La Petite Academy, Inc.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due July 8, 2026

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

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2026

Children were not restricted to approved space as evidenced by the kitchen door was unlocked in the preschool classroom.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2026

The ceilings located in the bathrooms of the preschool, prek and early preschool classrooms was/were not clean as evidenced by dust was observed on the ceiling vents.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2026

The facility's outdoor space was not safe for children's activities as evidenced by trash such as cups, paper and kleenex were observed on the prek playground.

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

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

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

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due July 8, 2026

Outdoor equipment, a hard plastic picnic table, in the prek playground was not in good condition as evidenced by the hard plastic was cracked on the seat and the legs of the table.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due July 8, 2026

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

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Imani Thompson.

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

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due February 23, 2026

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is 4 area rugs were observed in the toddler classroom.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 4, 2026

The walls located in the 2/3 room and the preschool room was/were not clean as evidenced by scribble crayon/marker and paint were observed on walls and doors.

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 May 4, 2026

The walls located in the toddler room, 2 year old room, 2/3 year old room, both pre k classrooms and the preschool classroom was/were not in good condition as evidenced by chipping and peeling paint on the walls and window seals.

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 June 3, 2026

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 approximately 6 inches by 8 inches in the side playground back left corner of the chain fence by the pipe.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due March 5, 2026

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 25-500.087 (2) (F) · Fire Safety · Correction due March 5, 2026

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due May 7, 2026

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the staff were not aware of where the emergency plan was located in multiple classrooms.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 3, 2026

Furniture/equipment, a shelf, in the preschool classroom was not in good condition as evidenced by exposed cork board was observed on one shelf.

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

5 CSR 25-500.102 (3) (C) · Personnel · Correction due April 14, 2026

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: A.M. was short 4 hours of training for 2025.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due April 6, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: E.K.

Required correction: All caregivers shall obtain a MOPD ID.

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

Safe sleep training was not completed within the past 3 years for the following staff A.H., C.L., A.M., I.T.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due April 6, 2026

Eliana Kirkland 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 February 18, 2026

Medical examination report(s) was/were not on file for A.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 February 18, 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: A.M.

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

Violation substantiated · 5 CSR 25-500.082(1)(K)

No person shall smoke or otherwise use tobacco products in any area of the child care facility during the period of time when children cared for under the license are present.

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

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

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

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 7, 2026

Children were not restricted to approved space as evidenced by the kitchen door was not locked and no staff member was present in the kitchen .

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 7, 2026

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4 outlets were not covered in the 2/3 year old room and 3 outlets were covered in the pre k classroom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 7, 2026

Hazardous items as follows were accessible to children: 13 tubes of diaper ointments. The item(s) was/were located in the 2 year old room diaper changing table that wasn't locked and within reach of children..

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is 4 area rugs were observed in the toddler classroom.

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

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

The walls located in the toddler room, 2 year old room, 2/3 year old room, both pre k classrooms and the preschool classroom was/were not in good condition as evidenced by chipping and peeling paint on the walls and window seals.

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 approximately 6 inches by 8 inches in the side playground back left corner of the chain fence by the pipe.

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 in the 2/3 room and the preschool room was/were not clean as evidenced by scribble crayon/marker and paint were observed on walls and doors.

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 January 7, 2026

Hazardous items as follows were accessible to children: a staff purse. The item(s) was/were located in the prek classroom on a table within reach of children.

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 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the staff were not aware of where the emergency plan was located in multiple classrooms.

Required correction: The facilities disaster and emergency plan must be available in required locations.

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

Furniture/equipment, a shelf, in the preschool classroom was not in good condition as evidenced by exposed cork board was observed on one shelf.

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

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: A.M. was short 4 hours of training for 2025.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: E.K.

Required correction: All caregivers shall obtain a MOPD ID.

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

Safe sleep training was not completed within the past 3 years for the following staff A.H., C.L., A.M., I.T.

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

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

Eliana Kirkland did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Medical examination report(s) was/were not on file for A.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: A.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 (2) (A) · Annual Requirements · Correction due July 15, 2025

The annual fire safety inspection was not approved.

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

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

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 8, 2025

The Family Care Safety Registry check was not conducted for K.P. 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 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due July 28, 2025

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is 4 area rugs were observed in the toddler room.

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

5 CSR 25-500.082 (VIII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due September 30, 2025

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by ten children age 2 and 2 staff members went through the toddler room from the playground to the 2 year old classroom that is not part of the infant/toddler unit.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 28, 2025

The floors located in the 2 year old room was/were not clean as evidenced by dirt soiled stains were observed on the area rug.

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 July 28, 2025

The walls located in the preschool room was/were not in good condition as evidenced by the paint was peeling off the wall in multiple places.

