Little Lambs Preschool & PDO

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due March 24, 2026

Medical examination reports, including TB testing, were not on file for R.U.,, H.T., and A.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/TB reports shall be on file as required.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due February 26, 2026

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

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 18, 2026

The ceilings located in rooms 104, 105, 106 was/were not easily cleanable as evidenced by dusty vent and fan.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due February 18, 2026

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

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due March 27, 2026

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

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

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

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

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

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

Medical examination reports, including TB testing, were not on file for R.U.,, H.T., and A.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/TB reports shall be on file as required.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due February 9, 2026

Hazardous items as follows were accessible to children: lotions, air freshener, scissors, razor, and purse. The item(s) was/were located in unlocked drawers and hanging on low hook.

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

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

The ceilings located in rooms 104, 105, 106 was/were not easily cleanable as evidenced by dusty vent and fan.

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

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

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

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

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

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

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

5 CSR 25-300.050 (1) (D) 2. · Health Requirements · Correction due March 18, 2025

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that medical exam forms for Crystal Mendoza and Sydney Serrano not completely filled out.

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due March 19, 2025

Medical examination reports, including TB testing, were not on file for E.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/TB reports shall be on file as required.

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 2 (F) 2 · Correction due June 30, 2025

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 5 · Correction due March 5, 2025

The facility failed to meet requirements for 25 children, who nap or sleep, did not have a sheet.

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

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

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

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

5 CSR 25-300.050 (1) (D) 2. · Health Requirements

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that medical exam forms for Crystal Mendoza and Sydney Serrano not completely filled out.

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

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

Medical examination reports, including TB testing, were not on file for E.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/TB reports shall be on file as required.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due February 10, 2025

Hazardous items as follows were accessible to children: thumb tacks and purse. The item(s) was/were located in an unlocked drawer and hanging on a low hook .

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due February 10, 2025

The walls located in 204 was/were not easily cleanable 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 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 5

The facility failed to meet requirements for 25 children, who nap or sleep, did not have a sheet.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due February 10, 2025

The floors located shared space was/were not easily cleanable as evidenced by tape peeling off.

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

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

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

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

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility.

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

5 CSR 25-300.050 (1) (D) 1. · Health Requirements · Correction due March 11, 2024

Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.

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

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

Medical examination reports, including TB testing, were not on file for J.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/TB reports shall be on file as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 11, 2024

The walls located in downstairs hallway (storage door) was/were not in good condition as evidenced by wood splintering.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 11, 2024

The ceilings located in rooms 203, 101, 104, 105 and hallway near upstairs bathrooms was/were not easily cleanable 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 25-300.090 · Physical Plant, Space, Supplies and Equipment 7 · Correction due March 5, 2024

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by sticky residue on shelves in rooms 104 and 107.

Required correction: The facility shall provide play equipment and materials as required.

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 11, 2024

Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured between 4.5" and 8.5" (between wooden gate and concrete and around meter).

Required correction: The outdoor play area shall be on or adjoining the property and fenced as required.

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility.

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

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

Medical examination reports, including TB testing, were not on file for J.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/TB reports shall be on file as required.

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.

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

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

Hazardous items as follows were accessible to children: Suave kids detangler, bleach spray solution and staff purse. The item(s) was/were located in an unlocked drawer, on low shelf and hanging on low hook.

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

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

The ceilings located in rooms 203, 101, 104, 105 and hallway near upstairs bathrooms was/were not easily cleanable 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 25-300.090 · Physical Plant, Space, Supplies and Equipment 7

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by sticky residue on shelves in rooms 104 and 107.

Required correction: The facility shall provide play equipment and materials as required.

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

Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured between 4.5" and 8.5" (between wooden gate and concrete and around meter).

Required correction: The outdoor play area shall be on or adjoining the property and fenced as required.

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4 · Correction due February 8, 2024

Equipment in the outdoor play area, the trucks, was not in good condition as evidenced by chipping paint.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 5 · Correction due February 8, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 6".

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

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

The walls located in downstairs hallway (storage door) was/were not in good condition as evidenced by wood splintering.

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