Mrs Jackies Daycare

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 25-500.192 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 11, 2026

The facility's outdoor space was not safe for children's activities as evidenced by CI observed during attempted inspection on 05/04/2026 broken clay pottery/planters on the ground along the fence to the children's playbground.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due May 11, 2026

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 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due May 11, 2026

Stationary equipment, children's swings, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.192 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due May 11, 2026

1 child(ren) records did not include work schedule 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) (B) · Records and Reports · Correction due May 11, 2026

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) (B) · Records and Reports · Correction due May 11, 2026

1 child(ren) records did not include work telephone number 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 May 11, 2026

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 25-500.090 (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 25-500.192 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

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

1 child(ren) records did not include work schedule 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) (B) · Records and Reports

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) (B) · Records and Reports

1 child(ren) records did not include work telephone number 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

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.

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

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all 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 25-500.182(1)(A)3.

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

Required correction: The facility shall notify all 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 25-500.182(1)(A)5.

A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken.

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

1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

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 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due October 6, 2025

Stationary equipment, swings, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

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

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

1 child(ren) records did not include work schedule 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) (B) · Records and Reports

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 25-500.052 (2) (B) · Annual Requirements · Correction due July 15, 2025

The annual sanitation inspection was not approved.

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

5 CSR 25-500.052 (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 (2) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 4, 2025

A clear glass door was not marked plainly at varying heights as evidenced by infant toddler door has stickers present at very bottom and very top of the clear door but no markers present anywhere in the center of the space.

Required correction: Clear glass doors shall be marked as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 9, 2025

The floors located prek classroom was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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 February 26, 2025

The floors located in the infant toddler room was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due April 4, 2025

Outdoor equipment, plastic pink and white swing and slide combo, in the playground was unsafe as evidenced by cracked plastic was observed on the back on the swing.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 2, 2025

Children were not restricted to approved space as evidenced by gate leading to a crumbling shed and basement door where metal hardware was observed was not secured.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 2, 2025

The premises were not safe and suitable as evidenced by wires were exposed in the infant/toddler classroom where a box had been pulled from the wall. The director stated she would be remounting the box. Discussed with director making sure the wires were tucked away and inaccessible.

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 April 2, 2025

Children were not restricted to approved space as evidenced by a crumbling shed viibly full of unknown items that were stacked to the ceiling was present in an area children had access to.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (V) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due April 2, 2025

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

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

A clear glass door was not marked plainly at varying heights as evidenced by infant toddler door has stickers present at very bottom and very top of the clear door but no markers present anywhere in the center of the space.

Required correction: Clear glass doors shall be marked as required.

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

The floors located prek classroom was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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 infant toddler room was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 2, 2025

Furniture/equipment, cabinet under the bottle sink, in the infant room was not in good condition as evidenced by plywood was pulled away presenting a pinch hazard and making a nail accessible to infants and toddlers in the class.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due April 2, 2025

Outdoor equipment, gate poles, in the prek playground was not free of pointed parts as evidenced by holes had been carved into the metal and sharp edges remained where the gate latch hook was secured.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, plastic pink and white swing and slide combo, in the playground was unsafe as evidenced by cracked plastic was observed on the back on the swing.

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

5 CSR 25-500.202 (1) (I) · Nutrition and Food Service · Correction due April 2, 2025

Requirements for food sanitation were not maintained as evidenced by a small, counter sized refrigerator was on the floor in the infant room. It did not have child safety mechanisms present and was easily opened with one finger. The inside of the refrigerator was covered in observable food debris andred/brown liquid spill that had dried.

Required correction: The facility shall follow state and local rules regarding food service sanitation.

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 gate leading to a crumbling shed and basement door where metal hardware was observed was not secured.

Required correction: Caregivers shall restrict children to approved space.

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 wires were exposed in the infant/toddler classroom where a box had been pulled from the wall. The director stated she would be remounting the box. Discussed with director making sure the wires were tucked away and inaccessible.

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

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

A clear glass door was not marked plainly at varying heights as evidenced by infant toddler door has stickers present at very bottom and very top of the clear door but no markers present anywhere in the center of the space.

Required correction: Clear glass doors shall be marked as required.

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

The floors located in the infant toddler room was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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

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

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 24, 2025

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

Required correction: Bathrooms shall be clean and odor free.

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

The floors located prek classroom was/were not clean as evidenced by tape residue and damaged floor stickers were present.

