La Petite Academy, Inc.

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due June 15, 2026

The annual sanitation inspection was not approved.

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

5 CSR 25-500.122 (1) (C) · Medical Examination Reports · Correction due June 15, 2026

The medical examination report on file for Kali L'Hommedieu was older than 12 months before the individual's begin date at the facility.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due June 15, 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: L.K., Kali L'Hommedieu,, and S.S.

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 approved.

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

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

The floors located in between preschool and school-age rooms was/were not clean as evidenced by tape peeling off floor.

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) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 20, 2026

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

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 20, 2026

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 May 20, 2026

Outdoor equipment, balls , in infant playground was not in good condition as evidenced by flat.

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

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

The medical examination report on file for Kali L'Hommedieu was older than 12 months before the individual's begin date at the facility.

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: L.K., Kali L'Hommedieu,, and S.S.

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 March 26, 2026

The walls located in Pre-K, school-age and toddler rooms was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2026

The ceilings located in school-age room was/were not clean as evidenced by stained.

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

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

There was evidence of spiders/webs in pre-k room.

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 Pre-K, school-age and toddler rooms was/were not in good condition as evidenced by chipping paint.

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

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

The ceilings located in school-age room was/were not clean as evidenced by stained.

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 November 6, 2025

Furniture/equipment, stool , in school-age room was not in good condition as evidenced by leather torn.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due July 17, 2025

The Annual Declaration was not completed as evidenced by Not signed by an approved signer.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due May 19, 2025

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 May 19, 2025

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 May 19, 2025

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. F. · Correction due May 19, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 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 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not completed as evidenced by Not signed by an approved signer.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 15, 2025

Children were not restricted to approved space as evidenced by furnace/laundry room unlocked.

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 May 15, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet cover.

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 May 15, 2025

Hazardous items as follows were accessible to children: G.S.S. and O.E.S. The item(s) was/were located in an unlocked cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 15, 2025

The ceilings located in two bathrooms was/were not clean as evidenced by dusty vents.

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 15, 2025

The floors located in school-age room was/were not clean as evidenced by peeling tape/sticky 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 May 15, 2025

Furniture/equipment, mattress , in infant room was not in good condition as evidenced by torn.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

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.

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.

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. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 19, 2024

The walls located in pre-K bathroom and toddler rooms was/were not in good condition as evidenced by warped wood and chipping paint.

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

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

The walls located school-age room was/were not clean as evidenced by sticky residue/tape on back 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 pre-K bathroom and toddler rooms was/were not in good condition as evidenced by warped wood and chipping paint.

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

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

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

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

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

Furniture/equipment, cabinets, in pre-K and toddler rooms was not in good condition as evidenced by sticky residue.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due September 23, 2024

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 June 6, 2024

The Family Care Safety Registry check was not conducted for M.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 25-500.052 (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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 27, 2024

The ceilings located in school-age room was/were not in good condition as evidenced by rusty vent covers.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 11, 2024

Outdoor equipment, large climber, in Preschool playground was not in good condition as evidenced by rust on steps.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due June 6, 2024

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

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due May 27, 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 12/02/2019.

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

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due June 6, 2024

Medical examination report form did not contain all required information as evidenced by form used by facility did not include required information for Alexandria Dunham.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due August 1, 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.B., J.G., and E.L.

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) (C) · Medical Examination Reports · Correction due August 1, 2024

The medical examination report on file was older than 12 months before the individual's begin date at the facility.

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

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

Medical examination report(s) was/were not on file for A.B., A.F., J.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 reports shall be on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due June 6, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 8 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 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · Correction due June 6, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 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. D. · Correction due June 6, 2024

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. C. · Correction due June 6, 2024

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. B. · Correction due June 6, 2024

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. A. · Correction due June 6, 2024

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 25-500.202 (2) (B) · Nutrition and Food Service · Correction due June 6, 2024

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that facility missing two infant toddler diet plans.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due May 6, 2024

The annual sanitation inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for M.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 May 6, 2024

Children were not restricted to approved space as evidenced by no lock on kitchen door.

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 May 6, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet cover in school-age room.

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 · Correction due May 6, 2024

The floors located in preschool room was/were not clean as evidenced by dirty carpet.

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 6, 2024

The walls located in Pre-K and School age rooms was/were not in good condition as evidenced by food splattered and chipping paint.

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

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

The ceilings located in several rooms was/were not clean as evidenced by dusty vents.

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

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

The ceilings located in school-age room was/were not in good condition as evidenced by rusty vent covers.

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 May 6, 2024

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

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

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

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

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

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

Outdoor equipment, large climber, in Preschool playground was not in good condition as evidenced by rust on steps.

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

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

Medical examination report(s) was/were not on file for A.B., A.F., J.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 reports shall be on file as required.

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

The medical examination report on file was older than 12 months before the individual's begin date at the facility.

Required correction: Medical reports shall be on file 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.B., J.G., and E.L.

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) (D) · Medical Examination Reports

Medical examination report form did not contain all required information as evidenced by form used by facility did not include required information for Alexandria Dunham.

Required correction: Medical reports shall be on file 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 12/02/2019.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

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.

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.

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.

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.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 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.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 8 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 25-500.202 (2) (B) · Nutrition and Food Service

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that facility missing two infant toddler diet plans.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

Violation substantiated · 5 CSR 25-500.082(2)(A)9.

The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 27, 2024

The walls located in school-age room was/were not in good condition as evidenced by vent dented and missing screw, allowing vent to be pulled away from the wall. .

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 April 3, 2024

The facility's outdoor space was not safe for children's activities as evidenced by paint near windows and fence board chipping.

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 · Correction due January 8, 2024

The walls located in school-age room was/were not clean as evidenced by back door dirty/sticky residue.

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 school-age room was/were not in good condition as evidenced by vent dented and missing screw, allowing vent to be pulled away from the wall. .

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 15, 2024

The walls located in several rooms was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 29, 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 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 paint near windows and fence board chipping.

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 8, 2024

Furniture/equipment, teacher cabinet, in toddler room was not in good condition as evidenced by chipping paint and exposed particle board at the base of the cabinet.

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 January 8, 2024

Furniture/equipment, sensory tables , in 2-year-old and preschool rooms was not in good condition as evidenced by wood splintering and sticky residue.

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 February 15, 2024

Outdoor equipment, climbers, in both playgrounds was not in good condition as evidenced by paint chipping and covering peeling/exposed rust.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 9, 2023

Children were not restricted to approved space as evidenced by no lock on kitchen door.

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

The walls located in several rooms was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (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 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 paint near windows and fence board chipping.

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 walls located in school-age room was/were not clean as evidenced by back door dirty/sticky residue.

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 school-age room was/were not in good condition as evidenced by vent dented and missing screw, allowing vent to be pulled away from the wall. .

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

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

Furniture/equipment, sensory tables , in 2-year-old and preschool rooms was not in good condition as evidenced by wood splintering and sticky residue.

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, climbers, in both playgrounds was not in good condition as evidenced by paint chipping and covering peeling/exposed rust.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due November 9, 2023

Furniture/equipment, cubbies and shelves, in several rooms was not in good condition as evidenced by sticky residue.

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

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

Furniture/equipment, teacher cabinet, in toddler room was not in good condition as evidenced by chipping paint and exposed particle board at the base of the cabinet.

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