Learning and Fun Preschool

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 1, 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 the gates on the north side of the playground had an opening that measured 4" after adjusting.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due April 30, 2026

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.

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

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

Children were not restricted to approved space as evidenced by furnace door was 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 April 29, 2026

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 cover was missing in the 2s room.

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

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 the gates on the north side of the playground had an opening that measured 4" after adjusting.

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

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

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due October 29, 2025

The annual sanitation inspection was not approved.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due October 30, 2025

The requirements for sleeping materials were not met as evidenced by several (Rainbow and Caterpillar rooms) child(ren) 12 months or older, who nap or sleep, did not have a sheet.

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

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

The walls located in the toddler room was/were not in good condition as evidenced by chipping paint by the diaper changing station.

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 · Correction due October 28, 2025

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 the diaper changing surface is a pad on a countertop facing the wall.

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 October 28, 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 4.5" on the south side of the I/T parking lot between the gate and the building.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due October 30, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2'.

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

5 CSR 25-500.092 (3) (I) · Furniture, Equipment and Materials · Correction due October 30, 2025

Outdoor play equipment had a rope wrapped around the base that might entrap, close or tighten upon a child.

Required correction: Any item that might entrap, close or tighten upon a child shall not be permitted.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due October 28, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: L.F. (compliant 10/21), L.H., R.W., A.S., E.J., N.W., L.T., C.M.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due October 30, 2025

Medical examination report(s) was/were not on file for Abry Seymore(compliant 10/28), Elese Jackson (compliant 10/29), Lanetta Todd 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 October 30, 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: L.T.

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 (6) · Admission Policies and Procedures · Correction due November 4, 2025

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) (A) · Records and Reports · Correction due October 22, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due October 22, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due October 22, 2025

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due October 28, 2025

one 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 25-600.020 (1) · General Requirements · Correction due October 15, 2025

Criminal background check results were not on file for L.F., T.G., and C.H.

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

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: L.F., L.H., R.W., A.S., E.J., N.W., L.T., C.M.

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

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

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

Required correction: Medical 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.T.

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) (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 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 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 2 outlets in the Caterpillar room did not have covers.

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 15, 2025

The ceilings located in the Caterpillar room was/were not clean as evidenced by dirt buildup on the ceiling fan.

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 15, 2025

Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

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

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 the diaper changing surface is a pad on a countertop facing the wall.

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

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.5" on the south side of the I/T parking lot between the gate and the building.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 15, 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

The walls located in the toddler room was/were not in good condition as evidenced by chipping paint by the diaper changing station.

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

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

The requirements for sleeping materials were not met as evidenced by several (Rainbow and Caterpillar rooms) child(ren) 12 months or older, who nap or sleep, did not have a sheet.

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

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

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured less than 2'.

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

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

Outdoor play equipment had a rope wrapped around the base that might entrap, close or tighten upon a child.

Required correction: Any item that might entrap, close or tighten upon a child shall not be permitted.

5 CSR 25-500.102 (1) (E) · Personnel · Correction due October 15, 2025

A caregiver was not sensitive to the capabilities, interests and problems of children in care as evidenced by Caregiver A.J. did not provide close supervision of a child with a diagnosis of autism who requires additional supervision. As a result, the child was able to pass through two gates unnoticed to leave the playground.

Required correction: Caregivers shall meet child care personnel requirements.

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 25-500.182 (1) (A) 1. · Child Care Program · Correction due October 15, 2025

A child was left without competent supervision as evidenced by a 6-year-old child left the playground, passing through two gates, and crossed the side street by the playground before children told staff the child was out of the playground.

Required correction: The facility shall provide competent supervision for each child as required.

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

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

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

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

one 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 25-500.222 (2) (B) · Records and Reports

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

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

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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.F., T.G., and C.H.

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

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not sensitive to the capabilities, interests and problems of children in care as evidenced by Caregiver A.J. did not provide close supervision of a child with a diagnosis of autism who requires additional supervision. As a result, the child was able to pass through two gates unnoticed to leave the playground.

Required correction: Caregivers shall meet child care personnel requirements.

5 CSR 25-500.182 (1) (A) 1. · Child Care Program

A child was left without competent supervision as evidenced by a 6-year-old child left the playground, passing through two gates, and crossed the side street by the playground before children told staff the child was out of the playground.

Required correction: The facility shall provide competent supervision for each child as required.

5 CSR 25-500.102 (2) (A) 6. · Personnel · Correction due September 23, 2025

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due September 23, 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) 6. · Personnel

The department did not receive notification of a director change.

Required correction: The facility shall notify the department immediately when there is a change of directors and submit required background check request.

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 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 5, 2025

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 bathroom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 18, 2025

Hazardous items as follows were accessible to children: sanitizing spray and staff purse. The item(s) was/were located low tables in the SA area.

