Little Learning Lodge Preschool

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 16, 2026

The walls located in the 2 year old room, wobblers room and the prek classroom was/were not in good condition as evidenced by chipped and peeling paint.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due April 14, 2026

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: S.G. (1.75).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due April 14, 2026

Safe sleep training was not completed within the past 3 years for the following staff L.S.

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 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 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 was not covered in the prek classroom.

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 March 26, 2026

Hazardous items as follows were accessible to children: janitorial cleaning supplies: 1 bottle of Clorox disinfectant, Bleach, Air Freshner. The item(s) was/were located in the unlocked janitorial closet.

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 walls located in the 2 year old room, wobblers room and the prek classroom was/were not in good condition as evidenced by chipped and peeling paint.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2026

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: S.G. (1.75).

Required correction: Required training hours shall be documented for each caregiver.

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

Safe sleep training was not completed within the past 3 years for the following staff L.S.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that the toddler room .

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

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

The walls located in the school age boys bathroom was/were not in good condition as evidenced by there was exposed dry wall around the sink area.

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due November 5, 2025

The facility did not conduct a Family Care Safety Registry screening for KiKi (Kennedy) Conn, who was hired on August 4, 2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due October 17, 2025

KiKi (Kennedy) Conn and Colin Wilson 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 November 5, 2025

Medical examination report(s) was/were not on file for L.S. 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 25-600.020 (5) · General Requirements · Correction due November 10, 2025

Criminal background check results were older than five (5) years for Cindy Ragatz, Colleen Speers and Colin Wilson.

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

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent supervision.

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.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

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

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

Hazardous items as follows were accessible to children: construction tools such as drills and screwdrivers. The item(s) was/were located on a table in the school age classroom.

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 September 15, 2025

The floors located in the toddler room was/were not clean as evidenced by there was dry cereal and bananas observed on the floor were the staff didn't clean up breakfast before going outside.

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 the school age boys bathroom was/were not in good condition as evidenced by there was exposed dry wall around the sink area.

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

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

Hazardous items as follows were accessible to children: diaper ointments. The item(s) was/were located in the 2 year old classroom within reach of children.

Required correction: Hazardous items shall be inaccessible to children.

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 broken in that the toddler room .

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

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

Children were not restricted to approved space as evidenced by the electrical closet in the school age room was unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for KiKi (Kennedy) Conn, who was hired on August 4, 2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

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

KiKi (Kennedy) Conn and Colin Wilson 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 L.S. 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 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cindy Ragatz, Colleen Speers and Colin Wilson.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due March 24, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: M.D. (8.75) (3/20/25ok), S.G. (1.75)(3/20/25 ok), H.H. (5.5)(3/20/25 ok), A.P. (1)(3/20/25ok), S.P. (1), C.S. (.25)(3/20/25 ok), C.Z. (2)(3/20/25 ok).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 19, 2025

Medical examination report(s) was/were not on file for C.B., S.K. (3/20/25) and Shyanne Perkins 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 May 19, 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: C.B. and S.P. (3/20/25).

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 · Correction due March 28, 2025

Criminal background check results were not on file for C.B., A.H. (3/31/25) and Shyanne Perkins (3/21/25).

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 · Correction due March 21, 2025

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 was not covered in the prek room.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due March 20, 2025

Sierra Kerns 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 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: M.D. (8.75) (3/20/25ok), S.G. (1.75)(3/20/25 ok), H.H. (5.5)(3/20/25 ok), A.P. (1)(3/20/25ok), S.P. (1), C.S. (.25)(3/20/25 ok), C.Z. (2)(3/20/25 ok).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due March 21, 2025

The facility did not conduct a Family Care Safety Registry screening for Cortney Bardwell, Angela Howie, Skylar Kilpatrick and Shyanne Perkins, who was hired on 2/10/25, 2/10/25, 11/18/24 and 9/24/24.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 21, 2025

Group size requirements were not met as evidenced by nine children, ages 1 year old, were cared for by two adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due March 21, 2025

Staff/child ratio requirements were not met as evidenced by nine children , ages one year olds, were cared for by two 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 C.B., S.K. (3/20/25) and Shyanne Perkins 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: C.B. and S.P. (3/20/25).

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 C.B., A.H. (3/31/25) and Shyanne Perkins (3/21/25).

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 was not covered in the prek room.

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

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

Sierra Kerns 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 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: M.D. (8.75), S.G. (1.75), H.H. (5.5), A.P. (1), S.P. (1), C.S. (.25), C.Z. (2).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Cortney Bardwell, Angela Howie, Skylar Kilpatrick and Shyanne Perkins, who was hired on 2/10/25, 2/10/25, 11/18/24 and 9/24/24.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by nine children , ages one year olds, were cared for by two adult caregiver(s).

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios

Group size requirements were not met as evidenced by nine children, ages 1 year old, were cared for by two 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 C.B., S.K. and S.P. 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: C.B. and S.P.

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 C.B., A.H. and S.P.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 26, 2024

Safe sleep training was not completed within the past 3 years for the following staff M.W.

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 October 15, 2024

L.C., A.F., A.P. and A.P. 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 October 31, 2024

Medical examination report(s) was/were not on file for L.C., M.N., A.N., A.P., A.P. and C.Z. 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 31, 2024

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.C., A.P. and C.Z.

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 · Correction due November 12, 2024

Criminal background check results were not on file for A.F., C.F., A.N., A.P. and A.P.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due October 31, 2024

Criminal background check results were older than five (5) years for Miranda Burton.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Miranda Burton.

