Mercy Childcare Center L.L.C

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 12, 2026

The premises were not safe and suitable as evidenced by light the preschool bathroom is missing a fixture with just a bare bulb.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 12, 2026

Children were not restricted to approved space as evidenced by furnace/water heater room door unlocked (lock broken and latch missing).

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 12, 2026

The walls located outside the bathroom near the lunch room was/were not finished with material which can be cleaned easily as evidenced by there was a large rectangular-shaped tape on the wall that was peeling away.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due May 12, 2026

Criminal background check results were older than five (5) years for Maqdis Yogol.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 5, 2026

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 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 5, 2026

The premises were not safe and suitable as evidenced by deep freeze in the lunch room was unlocked..

Required correction: The premises shall be safe and suitable for the care of children.

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

Children were not restricted to approved space as evidenced by kitchen door was open allowing children access.

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 May 5, 2026

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

The walls located outside the bathroom near the lunch room was/were not finished with material which can be cleaned easily as evidenced by there was a large rectangular-shaped tape on the wall that was peeling away.

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

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 furnace/water heater room door unlocked (lock broken and latch missing).

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 5, 2026

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

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

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

The premises were not safe and suitable as evidenced by light the preschool bathroom is missing a fixture with just a bare bulb.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Maqdis Yogol.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 10, 2025

The walls located in the I/T room was/were not in good condition as evidenced by chipping paint by a crib.

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 December 11, 2025

The walls located by the kitchen was/were not in good condition as evidenced by peeling paint with metal plate exposed.

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

5 CSR 25-500.087 (12) (D) · Fire Safety · Correction due December 10, 2025

The smoke detector in the office was beeping.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2025

The premises were not safe and suitable as evidenced by the deep freeze was not locked.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2025

Children were not restricted to approved space as evidenced by the door to the kitchen was open.

Required correction: Caregivers shall restrict children to approved space.

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

The walls located by the kitchen was/were not in good condition as evidenced by peeling paint with metal plate exposed.

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 November 20, 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in the I/T room was/were not in good condition as evidenced by chipping paint by a crib.

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

5 CSR 25-500.087 (12) (D) · Fire Safety

The smoke detector in the office was beeping.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due May 30, 2025

The Family Care Safety Registry check was not conducted for L.C., S.F., U.K., A.K., F.O., M.Y. (all run in January 2025) 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that the lightbulb in the one overhead fixture was too dim.

Required correction: Rooms used by children shall be equipped with required lighting.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

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 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due May 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 25-500.132 (6) · Admission Policies and Procedures · Correction due May 30, 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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for L.C., S.F., U.K., A.K., F.O., M.Y. (all run in January 2025) 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) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

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 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 13, 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that the lightbulb in the one overhead fixture was too dim.

Required correction: Rooms used by children shall be equipped with required lighting.

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 25-500.132 (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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 9, 2024

The walls located outside the eating area / was/were not in good condition as evidenced by peeling paint and missing sheetrock with exposed metal.

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 November 20, 2024

Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach.

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

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

The premises were not safe and suitable as evidenced by small deep freeze accessible to children was unlocked.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 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 a cover.

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

The walls located outside the eating area / was/were not in good condition as evidenced by peeling paint and missing sheetrock with exposed metal.

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 May 30, 2024

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 against a wall in the toddler room and 2s room (mirror not adequate for supervision).

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2024

The facility's outdoor space was not safe for children's activities as evidenced by peeling paint on the building within the preschool outdoor play area.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2024

The facility's outdoor space was not safe for children's activities as evidenced by overgrown grass on the preschool playground and weeds growing along the fence of the I/T playground growing into the play space.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2024

The facility's outdoor space was not safe for children's activities as evidenced by opening of 8" between the hand rail and the gate in front of the A/C unit in the preschool area.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the hand rail has openings of 5".

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

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2024

The premises were not safe and suitable as evidenced by small deep freeze in the lunch room needs to be locked or inaccessible to children.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 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 cover was missing and the outlet had a piece of removable tape covering it.

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 June 11, 2024

The walls located near the entrance to the lunchroom was/were not in good condition as evidenced by peeling paint and exposed bare metal paint.

