunization reports on file were not met as evidenced by three AS, ER, and BW immunization record(s) was/were not on file.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due June 12, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 12, 2025

Two child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due June 12, 2025

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

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

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

One child(ren) records did not include field trip and transportation authorization.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 12, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 12, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 12, 2025

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for B.W. and T.D.

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 April 16, 2025

The walls located Preschool 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 21, 2025

The walls located Preschool was/were not in good condition as evidenced by piece of chair rail missing.

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 March 12, 2025

The walls located in Toddler room was/were not in good condition as evidenced by adhesive residue.

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 March 21, 2025

Furniture/equipment, chest of drawers, in Infant room was not in good condition as evidenced by particle board is showing and laminate cover is chipping off. The sides have water damage.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 11, 2025

Furniture/equipment, cabinet, in Twos was not in good condition as evidenced by laminate is peeling exposing particle board.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 11, 2025

Furniture/equipment, easel, in Preschool 2 was not in good condition as evidenced by particle board showing and is torn.

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 March 21, 2025

Outdoor equipment, picnic tables, in in older playground was not in good condition as evidenced by chipping paint on legs.

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 22, 2025

Outdoor equipment, picnic table, in in older playground was not in good condition as evidenced by seat has cracked leaving jagged edges.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due April 16, 2025

Criminal background check results were older than five (5) years for Margaret Clark, Katrina Zaru, Hawa Latifzau, Tychell Ross, and Chloe Myers.

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

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

Criminal background check results were not on file for Shahera Bauer,Jennifer Shugart, Chloe Myers, Gabriella Guitierrez, Kelly McCurdy, Etoya Jones, and Abigail Crowley.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 30, 2024

Hazardous items as follows were accessible to children: albuterol. The item(s) was/were located unlocked drawer in Infant room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 23, 2024

The walls located in Toddler A was/were not in good condition as evidenced by chipping paint on wall trim and window sill.

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 December 23, 2024

The walls located in unused room was/were not in good condition as evidenced by blue board trim has chipped paint.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 30, 2024

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 December 30, 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 walls located Preschool 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) 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 piece of chair rail missing.

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 room was/were not in good condition as evidenced by adhesive residue.

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 December 30, 2024

Hazardous items as follows were accessible to children: Aquaphor, antibiotic ointment, burn cream, alcohol wipes. The item(s) was/were located unlocked drawers in bathroom.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 30, 2024

Hazardous items as follows were accessible to children: diaper creams, glass cleaner, sanitizer, TB disinfectant, and sunscreen. The item(s) was/were located unlocked diaper table.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 30, 2024

Furniture/equipment, stair mat, in Toddler B was not in good condition as evidenced by peeling vinyl.

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, picnic table, in in older playground was not in good condition as evidenced by seat has cracked leaving jagged edges.

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

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

Furniture/equipment, easel, in Preschool 2 was not in good condition as evidenced by particle board showing and is torn.

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

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

Furniture/equipment, chest of drawers, in Infant room was not in good condition as evidenced by particle board is showing and laminate cover is chipping off. The sides have water damage.

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

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

Furniture/equipment, cabinet, in Twos was not in good condition as evidenced by laminate is peeling exposing particle board.

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, picnic tables, in in older playground was not in good condition as evidenced by chipping paint on legs.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due December 10, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.R. needs seven hours and Margaret Clark needs 10 hours.

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

5 CSR 25-500.222 (2) (F) · Records and Reports · Correction due December 23, 2024

six child(ren) records did not include field trip and transportation authorization.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Margaret Clark, Katrina Zaru, Hawa Latifzau, Tychell Ross, and Chloe Myers.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Shahera Bauer,Jennifer Shugart, Chloe Myers, Gabriella Guitierrez, Kelly McCurdy, Etoya Jones, and Abigail Crowley.

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

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

The equipment list was not submitted.

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

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

The annual fire safety inspection was not conducted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 19, 2024

The Family Care Safety Registry check was not conducted for M.C., J.S., K.Z., H.L., Tychell Ross,Chloe Myers, G.G., K.M., within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 13, 2024

The walls located Infant room was/were not in good condition as evidenced by peeling contact paper on door.

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

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

The walls located in Toddler A was/were not in good condition as evidenced by chipping paint on wall trim and window sill.

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 unused room was/were not in good condition as evidenced by blue board trim has chipped paint.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 13, 2024

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that there is a part of the top of the fence that is missing.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due August 26, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

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

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

Furniture/equipment, stair mat, in Toddler B was not in good condition as evidenced by peeling vinyl.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 8, 2024

Furniture/equipment, lego table, in unopened preschool room was not in good condition as evidenced by the lego top of the table was dirty.