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 · Correction due September 5, 2024

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 weren't covered in the prek room and 2 year old room.

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 September 5, 2024

Hazardous items as follows were accessible to children: 2 baskets of sunscreen,and bug spray containers and 2 tubes of diaper ointment. The item(s) was/were located on top of the cubby shelves in the school age room within reach of school age children and below the changing table in the 3 year old room that wasn't locked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 5, 2024

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 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff M.W.

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

L.C., A.F., A.P. and A.P. 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 L.C., M.N., A.N., A.P., A.P. and C.Z. 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.C., A.P. and C.Z.

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 A.F., C.F., A.N., A.P. and A.P.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 2, 2024

The annual fire safety inspection was not approved.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due April 17, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.F. (6.75)(3/21/24), M.S. (5.75)(4/17/24) and Collin Wilson (4)(4/8/24).

Required correction: Required training hours shall be documented for each caregiver.

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 25-500.102 · Personnel (4) (A) . · Correction due March 21, 2024

Safe sleep training was not completed within the past 3 years for the following staff C.W.

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 March 21, 2024

Hannah Howie 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 25-500.102 (3) (C) · Personnel · Correction due March 21, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: H.H. (3).

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.F. (6.75)(3/21/24), M.S. (5.75) and Collin Wilson (4).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 28, 2024

Medical examination report(s) was/were not on file for S.K. 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 March 28, 2024

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.K.

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

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 7, 2024

Children were not restricted to approved space as evidenced by the door to the upstairs staff area was not locked.

Required correction: Caregivers shall restrict children to approved space.

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

Safe sleep training was not completed within the past 3 years for the following staff C.W.

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

Hannah Howie 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 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: H.H. (3).

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: T.F. (6.75), M.S. (11.50) and Collin Wilson (9.25).

Required correction: Required training hours shall be documented for each caregiver.

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

Medical examination report(s) was/were not on file for S.K. 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.K.

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 · Correction due January 18, 2024

Criminal background check results were not on file for A.G. (11/27/23), H.H., S.K., S.G. (11/27/23).

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

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 25-500.102 (3) (A) · Personnel · Correction due January 3, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: M.S. (needs 4.5 clock hours)(as of 11/20/23 only need 30 min.).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.G. (11/27/23), H.H., S.K., S.G. (11/27/23).

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 14, 2023

Outdoor equipment, toy bus , in playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 14, 2023

Outdoor equipment, trike, in on playground was unsafe as evidenced by missing handle bar cover.

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

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 · Correction due November 14, 2023

The Family Care Safety Registry check was not conducted for All staff 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 November 14, 2023

The floors located in school-age room (rugs) was/were not in good condition as evidenced by tape residue and edges curling .

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2023

The walls located in pre-k room was/were not clean as evidenced by sticky residue on door frame.

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 November 14, 2023

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 of the toddler room.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due November 14, 2023

Furniture/equipment, shelves and chairs , in in pre-k room and gym was not in good condition as evidenced by paint chipping.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due November 14, 2023

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

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 14, 2023

Stacey Gordey 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 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: M.S. (needs 4.5 clock hours)(as of 11/20/23 only need 30 min.).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due November 14, 2023

The facility did not conduct a Family Care Safety Registry screening for Annah Garrison, Hannah Howie, Sierra Kerns, Stacey Gordey, who was hired on 7/11/2023, 8/21/2023, 9/5/2023, 81/2023.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due November 14, 2023

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: S.G.

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 November 14, 2023

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

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

5 CSR 25-500.122 · 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: H.G. and S.G.

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 A.G., H.H., S.K., S.G.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · No longer displayed by the state

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

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 of the toddler room.

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 September 11, 2023 · No longer displayed by the state

Hazardous items as follows were accessible to children: A&D, Aquaphor and Desitin diaper creams. The item(s) was/were located on top of plastic drawers.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, toy bus , in playground was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · No longer displayed by the state

The Family Care Safety Registry check was not conducted for All staff 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 · No longer displayed by the state

The floors located in school-age room (rugs) was/were not in good condition as evidenced by tape residue and edges curling .

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 September 11, 2023 · No longer displayed by the state

The ceilings located in toddler room and two's bathroom was/were not clean as evidenced by dusty vent covers.

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 · No longer displayed by the state

The walls located in pre-k room was/were not clean as evidenced by sticky residue on door frame.

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 · No longer displayed by the state

Outdoor equipment, trike, in on playground was unsafe as evidenced by missing handle bar cover.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · No longer displayed by the state

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

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, shelves and chairs , in in pre-k room and gym was not in good condition as evidenced by paint chipping.

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

5 CSR 25-500.102 (3) (A) · Personnel · No longer displayed by the state

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: M.S. (needs 4.5 clock hours).

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 · Personnel (1) (K) . · No longer displayed by the state

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: S.G.

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 25-500.102 (1) (P) · Personnel · No longer displayed by the state

The facility did not conduct a Family Care Safety Registry screening for Annah Garrison, Hannah Howie, Sierra Kerns, Stacey Gordey, who was hired on 7/11/2023, 8/21/2023, 9/5/2023, 81/2023.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (4) (A) 3. · Personnel · No longer displayed by the state

Stacey Gordey 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 · Medical Examination Reports (1) (B) . · No longer displayed by the state

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: H.G. and S.G.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · No longer displayed by the state

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

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

5 CSR 25-600.020 (1) · General Requirements · No longer displayed by the state

Criminal background check results were not on file for A.G., H.H., S.K., S.G.

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