Milestone Academy Child Development Center, Inc.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 2026

The facility's outdoor space was not safe for children's activities as evidenced by there was evidence of drainage erosion going through along the length of the playground.

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 July 8, 2026

The facility's outdoor space was not safe for children's activities as evidenced by the drain pipe was cracked and broken on the playground.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 8, 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 25-500.122 (2) (D) · Medical Examination Reports · Correction due July 8, 2026

A school-age child's health report was not on file at the time of enrollment as evidenced by one school age child did not have a physical on file.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due July 8, 2026

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 25-600.020 (5) · General Requirements · Correction due July 8, 2026

Criminal background check results were older than five (5) years for Zoe Yardley.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 10, 2026

Hazardous items as follows were accessible to children: 2 plastic tubs of approximately 15 bottles of sunscreen. The item(s) was/were located in the preschool classroom on a low shelf within reach of children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by the drain pipe was cracked and broken on the playground.

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

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 (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 there was evidence of drainage erosion going through along the length of the playground.

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

5 CSR 25-500.122 (2) (D) · Medical Examination Reports

A school-age child's health report was not on file at the time of enrollment as evidenced by one school age child did not have a physical on file.

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

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 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Zoe Yardley.

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

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

Criminal background check results were not on file for P.M.

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 12, 2025

The floors located in the 3 & 4 year old room was/were not clean as evidenced by soiled floor tiles were observed on the floor under the sink.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due December 5, 2025

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

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

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 December 5, 2025

Amaris Barrazm did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 12, 2025

Staff/child ratio requirements were not met as evidenced by eleven children , ages 4 and 5 years old, were cared for by one adult caregiver(s).

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 12, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: L.G.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 3, 2025

Hazardous items as follows were accessible to children: 1 gallon bleach, 1 container laundry soap and 3 gallons of latex paint. The item(s) was/were located in the unlocked laundry room sitting on the floor and at the front desk sitting on a ledge within the reach of children.

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 floors located in the 3 & 4 year old room was/were not clean as evidenced by soiled floor tiles were observed on the floor under the sink.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness

Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

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

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

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

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

Amaris Barrazm did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

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

Staff/child ratio requirements were not met as evidenced by eleven children , ages 4 and 5 years old, were cared for by one adult caregiver(s).

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

5 CSR 25-500.122 · 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.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 P.M.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due July 23, 2025

Criminal background check results were not on file for L.G.

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 July 10, 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 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. A. · Correction due July 10, 2025

The requirements for sleeping materials were not met as evidenced by the sheets/blankets were not individually assigned.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.G.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 26, 2025

Medical examination report(s) was/were not on file for T.H. and K.M. 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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 23, 2025

Hazardous items as follows were accessible to children: 1 tube of sunscreen. The item(s) was/were located in a school age child's backpack accessible to children.

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 June 23, 2025

The floors located in the 2 year old room was/were not in good condition as evidenced by the tiles below the sink area were rusted out looking.

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 23, 2025

The walls located in the 2 year old room was/were not clean as evidenced by dirt stains were along the wall beside the sink.

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 23, 2025

The walls located in the 2 year old room was/were not in good condition as evidenced by chipping and peeling paint.

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

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

Medical examination report(s) was/were not on file for T.H. and K.M. 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 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in the 2 year old room was/were not in good condition as evidenced by chipping 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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 20, 2025

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located against a wall in the 2 year old room. .

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

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 was/were not clean as evidenced by dirt stains were along the wall beside the sink.

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 floors located in the 2 year old room was/were not in good condition as evidenced by the tiles below the sink area were rusted out looking.

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 · Correction due March 11, 2025

The facility's outdoor space was not safe for children's activities as evidenced by water is standing on the low spots of the fall zone and the other areas of the playground are mud.

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 water is standing on the low spots of the fall zone and the other areas of the playground are mud.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due December 9, 2024

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

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.

Violation substantiated · 5 CSR 25-500.212(3)(G)

Children shall not be left unattended in a vehicle at any time.

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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 3, 2024

Children were not restricted to approved space as evidenced by the staff lounge and the storage closest were unlocked and accessible to children.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 3, 2024

The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.

Required correction: Bathrooms shall be clean and odor free.

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 water is standing on the low spots of the fall zone and the other areas of the playground are mud.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 3, 2024

The bathroom was not clean and odor free as evidenced by the floor was soiled.

Required correction: Bathrooms shall be clean and odor free.

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

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

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 (3) (A) · Personnel · Correction due October 23, 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: J.B. (5.75- as pf 9/19/24 still needs 2.75 hours) and Megan Payne (2.75- corrected 09/16/24).

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due June 26, 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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 20, 2024

Children were not restricted to approved space as evidenced by the laundry room door lock was broken allowing access.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due July 31, 2024

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the entire emergency plan was not present in each room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

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

Safe sleep training was not completed within the past 3 years for the following staff Z.Y.

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 (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: J.B. (5.75- as pf 9/19/24 still needs 2.75 hours) and Megan Payne (2.75- corrected 09/16/24).

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

5 CSR 25-500.222 (1) · Records and Reports · Correction due June 26, 2024

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing parent signature for acknowledgment statement C.

Required correction: Accurate records shall be maintained.

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

Children were not restricted to approved space as evidenced by the laundry room door lock was broken allowing access.

Required correction: Caregivers shall restrict children to approved space.

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

Hazardous items as follows were accessible to children: 1 spray can of wasp spray. The item(s) was/were located on a light fixture on the playground approximately 5 feet tall..

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the entire emergency plan was not present in each room.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due June 5, 2024

Outdoor equipment, a storage bench, in the outside play space was not free of sharp parts as evidenced by screws were coming out of the bench and the seat part was missing.

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 June 5, 2024

Outdoor equipment, the see saw unit and the 3 bike circular unit, in the outside play space was not in good condition as evidenced by rust was observed on both units.

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

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

Safe sleep training was not completed within the past 3 years for the following staff Z.Y.

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 (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: J.B. (5.75) and Megan Payne (2.75).

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

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

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing parent signature for acknowledgment statement C.

Required correction: Accurate records shall be maintained.

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

Two (2) child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due June 5, 2024

One (1) child(ren) records did not include address of another individual who might be reached in an emergency.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due December 12, 2023

Documentation of caregiver completion of the facility orientation was not on file for the following staff: N.E.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 12, 2023

Medical examination report(s) was/were not on file for N.E. 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 December 12, 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: N.E.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 7, 2023

Furniture/equipment, 2 soft climbing pieces, in the toddler room was not in good condition as evidenced by the vinyl material had tears in it exposing the cushioning.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: N.E.

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

Medical examination report(s) was/were not on file for N.E. 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: N.E.

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