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, picnic table, in in older playground was not in good condition as evidenced by seat has cracked leaving jagged edges.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 12, 2024

Outdoor equipment, rocking whale, in younger playground was not in good condition as evidenced by jagged edges by little tykes emblem and white circular piece.

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 August 8, 2024

Outdoor equipment, tricycle, in older playground was not in good condition as evidenced by missing a pedal.

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due July 23, 2024

The facility did not conduct a Family Care Safety Registry screening for Etoya Jones/Abigail Crowley, who was hired on 4/24/June 10, 2024.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.R. needs seven hours and Margaret Clark needs 10 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 8, 2024

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due August 8, 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: K.M. and C.M.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 12, 2024

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 JP, AM.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due September 12, 2024

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due September 12, 2024

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

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

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

six child(ren) records did not include field trip and transportation authorization.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Margaret Clark, Katrina Zaru, Hawa Latifzau, Tychell Ross, and Chloe Myers.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Shahera Bauer,Jennifer Shugart, Chloe Myers, Gabriella Guitierrez, Kelly McCurdy, Etoya Jones, and Abigail Crowley.

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

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

The equipment list was not submitted.

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

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

The annual fire safety inspection was not conducted.

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

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

The Family Care Safety Registry check was not conducted for M.C., J.S., K.Z., H.L., Tychell Ross,Chloe Myers, G.G., K.M., within thirty (30) days prior to the anniversary date.

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

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

Hazardous items as follows were accessible to children: D.P., Hydrocortisone, and Nystatin. The item(s) was/were located on top of shelf .

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in unused room was/were not in good condition as evidenced by blue board trim has chipped paint.

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

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that there is a part of the top of the fence that is missing.

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

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

The walls located Infant room was/were not in good condition as evidenced by peeling contact paper on door.

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

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

The walls located in Toddler A was/were not in good condition as evidenced by chipping paint on wall trim and window sill.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2024

The walls located Toddler B was/were not in good condition as evidenced by peeling paint on trim of board.

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 June 26, 2024

Hazardous items as follows were accessible to children: aquaphor, Lille Kanin balm, and Boudreaux Butt pasre. The item(s) was/were located unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

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

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

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

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

Furniture/equipment, lego table, in unopened preschool room was not in good condition as evidenced by the lego top of the table was dirty.

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, tricycle, in older playground was not in good condition as evidenced by missing a pedal.

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, picnic table, in in older playground was not in good condition as evidenced by seat has cracked leaving jagged edges.

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

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

Outdoor equipment, rocking whale, in younger playground was not in good condition as evidenced by jagged edges by little tykes emblem and white circular piece.

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

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

Furniture/equipment, stair mat, in Toddler B was not in good condition as evidenced by peeling vinyl.

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Etoya Jones/Abigail Crowley, who was hired on 4/24/June 10, 2024.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due June 26, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: K.M., E.J., and A.C.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.R. needs seven hours and Margaret Clark needs 10 hours.

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

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

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

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

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

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

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 JP, AM.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due June 26, 2024

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 26, 2024

One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

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

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

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

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

six child(ren) records did not include field trip and transportation authorization.

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

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

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due June 26, 2024

One child(ren) records did not include home telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Margaret Clark, Katrina Zaru, Hawa Latifzau, Tychell Ross, and Chloe Myers.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Shahera Bauer,Jennifer Shugart, Chloe Myers, Gabriella Guitierrez, Kelly McCurdy, Etoya Jones, and Abigail Crowley.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due February 16, 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 25-500.082 (1) (B) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 16, 2024

The facility has not met the requirements for fire and safety as evidenced by has not been approved.

Required correction: The facility shall comply with fire and safety/zoning/sanitation requirements.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 9, 2024

The walls located In the infant room was/were not in good condition as evidenced by chipping paint on yellow frame.

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 February 9, 2024

The walls located Toddler A was/were not in good condition as evidenced by chipped paint on window sill.

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 February 9, 2024

The walls located twos room was/were not in good condition as evidenced by chipping paint by cubbies.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due February 9, 2024

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due February 9, 2024

Medical examination report(s) was/were not on file for A.J. 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 February 9, 2024

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: A.J.

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 9, 2024

Criminal background check results were not on file for G.G.

