La Petite Academy, Inc.

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 (1) (C) · Annual Requirements · Correction due April 6, 2026

The equipment list was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due October 27, 2025

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 6, 2026

The Family Care Safety Registry check was not conducted for K.B., S.G., J.J., A.M., M.O., J.R., K.W. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 29, 2026

Hazardous items as follows were accessible to children: diaper creams and scissors. The item(s) was/were located in an unlocked drawer in combo room.

Required correction: Hazardous items shall be inaccessible to children.

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

The ceilings located in combo room was/were not in good condition as evidenced by attic access has a small hole.

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

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

Furniture/equipment, cabinet, in toddler 2 was not in good condition as evidenced by bottom left corner of face broken .

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due November 12, 2025

The facility does not have an approved director on staff.

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

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

Medical examination report(s) was/were not on file for Kelby Hendricks(4/29/2026), Olivia Marcille, Lina Neslon (4/29/226) 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 April 29, 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: K.H., O.M.,.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due April 6, 2026

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. F. · Correction due April 6, 2026

The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 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 25-600.020 (1) · General Requirements · Correction due April 6, 2026

Criminal background check results were not on file for J.R.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.R.

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

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

The equipment list was not submitted.

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

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

The Annual Declaration was not submitted.

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

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

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for K.B., S.G., J.J., A.M., M.O., J.R., K.W. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 21, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that plate for light was switch missing.

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 October 21, 2025

The ceilings located in Toddler 2, preschool , and hallway was/were not clean as evidenced by dusty vents/light fixtures.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 21, 2025

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

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

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

The walls located in Pre-k was/were not clean as evidenced by sticky/tape residue on window.

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 October 21, 2025

Outdoor equipment, balls, in school-age and preschool playgrounds was not in good condition as evidenced by flat.

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

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

The facility does not have an approved director on staff.

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

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

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

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

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

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

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

5 CSR 25-500.132 · 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. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 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 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 19, 2025

Children were not restricted to approved space as evidenced by lock on bathroom door broken.

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 August 19, 2025

The walls located in two-year-old 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 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due August 19, 2025

Outdoor equipment, picnic table and basketball goal, in preschool and school age playgrounds was not in good condition as evidenced by covering peeling, exposing rust and torn net.

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

Children were not restricted to approved space as evidenced by lock on bathroom door broken.

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 May 29, 2025

The walls located in toddler room was/were not clean as evidenced by 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 · Correction due May 29, 2025

The floors located in preschool, pre-k and school-age rooms was/were not in good condition as evidenced by frayed area rug, tape peeling/sticky residue, curled 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

The walls located in two-year-old 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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, picnic table and basketball goal, in preschool and school age playgrounds was not in good condition as evidenced by covering peeling, exposing rust and torn net.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due April 17, 2025

The facility does not have an approved director on staff.

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

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

The facility does not have an approved director on staff.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due January 13, 2025

The Family Care Safety Registry check was not conducted for G.B., B.S., and 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 13, 2025

The walls located in infant 2 and two's room was/were not in good condition as evidenced by chipping paint on window sill.

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

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

The ceilings located in Pre-K, EP, and two's rooms was/were not clean as evidenced by dusty vents and sound boards.

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 January 13, 2025

Furniture/equipment, shelves and crib, in infant 2 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 (3) (A) · Furniture, Equipment and Materials · Correction due January 13, 2025

Outdoor equipment, stationary pinwheel, in infant/toddler playground was not in good condition as evidenced by plastic peeling off.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due October 22, 2024

Brian Shubert (designee) did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due January 13, 2025

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due January 13, 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: J.B. and M.B.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due January 13, 2025

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 12/12/2022.

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. F. · Correction due January 13, 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 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for G.B., B.S., and 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in Pre-K, EP, and two's rooms was/were not clean as evidenced by dusty vents and sound boards.

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 infant 2 and two's room was/were not in good condition as evidenced by chipping paint on window sill.

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

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

Furniture/equipment, shelves and crib, in infant 2 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 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, stationary pinwheel, in infant/toddler playground was not in good condition as evidenced by plastic peeling off.

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

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

Brian Shubert (designee) 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 J.B., M.B., and A.H. 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: J.B. and M.B.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 12/12/2022.

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. 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 April 24, 2024

The ceilings located in infant bathroom, two's room and kitchen hallway 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 April 24, 2024

The walls located in school-age, toddler rooms, and combo room was/were not clean as evidenced by dirty kick plates on door and 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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 29, 2024

The facility's outdoor space was not safe for children's activities as evidenced by trash on school-age playground and broken stucco on wall on pre-k playground.

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 April 24, 2024

Furniture/equipment, shelves, in two's and pre-k 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) 2. · Furniture, Equipment and Materials · Correction due April 24, 2024

The passage to an exit located in the school-age room was not clear as evidenced by rolled carpets and boxes blocking passages.

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

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, toddler rooms, and combo room was/were not clean as evidenced by dirty kick plates on door and 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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by trash on school-age playground and broken stucco on wall on pre-k playground.