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 12, 2025

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 in 3 areas between 6-7 inches. The fence gate on the toddler playground measured 6 inches between the gate and fence. On the grass playground used for water play the back fence gap at the drain measured 7 inches at the bottom. On the grass playground used for water play at the front fence line the gap at the bottom measured 6 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 · Correction due September 12, 2025

The facility's outdoor space was not safe for children's activities as evidenced by on the grass playground used for water play the drain was broken and cracked.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 28, 2025

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due July 14, 2025

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

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 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

The annual sanitation inspection was not conducted.

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

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

The Family Care Safety Registry check was not conducted for K.P. 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) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 10, 2025

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

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 10, 2025

Hazardous items as follows were accessible to children: 1 bottler of sunscreen and 4 diaper creams (early preschool room) and 2 tubes of calmoseptine lotion, 1 tube of mupirocin ointment, 1 tube of aquaphor, 3 accutherm cold packs,1 tube of cetaphil, 3 tubes of destin and tube of A & D ointment (2 year room) . The item(s) was/were located in the early preschool room and the 2 year old room in unlocked changing tables.

Required correction: Hazardous items shall be inaccessible to children.

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

Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is 4 area rugs were observed in the toddler room.

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

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

Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by ten children age 2 and 2 staff members went through the toddler room from the playground to the 2 year old classroom that is not part of the infant/toddler unit.

Required correction: Infant/toddler areas shall not be used as a passageway by other staff or 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 preschool room was/were not in good condition as evidenced by the paint was peeling off the wall in multiple places.

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 in 3 areas between 6-7 inches. The fence gate on the toddler playground measured 6 inches between the gate and fence. On the grass playground used for water play the back fence gap at the drain measured 7 inches at the bottom. On the grass playground used for water play at the front fence line the gap at the bottom measured 6 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 on the grass playground used for water play the drain was broken and cracked.

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 the 2 year old room was/were not clean as evidenced by dirt soiled stains were observed on the area rug.

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 July 10, 2025

Furniture/equipment, the art / friendship board, in the early preschool room was unsafe as evidenced by the plexi glass was broken with half of the glass missing creating sharp edges.

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

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

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

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

5 CSR 25-500.122 · 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: M.P.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 21, 2025

The walls located in the 4 year old room was/were not clean as evidenced by sticky paper residue with dirt attached were observed.

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 6, 2025

The floors located in the Early Preschool 3-4 year old room was/were not finished with material which can be cleaned easily as evidenced by an area approximately 1 inch by 8 inches was missing part of the tile flooring.

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 11, 2025

The walls located in the toddler room was/were not clean as evidenced by sticky paper residue with dirt attached were observed.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 6, 2025

There was evidence of dirt/debris in the PreK room due to color scribbles being observed on the tables.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 13, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the area around the sink in the Prek room had exposed cork board.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due March 6, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky paper residue and coloring scribbles were observed on the shelves in the Early Preschool room.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due February 13, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the diaper changing table in the toddler classroom has stripping that was coming off the edges of the changing table and exposing cork board.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 10, 2025

Medical examination report(s) was/were not on file for A.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 25-500.122 · Medical Examination Reports (1) (B) . · Correction due March 10, 2025

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

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

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

Children were not restricted to approved space as evidenced by the hot water heater room was not locked in the 4 year old room.

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 January 9, 2025

Hazardous items as follows were accessible to children: 1 bottle of toilet bowl cleaner. The item(s) was/were located in a basket on the back of a door within reach of the children.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the toddler room was/were not clean as evidenced by sticky paper residue with dirt attached were observed.

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

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

There was evidence of dirt/debris in the PreK room due to color scribbles being observed on the tables.

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

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

The walls located in the 4 year old room was/were not clean as evidenced by sticky paper residue with dirt attached were observed.

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

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

The floors located in the Early Preschool 3-4 year old room was/were not finished with material which can be cleaned easily as evidenced by an area approximately 1 inch by 8 inches was missing part of the tile flooring.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the diaper changing table in the toddler classroom has stripping that was coming off the edges of the changing table and exposing cork board.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the area around the sink in the Prek room had exposed cork board.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky paper residue and coloring scribbles were observed on the shelves in the Early Preschool room.

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

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

Medical examination report(s) was/were not on file for A.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 25-500.122 · 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.C.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 19, 2024

The walls located infant room was/were not finished with material which can be cleaned easily as evidenced by chipped paint was observed behind the rocking chair.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 19, 2024

The walls located in the preschool room was/were not clean as evidenced by dirt and sticky paper residue was observed in the library area and the group time wall in the block area.

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 July 16, 2024

The walls located in the preschool room was/were not finished with material which can be cleaned easily as evidenced by chipped paint on the wall in the library area.

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 July 16, 2024

The walls located in the 2 year old room was/were not clean as evidenced by dirty walls by the area rug and the outside wall of the room.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 16, 2024

The floors located in the early preschool room was/were not clean as evidenced by the ABC large area rug had multiple dirt stains.

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 July 8, 2024

The ceilings located in the preschool room was/were not in good condition as evidenced by stained ceiling tiles in two (2) areas.

