Montessori Day School of Blue Springs

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due December 9, 2025

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) (B) · Annual Requirements · Correction due November 14, 2025

The annual sanitation inspection was not approved.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 3, 2026

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fence on upper playground not sturdy above horizontal pole, and 4" gap at gate opening.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 31, 2026

The facility's outdoor space was not safe for children's activities as evidenced by broken planter on deck.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due March 3, 2026

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 8 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

The ceilings located in primary bathrooms was/were not clean as evidenced by dusty.

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

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) (B) · Annual Requirements

The annual sanitation inspection was not approved.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fence on upper playground not sturdy above horizontal pole, and 4" gap at gate opening.

Required correction: The outdoor play area shall be accessible without hazard.

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 broken planter on deck.

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

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. A. · Correction due February 5, 2026

The facility’s name, address and telephone number was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness · Correction due February 5, 2026

The facility's evacuation route diagram was not posted in each room.

Required correction: Facility must post information as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D.

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 8 items in this category.

Required correction: The facility shall provide approved equipment as required.

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

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

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.090 · Disaster and Emergency Preparedness (2) (B) 1. B. · Correction due February 5, 2026

The facility's list of emergency numbers are not posted in each room used for child care, specifically all rooms.

Required correction: The facility must post all emergency numbers as required.

Violation substantiated · 5 CSR 25-500.182(1)(C)8.

No discipline technique which is humiliating, threatening, or frightening to children shall be used. Children shall not be shamed, ridiculed, or spoken to harshly, abusively, or with profanity.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 8, 2025

There was evidence of dirt/debris in that shelf in 2-year-old room had labels peeling/sticker residue.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2025

The facility's outdoor space was not safe for children's activities as evidenced by broken board on steps to lower playground, mesh covering torn under deck.

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due September 4, 2025

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by staff member Faythe Applegate told a child that she was going to punch him in the face tomorrow.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 3, 2025

The walls located in toddler room and primary room was/were not in good condition as evidenced by chipping paint on window sill and on electrical cover.

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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 8, 2025

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fence on lower playground is leaning.

Required correction: The outdoor play area shall be accessible without hazard.

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

The walls located in toddler room and primary room was/were not in good condition as evidenced by chipping paint on window sill and on electrical cover.

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 dirt/debris in that shelf in 2-year-old room had labels peeling/sticker residue.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fence on lower playground is leaning.

Required correction: The outdoor play area shall be accessible without hazard.

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 broken board on steps to lower playground, mesh covering torn under deck.

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

5 CSR 25-500.182 (1) (C) 8. · Child Care Program

Caregiver used a discipline technique that was humiliating, threatening or frightening to children as evidenced by staff member Faythe Applegate told a child that she was going to punch him in the face tomorrow.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in that shelf in 2-year-old room had labels peeling/sticker residue.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fence on lower playground is leaning.

Required correction: The outdoor play area shall be accessible without hazard.

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 broken board on steps to lower playground, mesh covering torn under deck.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 13, 2025

Children were not restricted to approved space as evidenced by no lock on kitchen and bathroom doors.

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 in toddler room and primary room was/were not in good condition as evidenced by chipping paint on window sill and on electrical cover.

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 June 3, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the wood deck had chipping paid and splintered wood.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due March 20, 2025

The annual fire safety inspection was not conducted.

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

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 wood deck had chipping paid and splintered wood.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 20, 2025

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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) (B) · Records and Reports

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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 February 11, 2025

One 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 25-500.222 (2) (D) · Records and Reports · Correction due February 11, 2025

Three child(ren) records did not include telephone number of family physician or hospital.

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

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

The annual fire safety inspection was not conducted.

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

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 wood deck had chipping paid and splintered wood.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

Hazardous items as follows were accessible to children: diaper ointments and creams. The item(s) was/were located in the infant room under the changing table that the lock was broken so it wasn't locked.

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 · Correction due August 26, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the exit leading down the deck from the infant/toddler room was blocked by a bush that was approximately 8-9 feet tall and the width of the deck ramp.

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 August 26, 2024

The facility's outdoor space was not safe for children's activities as evidenced by chipping and peeling paint on the 2 infant/toddler decks.

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due November 5, 2024

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due November 5, 2024

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.122 (2) (B) · Medical Examination Reports · Correction due August 30, 2024

Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a child care program.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due August 30, 2024

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were April, 2024.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due August 30, 2024

One (1) 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 August 30, 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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers

Hazardous items as follows were accessible to children: diaper ointments and creams. The item(s) was/were located in the infant room under the changing table that the lock was broken so it wasn't locked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 9, 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 chipping and peeling paint on the 2 infant/toddler decks.

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 exit leading down the deck from the infant/toddler room was blocked by a bush that was approximately 8-9 feet tall and the width of the deck ramp.

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

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.222 (2) (C) · Records and Reports

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) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due August 9, 2024

Medical examination report form did not contain all required information as evidenced by the medical for Isabella Bisby didn't contain the statement that she is physically and mentally able to care for children.

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

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

Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a child care program.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were April, 2024.