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 June 11, 2024

The walls located 2s was/were not in good condition as evidenced by two small holes in the wall by the entrance to the room.

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 June 11, 2024

The walls located at the door to the lunch room was/were not in good condition as evidenced by holes in door.

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 June 11, 2024

The walls located TV room was/were not in good condition as evidenced by chipping/peeling paint and wall in disrepair along the entire outside wall.

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 June 11, 2024

The ceilings located toddler room was/were not in good condition as evidenced by large area of peeling/hanging paint.

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 June 11, 2024

The ceilings located the 3s room was/were not in good condition as evidenced by 1 missing tile and multiple sagging or broken tiles .

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 May 30, 2024

There was evidence of insects in the 3s room by the door to the playground that was open for ventilation.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 10, 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: S.M. needs documentation of 6 more hours, A.O. needs documentation of 12 hours.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due June 10, 2024

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

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 25-600.020 (1) · General Requirements · Correction due June 10, 2024

Criminal background check results were not on file for B.A.A., F.A., J.J., L.C.

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

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

The ceilings located the 3s room was/were not in good condition as evidenced by 1 missing tile and multiple sagging or broken tiles .

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 near the entrance to the lunchroom was/were not in good condition as evidenced by peeling paint and exposed bare metal paint.

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 2s was/were not in good condition as evidenced by two small holes in the wall by the entrance to the room.

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 at the door to the lunch room was/were not in good condition as evidenced by holes in door.

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

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 against a wall in the toddler room and 2s room (mirror not adequate for supervision).

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

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 peeling paint on the building within the preschool outdoor play area.

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

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

The premises were not safe and suitable as evidenced by small deep freeze in the lunch room needs to be locked or inaccessible to children.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 10, 2024

Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.

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 ceilings located toddler room was/were not in good condition as evidenced by large area of peeling/hanging 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) 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 opening of 8" between the hand rail and the gate in front of the A/C unit in the preschool area.

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

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 hand rail has openings of 5".

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

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 overgrown grass on the preschool playground and weeds growing along the fence of the I/T playground growing into the play space.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 electrical outlets were not covered in that one outlet cover was missing and the outlet had a piece of removable tape covering it.

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 May 10, 2024

Hazardous items as follows were accessible to children: staff purse. The item(s) was/were located on a child's table 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 walls located TV room was/were not in good condition as evidenced by chipping/peeling paint and wall in disrepair along the entire outside wall.

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 insects in the 3s room by the door to the playground that was open for ventilation.

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

5 CSR 25-500.082 (2) (A) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 10, 2024

Window and door requirements were not met as evidenced by there was no screen on an open door.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 10, 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 (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: S.M. needs documentation of 6 more hours, A.O. needs documentation of 12 hours.

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

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: F.A.

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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for B.A.A., F.A., J.J., L.C.

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

5 CSR 25-500.087 (12) (D) · Fire Safety · Correction due January 17, 2024

The smoke detector in the I/T room was beeping during inspection.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 29, 2023

Children were not restricted to approved space as evidenced by door to furnace room unlocked in I/T room.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 2. · Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 1. and · Correction due November 29, 2023

The facility did not have an adequate number of flush toilets/urinals and hand wash sinks as evidenced by one toilet is no longer in use in the school-age area leaving 3 toilets (enough for a capacity of 60).

Required correction: The facility shall provide bathroom fixtures as required.

5 CSR 25-500.087 (12) (D) · Fire Safety

The smoke detector in the I/T room was beeping during inspection.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due November 29, 2023

Staff/child ratio requirements were not met as evidenced by 6 children, ages 6 months to 18 months, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

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

Staff/child ratio requirements were not met as evidenced by 6 children, ages 6 months to 18 months, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 15, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 5 electrical outlets without covers.

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

5 CSR 25-500.082 2. · Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 1. and

The facility did not have an adequate number of flush toilets/urinals and hand wash sinks as evidenced by one toilet is no longer in use in the school-age area leaving 3 toilets (enough for a capacity of 60).

Required correction: The facility shall provide bathroom fixtures as required.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 15, 2023

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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 15, 2023

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.