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 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 25-500.052 (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 December 18, 2023

The Family Care Safety Registry check was not conducted for on 6/28/2023 Jennifer Shugart, Hawa Latifzai, Ashley Jefferson, Angela Kinder, 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) (C) · Annual Requirements · Correction due December 18, 2023

The Family Care Safety Registry check was not conducted for H.L., B.R., T.R., E.K., (no longer employed) Amie Herrin (no longer employed, K.Z., A.Y. (no longer employed), M.H. (no longer employed), A.M. (no longer employed), and K.G. (no longer employed 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) (B) · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility has not met the requirements for fire and safety as evidenced by has not been approved.

Required correction: The facility shall comply with fire and safety/zoning/sanitation requirements.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2023

Children were not restricted to approved space as evidenced by the kitchen door, office door and staff bathroom door were open or 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 December 18, 2023

Hazardous items as follows were accessible to children: tylenol. The item(s) was/were located in open directors office on the floor.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located twos room was/were not in good condition as evidenced by chipping paint by cubbies.

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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 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 large enough for a child to crawl or fall through - the openings measured 6 inches on the right corner of toddler playground.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2023

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

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

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

The walls located Toddler A was/were not in good condition as evidenced by chipped paint on window sill.

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 December 18, 2023

Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located Twos room unlocked cabinet under changing table.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located In the infant room was/were not in good condition as evidenced by chipping paint on yellow frame.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 18, 2023

Furniture/equipment, plastic cubby box, in threes room was not in good condition as evidenced by cubby box was cracked.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due December 18, 2023

Documentation of caregiver completion of the facility orientation was not on file for the following staff: G.G., A.J., T.R., M.C., S.B., C.C.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 18, 2023

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 18, 2023

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: C.C., T.R., and A.J.

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 · Medical Examination Reports (1) (B) .

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: A.J.

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due December 18, 2023

Criminal background check results were not on file for C.C., S.B., T.R., C.M., A.J., A.K., G.G.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for G.G.

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

5 CSR 25-500.042 (12) · Licensing Process · Correction due July 7, 2023 · No longer displayed by the state

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

Required correction: The official license shall be posted.

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

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 · No longer displayed by the state

The Family Care Safety Registry check was not conducted for on 6/28/2023 Jennifer Shugart, Hawa Latifzai, Ashley Jefferson, Angela Kinder, 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) (C) · Annual Requirements · No longer displayed by the state

The Family Care Safety Registry check was not conducted for H.L., B.R., T.R., E.K., (no longer employed) Amie Herrin (no longer employed, K.Z., A.Y. (no longer employed), M.H. (no longer employed), A.M. (no longer employed), and K.G. (no longer employed within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (6) (A) 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 large enough for a child to crawl or fall through - the openings measured 6 inches on the right corner of toddler playground.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. A. · Correction due July 7, 2023 · No longer displayed by the state

The facility did not meet requirements for push-pull toys. The facility needed an additional 13 items in this category.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. B. · Correction due July 7, 2023 · No longer displayed by the state

The facility did not meet requirements for balls or other large muscle. The facility needed an additional 8 items in this category.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. C. · Correction due July 7, 2023 · No longer displayed by the state

The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 21 items in this category.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due July 7, 2023 · No longer displayed by the state

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 23 items in this category.

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

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

Documentation of caregiver completion of the facility orientation was not on file for the following staff: G.G., A.J., T.R., M.C., S.B., C.C.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due September 14, 2023 · No longer displayed by the state

Katrina Zaru 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 · No longer displayed by the state

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · No longer displayed by the state

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: C.C., T.R., and A.J.

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

5 CSR 25-500.132 (8) (E) 4. · Admission Policies and Procedures · Correction due July 7, 2023 · No longer displayed by the state

The facility did not meet requirements for child enrollment and health information as evidenced by need facility name in emergency care box.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due July 7, 2023 · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due July 7, 2023 · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due July 7, 2023 · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D. · Correction due July 7, 2023 · No longer displayed by the state

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · No longer displayed by the state

The facility did not meet requirements for child enrollment and health information on file as evidenced by Child C, D and F child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · No longer displayed by the state

The facility did not meet requirements for child enrollment and health information on file as evidenced by Child A, B, C, D, E and F child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due July 7, 2023 · No longer displayed by the state

Child B and E child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due July 7, 2023 · No longer displayed by the state

Child A, B, C, D, E, and F child(ren) records did not include name of family physician or hospital.

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

5 CSR 25-500.222 (2) (E) · Records and Reports · Correction due July 7, 2023 · No longer displayed by the state

Child B and E child(ren) records did not include name of individual authorized to take the child from the facility.

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

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

Criminal background check results were not on file for C.C., S.B., T.R., C.M., A.J., A.K., G.G.

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