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

5 CSR 25-500.222 (2) (B) · Records and Reports

One (1) 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 25-500.102 (4) (A) 3. · Personnel · Correction due May 8, 2024

Teesha Hunt 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 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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

Medical examination report form did not contain all required information as evidenced by the medical for Isabella Bisby didn't contain the statement that she is physically and mentally able to care for children.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 16, 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 (4) (A) 3. · Personnel

Teesha Hunt 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 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 · Personnel (1) (C) 1. C. · Correction due April 4, 2024

A Junior Aide, K.S., was counted toward infant/toddler staff/child ratios.

Required correction: Junior Aides shall not be counted toward infant/toddler staff/child ratios.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due April 4, 2024

Staff/child ratio requirements were not met as evidenced by six (6) children , ages infants under 12 months, were cared for by adult and Junior Aide caregiver(s).

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due February 14, 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 25-500.052 (2) (B) · Annual Requirements · Correction due February 16, 2024

The annual sanitation inspection was not approved.

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

5 CSR 25-500.102 · Personnel (1) (C) 1. C.

A Junior Aide, K.S., was counted toward infant/toddler staff/child ratios.

Required correction: Junior Aides shall not be counted toward infant/toddler staff/child ratios.

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

Staff/child ratio requirements were not met as evidenced by six (6) children , ages infants under 12 months, were cared for by adult and Junior Aide caregiver(s).

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due March 11, 2024

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · Correction due March 27, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by three (3) child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

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

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

The annual sanitation inspection was not approved.

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

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 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E.

The facility did not meet requirements for child enrollment and health information on file as evidenced by three (3) child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2024

Children were not restricted to approved space as evidenced by a storage closet in the infant room was not locked making it accessible to children.

Required correction: Caregivers shall restrict children to approved space.

Violation substantiated · 5 CSR 25-500.182(2)(C)8.

Opportunity for outdoor play when weather permits.

Required correction: The facility shall notify all caregivers 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 25-500.092(3)(A)

All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Required correction: The facility shall notify all caregivers 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 25-500.082(6)(A)1.

A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Required correction: The facility shall notify all caregivers 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 25-500.092(1)(A)1.

All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Required correction: The facility shall notify all caregivers 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 25-500.082(2)(A)6.

Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

Required correction: The facility shall notify all caregivers 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(2)(C)

Daily activities for infants and toddlers shall include:

Required correction: The facility shall notify all caregivers 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 25-500.102(1)(A)

Child care personnel shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.202(1)(A)

The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.122(1)(B)

Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.102(1)(K)

The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include:

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.087(2)(F)

Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.222(1)

The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.122(1)(A)

All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.102(1)(N)

Child care staff members shall have qualifying background screening results on file as required by 5 CSR 25-600.020 General Requirements.

Required correction: The facility is placed on close supervision and will receive additional inspections to monitor compliance with the areas of concern. The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 8, 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.H.

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 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 8, 2023

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

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

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.H.

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

5 CSR 25-500.182 (1) (E) 2. · Child Care Program · Correction due December 8, 2023

The diapering table or other approved area was not cleaned thoroughly with a disinfectant after each use.

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

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

Background screening information was not kept confidential for Nataliea Hernandez and amber Owen.

Required correction: Background screening information shall be kept confidential.

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

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due November 29, 2023

Medical examination report(s) was/were not on file for K.B. (10/27/23), K.H. (11/20/23), K.S. and K.T. (11/20/23) 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 29, 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: K.B., K.H. (11/20/23), K.S., K.T. (11/20/23) and Danielle Salazar.

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 December 5, 2023

Criminal background check results were not on file for N.H. and A.O.

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

Violation substantiated · 5 CSR 25-500.082(2)(B)2.B.(III)

If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;

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

5 CSR 25-500.102 (1) (Q) · Personnel

Background screening information was not kept confidential for Nataliea Hernandez and amber Owen.

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 20, 2023

Kiane Sander and Kelsey Tanis 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 · Correction due November 20, 2023

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: C.B. (2.25).

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 K.B. (10/27/23), K.H. (11/20/23), K.S. and K.T. (11/20/23) 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: K.B., K.H. (11/20/23), K.S., K.T. (11/20/23) and Danielle Salazar.

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 N.H. and A.O.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due October 27, 2023

Staff/child ratio requirements were not met as evidenced by six (6) children, ages infants and toddlers, were cared for by one caregiver(s).

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

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

Medical examination report(s) was/were not on file for K.B. (10/27/23), K.H., K.S. and K.T. 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: K.B., K.H., K.S., K.T. and D.S.

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 October 27, 2023

Criminal background check results were not on file for K.S.

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

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

Kiane Sander and Kelsey Tanis 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: C.B. (2.25).

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due October 27, 2023

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due October 27, 2023

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

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) (G) · Medical Examination Reports · Correction due October 27, 2023

A caregiver worked when ill as evidenced by 3 staff members were working with flu/fever during the inspection.

Required correction: Staff or volunteers shall not work when ill, endangering the health or well-being of children.