King of Kings Early Learning Center

5 CSR 25-300.050 (2) · Health Requirements · Correction due May 26, 2026

Requirements for children's medical examination reports 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 8/25/2025.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.050 (3) · Health Requirements · Correction due May 26, 2026

Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 26, 2026

The ceilings located in room 1 was/were not easily cleanable as evidenced by stained tiles.

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

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4 · Correction due May 26, 2026

Equipment in the outdoor play area, the swings, was not in good condition as evidenced by chains and hooks rusting.

Required correction: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due July 31, 2026

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 (2) · Health Requirements

Requirements for children's medical examination reports 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 8/25/2025.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.050 (3) · Health Requirements

Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 8, 2026

Hazardous items as follows were accessible to children: Lysol wipes, Lysol Spray, Clorox wipes, toothpaste, shaving cream, tacks, and lotion. The item(s) was/were located in unlocked cabinets and drawers.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located in room 1 was/were not easily cleanable as evidenced by stained tiles.

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

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4

Equipment in the outdoor play area, the swings, was not in good condition as evidenced by chains and hooks rusting.

Required correction: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due February 5, 2026

Medical examination reports, including TB testing, were not on file for J.S., M.S., L.S., and E.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/TB reports shall be on file as required.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due February 23, 2026

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due October 3, 2025

Medical examination reports, including TB testing, were not on file for M.S., L.S., and E.T. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for J.S., M.S., L.S., and E.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/TB reports shall be on file as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due September 22, 2025

The walls located in rooms 2 and 4 was/were not easily cleanable as evidenced by sticky/tape residue on cabinets.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due September 15, 2025

The floors located in hallway was/were not easily cleanable as evidenced by tape residue/labels peeling off.

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

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 4 · Correction due September 15, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by no acknowledgements on file for child DOB: 5/30/2019.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 4 · Correction due September 15, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by no acknowledgements on file for child DOB: 5/30/2019.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for J.S., M.S., L.S., and E.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/TB reports shall be on file as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for M.S., L.S., and E.T. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 8, 2025

Hazardous items as follows were accessible to children: purse. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The floors located in hallway was/were not easily cleanable as evidenced by tape residue/labels peeling off.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The walls located in rooms 2 and 4 was/were not easily cleanable as evidenced by sticky/tape residue on cabinets.

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

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by no acknowledgements on file for child DOB: 5/30/2019.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by no acknowledgements on file for child DOB: 5/30/2019.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due August 8, 2024

Medical examination reports, including TB testing, were not on file for A.H. and D.P. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due August 8, 2024

Medical examination reports, including TB testing, were not on file for V.G., K.L., A.S., D.P., and S.S. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.050 (2) · Health Requirements · Correction due August 8, 2024

Requirements for children's medical examination reports 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 1/3/2024, 8/29/2023, 8/30/2023.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 4 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 4 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (F) · Admission Procedures and Required Reports and Records 2 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the information concerning any accident or injury to a child while in care or any emergency medical care given.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (E) · Admission Procedures and Required Reports and Records 2 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 4 child files did not have the name of the individual(s) authorized to take the child.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (C) · Admission Procedures and Required Reports and Records 2 · Correction due August 12, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.020 (6) (C) · Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures · Correction due May 29, 2024

An approved Notice of Parental Responsibility was not on file for 2 child(ren).

Required correction: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for A.H. and D.P. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for V.G., K.L., A.S., D.P., and S.S. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.050 (2) · Health Requirements

Requirements for children's medical examination reports 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 1/3/2024, 8/29/2023, 8/30/2023.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due June 20, 2024

The ceilings located Mr. Lowe's and Mrs. Green's rooms was/were not in good condition as evidenced by dusty/broken vent covers, stained tiles.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 5 · Correction due June 20, 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 0".

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 5 · Correction due June 20, 2024

The facility failed to meet requirements for 3 children, who nap or sleep, did not have a sheet.

Required correction: An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.

5 CSR 25-300.110 · Admission Procedures and Required Reports and Records 1 · Correction due June 20, 2024

The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Required correction: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (C) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (E) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 4 child files did not have the name of the individual(s) authorized to take the child.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (F) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the information concerning any accident or injury to a child while in care or any emergency medical care given.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due March 19, 2024

Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.020 (6) (C) · Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

An approved Notice of Parental Responsibility was not on file for 2 child(ren).

Required correction: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for V.G., K.L., A.S., D.P., and S.S. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.050 (2) · Health Requirements

Requirements for children's medical examination reports 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 1/3/2024, 8/29/2023, 8/30/2023.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for A.H. and D.P. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 8, 2024

Hazardous items as follows were accessible to children: Clorox wipes. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located Mr. Lowe's and Mrs. Green's rooms was/were not in good condition as evidenced by dusty/broken vent covers, stained tiles.

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

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 8, 2024

The premises were not safe and suitable as evidenced by missing outlet covers.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 5

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 0".

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 5

The facility failed to meet requirements for 3 children, who nap or sleep, did not have a sheet.

Required correction: An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.

5 CSR 25-300.110 · Admission Procedures and Required Reports and Records 1

The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Required correction: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (C) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (E) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 4 child files did not have the name of the individual(s) authorized to take the child.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (F) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 child files did not have the information concerning any accident or injury to a child while in care or any emergency medical care given.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 4

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files missing parental acknowledgements.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due August 10, 2023

Medical examination reports, including TB testing, were not on file for J.K., S.O., S.S., D.P., V.G. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due November 27, 2023

Medical examination reports, including TB testing, were not on file for J.K., L.G., D.P., S.S., R.P., and S.O., V.G. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due August 24, 2023

Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.