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

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

The ceilings located in infant bathroom, two's room and kitchen hallway 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelves, in two's and pre-k 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) 2. · Furniture, Equipment and Materials

The passage to an exit located in the school-age room was not clear as evidenced by rolled carpets and boxes blocking passages.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due March 27, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a crib mattress/pad was not sized correctly.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

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

The ceilings located in infant bathroom, two's room and kitchen hallway 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 walls located in school-age, toddler rooms, and combo room was/were not clean as evidenced by dirty kick plates on door and 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 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by trash on school-age playground and broken stucco on wall on pre-k playground.

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, shelves, in two's and pre-k 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) 2. · Furniture, Equipment and Materials

The passage to an exit located in the school-age room was not clear as evidenced by rolled carpets and boxes blocking passages.

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

5 CSR 25-500.102 (1) (B) · Personnel

A caregiver did not cooperate with the department as evidenced by CI Eddins requesting a copy of video footage during an inspection and being denied access to a copy.

Required correction: Caregivers shall be cooperative.

5 CSR 25-500.222 (11) · Records and Reports

During an inspection, CI Eddins requested a copy of video footage and it was not received. The video footage, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due December 13, 2023

The equipment list was not submitted.

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

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

The ceilings located in several rooms and bathrooms was/were not clean as evidenced by dusty vents, dusty ceiling tiles, stained ceiling (paint peeling).

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

5 CSR 25-500.102 · Personnel (2) (A) 1. . · Correction due January 10, 2024

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by facility does not have an approved director on record.

Required correction: The director or group home provider shall be responsible for the daily program.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due January 10, 2024

The director is not routinely on duty, as evidenced by facility does not have an approved director on record.

Required correction: The director/group home provider shall be routinely on duty, as required.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due January 10, 2024

The facility does not have an approved director on staff.

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

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due October 16, 2023

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

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

5 CSR 25-500.042 (13) (C) · Licensing Process · Correction due October 16, 2023

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

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

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

The equipment list was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due October 10, 2023

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due July 13, 2023

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 October 20, 2023

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) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 20, 2023

Window and door requirements were not met as evidenced by the screen was not in good repair in that screen was torn.

Required correction: Open windows and doors shall be screened securely and barriers shall be installed as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 9, 2023

The walls located in preschool, Pre-K, infant room was/were not in good condition as evidenced by chipped paint, 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 ceilings located in several rooms and bathrooms was/were not clean as evidenced by dusty vents, dusty ceiling tiles, stained ceiling (paint peeling).

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 October 30, 2023

The facility's outdoor space was not safe for children's activities as evidenced by weeds, hole in the edge of turf, .

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 November 9, 2023

Furniture/equipment, chair and toy couch, in preschool and school-age rooms was not in good condition as evidenced by broken/torn leather.

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 November 9, 2023

Furniture/equipment, shelves, cribs, toys fridge, in several rooms was not in good condition as evidenced by sticky residue, paper peeling, paint peeling, wood chipping (cribs and workshop table).

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due October 30, 2023

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 9, 2023

Outdoor equipment, toy storage and trikes, in I/T and two year old playground was not in good condition as evidenced by broken, torn handle bar covers and rusting.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due October 18, 2023

Safe sleep training was not completed within the past 3 years for the following staff S.C., K.D., S.G.

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 · Personnel (2) (A) 1. .

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by facility does not have an approved director on record.

Required correction: The director or group home provider shall be responsible for the daily program.

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

The director is not routinely on duty, as evidenced by facility does not have an approved director on record.

Required correction: The director/group home provider shall be routinely on duty, as required.

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

The facility does not have an approved director on staff.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due November 14, 2023

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due November 14, 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: S.C., K.D., N.O., L.H.

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due October 18, 2023

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

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

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due October 18, 2023

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 October 18, 2023

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. F. · Correction due October 18, 2023

The facility did not meet requirements for child enrollment and health information on file as evidenced by 16 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due October 19, 2023

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due October 19, 2023

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due October 19, 2023

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

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

5 CSR 25-500.052 (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 25-500.042 (13) (B) · Licensing Process

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

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

5 CSR 25-500.042 (13) (C) · Licensing Process

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

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

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

The equipment list was not submitted.

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

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

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (2) (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) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers

Window and door requirements were not met as evidenced by the screen was not in good repair in that screen was torn.

Required correction: Open windows and doors shall be screened securely and barriers shall be installed 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 several rooms and bathrooms was/were not clean as evidenced by dusty vents, dusty ceiling tiles, stained ceiling (paint peeling).

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 weeds, hole in the edge of turf, .

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 preschool, Pre-K, infant room was/were not in good condition as evidenced by chipped paint, 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

Furniture/equipment, shelves, cribs, toys fridge, in several rooms was not in good condition as evidenced by sticky residue, paper peeling, paint peeling, wood chipping (cribs and workshop table).

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

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

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

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

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

Outdoor equipment, toy storage and trikes, in I/T and two year old playground was not in good condition as evidenced by broken, torn handle bar covers and rusting.

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 October 2, 2023

Furniture/equipment, books and puzzle storage, in early preschool and preschool rooms was not in good condition as evidenced by torn/broken.

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, chair and toy couch, in preschool and school-age rooms was not in good condition as evidenced by broken/torn leather.

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 S.C., K.D., S.G.

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

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

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

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

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

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

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

5 CSR 25-500.132 · 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. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 16 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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

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

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

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

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

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

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

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

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

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