Required correction: Hazardous items shall be inaccessible to children.

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 bathroom.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 22, 2025

Criminal background check results were not on file for R.H. (no longer employed), T.L., K.D. (no longer employed), M.S. (compliant 1/14/25), E.J. (compliant 1/22/25), C.H. (compliant 1/10/25), N.H., C.H. (compliant 1/14/25), T.G. (compliant 1/14/25), B.C. (compliant 1/14/25), C.E. (compliant 1/14/25).

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due July 3, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due November 15, 2024

Safe sleep training was not completed within the past 3 years for the following staff C.E., T.G. (compliant 11/1).

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 · Correction due January 14, 2025

Medical examination report(s) was/were not on file for T.L., K.D., MAriah Shelton, N.H., R.H., C.E., B.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 January 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: T.L., K.D., M.S., C.E., R.H., B.C.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for R.H. (no longer employed), T.L., K.D. (no longer employed), M.S. (compliant 1/14/25), E.J., C.H. (compliant 1/10/25), N.H., C.H. (compliant 1/14/25), T.G. (compliant 1/14/25), B.C. (compliant 1/14/25), C.E. (compliant 1/14/25).

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

5 CSR 25-500.222 (7) · Records and Reports · Correction due November 1, 2024

Enrollment, medical and attendance records were removed from the facility during hours the facility is open and operating.

Required correction: All required records shall be kept on file at the facility and accessible at all times.

5 CSR 25-500.222 (7) · Records and Reports · Correction due November 1, 2024

Enrollment, medical and attendance records were not accessible at all times as evidenced by Director C.E. stated that she took staff files home to work on them. They were not available for review during inspection..

Required correction: All required records shall be kept on file at the facility and accessible at all times.

5 CSR 25-500.222 (1) · Records and Reports · Correction due November 1, 2024

The provider failed to maintain accurate records to meet administrative requirements as evidenced by 2nd page of one child's enrollment form was missing.

Required correction: Accurate records shall be maintained.

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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 1, 2024

Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

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

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

Children were not restricted to approved space as evidenced by gate to the kitchen was not in place which allows access to 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 November 1, 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 missing an outlet cover in the preschool room by the kitchen.

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 November 1, 2024

Hazardous items as follows were accessible to children: can of disinfectant spray and two unmarked spray bottles. The item(s) was/were located on low tables in the preschool room near the kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: 3 vacuum cleaners and 1 steam cleaner. The item(s) was/were located in the area outside the 2s room and in the preschool area by the kitchen.

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 November 1, 2024

The ceilings located in the 2s room was/were not in good condition as evidenced by one stained ceiling tile.

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 1, 2024

There was evidence of dirt/debris in the carpeted area outside the 2s room was dirty.

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

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due November 1, 2024

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 25-500.087 (2) (F) · Fire Safety · Correction due November 1, 2024

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

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

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

Safe sleep training was not completed within the past 3 years for the following staff C.E., T.G. (compliant 11/1).

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 November 1, 2024

Erica Anderson (compliant 11/1) and Ramaya Houston (neither are listed on MOPD report) - compliant 11/1 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due November 1, 2024

Staff/child ratio requirements were not met as evidenced by 9 children , ages 6 weeks to 24 months, were cared for by one adult caregiver(s).

Required correction: Staff/child ratios and group sizes shall be maintained at all times.

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

Medical examination report(s) was/were not on file for T.L., K.D., MAriah Shelton, N.H., R.H., C.E., B.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: T.L., K.D., M.S., C.E., R.H., B.C.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 1, 2024

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 1, 2024

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due November 1, 2024

four 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for R.H., T.L., K.D., M.S., E.J., C.H., N.H., C.H., T.G., B.C., C.E.

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

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

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 missing an outlet cover in the preschool room by the kitchen.

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

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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

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

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 gate to the kitchen was not in place which allows access to the kitchen.

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 October 16, 2024

Hazardous items as follows were accessible to children: bottle of Lysol cleaner and disinfectant wipes. The item(s) was/were located on low shelves in an unlocked cabinet in the 2s 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 the 2s room was/were not in good condition as evidenced by one stained ceiling tile.

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 carpeted area outside the 2s room was dirty.

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

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

Hazardous items as follows were accessible to children: can of disinfectant spray and two unmarked spray bottles. The item(s) was/were located on low tables in the preschool room near the kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: 3 vacuum cleaners and 1 steam cleaner. The item(s) was/were located in the area outside the 2s room and in the preschool area by the kitchen.

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 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 25-500.087 (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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff C.E., T.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 (4) (A) 3. · Personnel

Erica Anderson and Ramaya Houston (neither are listed on MOPD report) 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 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by 9 children , ages 6 weeks to 24 months, were cared for by one adult caregiver(s).

Required correction: Staff/child ratios and group sizes shall be maintained at all times.

