Little Lambs Preschool

5 CSR 25-300.070 (5) · Fire Safety Requirements

Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

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

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

Requirements for infant/toddler sleeping equipment were not met as evidenced by no parental permission was on file for a toddler's use of a mat.

Required correction: An individually assigned crib/playpen shall be provided for each infant; no stacked cribs shall be used; no mats for infants; and mats may be used for toddlers with parental consent.

Violation substantiated · 5 CSR 25-300.090 (2)(E)

At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler.

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

5 CSR 25-300.090 (E) · Physical Plant, Space, Supplies and Equipment 2 · Correction due March 5, 2026

The facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by room 103 measured for 7 children and there were 8 children in attendance.

Required correction: The facility shall provide adequate square feet of usable space per child.

5 CSR 25-300.040 (7) · Staffing Requirements · Correction due September 26, 2025

The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): A.A., H.M., S.H., A.B., J.D., C.G., M.R., J.R., T.S., and A.V.

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

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

Medical examination reports, including TB testing, were not on file for H.M. and J.R. 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) . · Correction due June 3, 2025

Medical examination reports, including TB testing, were not on file for H.M., and J.R. 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 (2) · Health Requirements · Correction due June 3, 2025

Requirements for children's medical examination reports 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 EP 9/4/2024.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due June 3, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of chipping paint on fence and part of chain link not attached to top of fence.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due September 17, 2025

Requirements for fire safety 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 25-300.040 (7) · Staffing Requirements

The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): A.A., H.M., S.H., A.B., J.D., C.G., M.R., J.R., T.S., and A.V.

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

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

Medical examination reports, including TB testing, were not on file for H.M., and J.R. 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 (2) · Health Requirements

Requirements for children's medical examination reports 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 EP 9/4/2024.

Required correction: Children's physical assessment 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 H.M. and J.R. 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 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 13, 2025

Hazardous items as follows were accessible to children: diaper creams. The item(s) was/were located in unlocked cabinet in girls bathroom.

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 · Physical Plant, Space, Supplies and Equipment 7 · Correction due May 13, 2025

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by adhesive residue on shelf in Room 101.

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

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

The facility's outdoor space was not safe for children's activities as evidenced by the presence of chipping paint on fence and part of chain link not attached to top of fence.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 13, 2025

Hazardous items as follows were accessible to children: oragel, tylenol, gas drops and pepto bismol tablets. The item(s) was/were located in unlocked drawers in the Room 101.

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

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 2 · Correction due May 13, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by eight child files did not have the child’s full name, address, birth date and the date care begins and ends.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2 · Correction due May 13, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by nine child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

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 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 25-300.040 (7) · Staffing Requirements · Correction due June 17, 2024

The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): M.W., C.S., J.S., M.S., A.K., S.J., S.H., G.R., C.G., A.A., M.C., J.D. and J.D.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due June 17, 2024

The walls located Room 103 - Twos 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 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 3 · Correction due June 17, 2024

Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom stall.

Required correction: Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due June 17, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the presence of pegs in plastic edging were sticking up causing a tripping hazard.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due July 30, 2024

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 June 17, 2024

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 25-300.040 (7) · Staffing Requirements

The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): M.W., C.S., J.S., M.S., A.K., S.J., S.H., G.R., C.G., A.A., M.C., J.D. and J.D.

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

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

The walls located Room 103 - Twos 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 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 3

Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom stall.

Required correction: Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

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

The facility's outdoor space was not safe for children's activities as evidenced by the presence of pegs in plastic edging were sticking up causing a tripping hazard.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 21, 2024

Hazardous items as follows were accessible to children: diaper cream. The item(s) was/were located in girls bathroom in unlocked drawer of changing table.

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

5 CSR 25-300.110 (A) · Admission Procedures and Required Reports and Records 2 · Correction due May 21, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by five child files did not have the child’s full name, address, birth date and the date care begins and ends.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2 · Correction due May 21, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by six child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (C) · Admission Procedures and Required Reports and Records 2 · Correction due May 21, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Required correction: An individual file with required information for each child shall be maintained.

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.