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 August 2, 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 the wood fence was leaning in an area that was approximately 25-30 feet on the older preschool playground appearing to be unstable as I pushed on the fence giving 4 - 5 inches of sway.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

The facility's outdoor space was not safe for children's activities as evidenced by peeling paint on the wood fence surrounding the air conditioning unit which also had protruding nails in multiple areas.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

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

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 26, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky paper residue was observed on one (1) shelf in the preschool classroom by the door going outside.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due August 6, 2024

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due July 2, 2024

One (1) 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 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 2, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that two (2) outlets were not covered in the PreK classroom.

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

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

The ceilings located in the preschool room was/were not in good condition as evidenced by stained ceiling tiles in two (2) areas.

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 the wood fence was leaning in an area that was approximately 25-30 feet on the older preschool playground appearing to be unstable as I pushed on the fence giving 4 - 5 inches of sway.

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 peeling paint on the wood fence surrounding the air conditioning unit which also had protruding nails in multiple areas.

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

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

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

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

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

The floors located in the early preschool room was/were not clean as evidenced by the ABC large area rug had multiple dirt stains.

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 infant room was/were not finished with material which can be cleaned easily as evidenced by chipped paint was observed behind the rocking chair.

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

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

The walls located in the preschool room was/were not clean as evidenced by dirt and sticky paper residue was observed in the library area and the group time wall in the block area.

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

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

The walls located in the preschool room was/were not finished with material which can be cleaned easily as evidenced by chipped paint on the wall in the library area.

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

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

The walls located in the 2 year old room was/were not clean as evidenced by dirty walls by the area rug and the outside wall of the room.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sticky paper residue was observed on one (1) shelf in the preschool classroom by the door going outside.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

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

One (1) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 12, 2024

The walls located in the preschool room was/were not clean as evidenced by sticky residue was observed on the door leading to the prek classroom.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 31, 2024

The facility's outdoor space was not safe for children's activities as evidenced by chipping paint in 2 areas on the south side of the building on the wall under a window .

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

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

Furniture/equipment, a drinking fountain, in the preschool classroom was not in good condition as evidenced by sticky residue with dirt were observed on the front part of the drinking fountain.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due January 12, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by 2 shelves in the preschool classroom had contact paper sticky residue with dirt attached.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due January 30, 2024

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

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet wasn't covered in the preschool room.

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

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

Hazardous items as follows were accessible to children: 1 tube of diaper ointment. The item(s) was/were located in an unlocked changing table accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the preschool room was/were not clean as evidenced by sticky residue was observed on the door leading to the prek classroom.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by chipping paint in 2 areas on the south side of the building on the wall under a window .

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

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

Furniture/equipment, a drinking fountain, in the preschool classroom was not in good condition as evidenced by sticky residue with dirt were observed on the front part of the drinking fountain.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by 2 shelves in the preschool classroom had contact paper sticky residue with dirt attached.

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

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: D.W.

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

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

Four (4) child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

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

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

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

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

Brief, supervised separation from the group may be used based on a guideline of one (1) minute of separation for each year of the child's age.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 15, 2023

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the Early Preschool 3 and 4 year old room were backs of staff would be to children when changing diapers.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due August 10, 2023

The Family Care Safety Registry check was not conducted for A.B. 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 August 7, 2023

The walls located in the preschool 3 & 4 year old room was/were not in good condition as evidenced by chipping and peeling paint and dirt were observed on the back door and the blue walls.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 3, 2023

The ceilings located in the 2 year old room was/were not in good condition as evidenced by soiled ceiling tiles in 2 areas of the room.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 17, 2023

The floors located in the front prek room, preschool 3 & 4 year old room, Early Preschool 3 & 4 year old room and the 2 year old room was/were not clean as evidenced by the area rugs were soiled.

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

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

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the Early Preschool 3 and 4 year old room were backs of staff would be to children when changing diapers.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 17, 2023

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 1/2 to 6 inches on the front gate and fence area on the toddler playground.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. A. · Correction due November 6, 2023

Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not provided for each infant in that the facility is approved for 14 infants under 12 months and only had 8 cribs therefore the facility is short 6 cribs.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due November 6, 2023

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by appropriate feeding equipment was not provided. The number of equipment needed was 2 feeding equipment pieces for the 3 rd infant/toddler room.

Required correction: Safe and secure feeding equipment shall be provided as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. A. · Correction due November 6, 2023

The facility did not meet requirements for push-pull toys. The facility needed an additional sixteen (16) 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 November 6, 2023

The facility did not meet requirements for balls or other large muscle. The facility needed an additional eight (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 November 6, 2023

The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional eight (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. D. · Correction due November 6, 2023

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional eight (8) items in this category.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due August 16, 2023

Heaven Grooms and Brianna Medley did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due November 6, 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: F.O.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due November 6, 2023

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the lunch today didn't include a grain.

Required correction: Nourishing food shall be provided as required.