5 CSR 25-500.222 (7) · Records and Reports

Enrollment, medical and attendance records were removed from the facility during hours the facility is open and operating.

Required correction: All required records shall be kept on file at the facility and accessible at all times.

5 CSR 25-500.222 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by 2nd page of one child's enrollment form was missing.

Required correction: Accurate records shall be maintained.

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

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

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

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

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

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

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

four 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 (7) · Records and Reports

Enrollment, medical and attendance records were not accessible at all times as evidenced by Director C.E. stated that she took staff files home to work on them. They were not available for review during inspection..

Required correction: All required records shall be kept on file at the facility and accessible at all times.

5 CSR 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2024

There was evidence of dirt/debris in the fish tank top is covered with dust.

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

5 CSR 25-500.082 (1) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 28, 2024

An other area, the stage, with a drop-off of more than 24 inches had no railing/barrier.

Required correction: The facility shall provide an approved railing or barrier as required.

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

An other area, the stage, with a drop-off of more than 24 inches had no railing/barrier.

Required correction: The facility shall provide an approved railing or barrier as required.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlet covers missing (2 in the 3s and 4s room and 1 by the fish tank).

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 April 26, 2024

Hazardous items as follows were accessible to children: bottle of Mr. Clean. The item(s) was/were located on a low shelf in the 4s room.

Required correction: Hazardous items shall be inaccessible to children.

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 fish tank top is covered with dust.

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

5 CSR 25-500.082 (8) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 26, 2024

Food and water dishes used by animals were accessible to children as evidenced by 2 containers of fish food accessible on top of the fish tank.

Required correction: Food and water dishes used by animals shall not be accessible to children.

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due January 29, 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) (A) · Annual Requirements · Correction due December 4, 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

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 · Correction due October 19, 2023

The Family Care Safety Registry check was not conducted for L.A., S.A., C.E., C.H., C.H., B.C., T.G., M.H., T.L., N.H., R.H., T.L. within thirty (30) days prior to the anniversary date.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 7, 2023

The facility's outdoor space was not safe for children's activities as evidenced by the top rail on the fencing on the north side of the preschool playground is detached with a sharp end exposed.

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

5 CSR 25-500.082 (1) (E) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 7, 2023

An other area, the stage, with a drop-off of more than 24 inches had no railing/barrier.

Required correction: The facility shall provide an approved railing or barrier as required.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 13, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that missing plate in the pre-K/lunchroom area.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 7, 2023

Outdoor equipment, slide, in the outdoor I/T area was not in good condition as evidenced by crack/small hole in the slide.

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

5 CSR 25-500.102 (2) (A) 5. · Personnel · Correction due December 13, 2023

In the absence of the director, there was no responsible individual designated to be in charge of the facility.

Required correction: The facility shall designate someone in charge in the absence of the director/group home provider.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due December 6, 2023

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 all over 30 days (4 children).

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due December 6, 2023

Requirements for immunization reports on file were not met as evidenced by 3 immunization record(s) was/were not on file.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due December 13, 2023

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 6, 2023

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 6, 2023

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 13, 2023

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

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due December 6, 2023

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due December 6, 2023

3 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 25-500.052 (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 L.A., S.A., C.E., C.H., C.H., B.C., T.G., M.H., T.L., N.H., R.H., T.L. 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 18, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4 outlet covers missing .

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 October 18, 2023

Hazardous items as follows were accessible to children: Lysol wipes and spray air freshener . The item(s) was/were located on a low table in the 2s and 3s room.

Required correction: Hazardous items shall be inaccessible to children.

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 the top rail on the fencing on the north side of the preschool playground is detached with a sharp end exposed.

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

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

Children were not restricted to approved space as evidenced by furnace room door on north side of building was unlocked.

Required correction: Caregivers shall restrict children to approved space.

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

An other area, the stage, with a drop-off of more than 24 inches had no railing/barrier.

Required correction: The facility shall provide an approved railing or barrier as required.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was missing in that missing plate in the pre-K/lunchroom area.

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 October 18, 2023

Hazardous items as follows were accessible to children: staff purse . The item(s) was/were located on a low table in the pre-K room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (8) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 18, 2023

Food and water dishes used by animals were accessible to children as evidenced by two containers of fish food accessible to children on top of fish tank.

Required correction: Food and water dishes used by animals shall not be accessible to children.

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

Outdoor equipment, slide, in the outdoor I/T area was not in good condition as evidenced by crack/small hole in the slide.

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

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

In the absence of the director, there was no responsible individual designated to be in charge of the facility.

Required correction: The facility shall designate someone in charge in the absence of the director/group home provider.

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 all over 30 days (4 children).

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

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

Requirements for immunization reports on file were not met as evidenced by 3 immunization record(s) was/were not on file.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

3 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.