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 a crumbling shed viibly full of unknown items that were stacked to the ceiling was present in an area children had access to.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, cabinet under the bottle sink, in the infant room was not in good condition as evidenced by plywood was pulled away presenting a pinch hazard and making a nail accessible to infants and toddlers in the class.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, gate poles, in the prek playground was not free of pointed parts as evidenced by holes had been carved into the metal and sharp edges remained where the gate latch hook was secured.

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

5 CSR 25-500.202 (1) (I) · Nutrition and Food Service

Requirements for food sanitation were not maintained as evidenced by a small, counter sized refrigerator was on the floor in the infant room. It did not have child safety mechanisms present and was easily opened with one finger. The inside of the refrigerator was covered in observable food debris andred/brown liquid spill that had dried.

Required correction: The facility shall follow state and local rules regarding food service sanitation.

5 CSR 25-500.102 (1) (B) · Personnel · Correction due February 11, 2025

A caregiver did not cooperate with the department as evidenced by School age documents have been requested multiple times. Requested on 9/25/24 via email, 10/9/24 in person during an inspection, 11/13/24 in person during an inspection, 12/11/24 via email and again today in person during an inspection 1/14/25.

Required correction: Caregivers shall be cooperative.

5 CSR 25-500.222 (11) · Records and Reports · Correction due February 11, 2025

School age documentation for this location, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.102 (1) (B) · Personnel

A caregiver did not cooperate with the department as evidenced by School age documents have been requested multiple times. Requested on 9/25/24 via email, 10/9/24 in person during an inspection, 11/13/24 in person during an inspection, 12/11/24 via email and again today in person during an inspection 1/14/25.

Required correction: Caregivers shall be cooperative.

5 CSR 25-500.222 (11) · Records and Reports

School age documentation for this location, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due December 10, 2024

Safe sleep training was not completed within the past 3 years for the following staff J.M. (expired in MOPD).

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 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 10, 2024

Medical examination report(s) was/were not on file for J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T. as evidenced by the medical examination was not signed by the required medical source.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due December 10, 2024

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T., J.T.

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

5 CSR 25-500.052 (2) (D) · Annual Requirements · Correction due December 2, 2024

The facility is owned by a legal entity and evidence of good standing was not available.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due December 2, 2024

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due October 18, 2024

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 2, 2024

The Family Care Safety Registry check was not conducted for J.R., S.H., J.C., J.B., J.L., T.M., L.B., J.S., C.T., J.T. 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 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 2, 2024

Children were not restricted to approved space as evidenced by pantry door was open and unsupervised.

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 December 2, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant/toddler room, hallway and pantry were accessible and not covered.

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 December 2, 2024

The walls located in the prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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 2, 2024

The floors located in the infant/toddler classroom was/were not clean as evidenced by visible dirt and tape debris was observed.

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 2, 2024

The floors located in the prek classroom was/were not clean as evidenced by visible dirt and tape debris was observed.

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 2, 2024

The walls located in the infant classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due December 2, 2024

Documentation of caregiver completion of the facility orientation was not on file for the following staff: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due December 2, 2024

The facility did not conduct a Family Care Safety Registry screening for Joan Rudiq, Stephanie Hollins, Jesica Cazarez and James Brown, who was hired on various dates.

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due December 2, 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 25-500.102 (1) (T) · Personnel · Correction due December 2, 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 · Personnel (1) (K) . · Correction due December 2, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due December 2, 2024

The director is not routinely on duty, as evidenced by the director is not present during hours of highest attendance as shown on the timesheets provided by Mrs. Jackie.

Required correction: The director/group home provider shall be routinely on duty, 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 J.M. (expired in MOPD).

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 · Personnel (1) (K) . · Correction due December 2, 2024

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

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 2, 2024

Medical examination report(s) was/were not on file for J.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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T. as evidenced by the medical examination was not signed by the required medical source.

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: J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T., J.T.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source.

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 December 2, 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 "2023".

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due December 2, 2024

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

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

5 child(ren) records did not include date care begins and ends.

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

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

4 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 December 2, 2024

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 25-500.222 (2) (C) · Records and Reports · Correction due December 2, 2024

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 25-500.222 (5) · Records and Reports · Correction due December 2, 2024

Daily attendance records were not maintained on file as evidenced by there were no child attendance records.

Required correction: Child attendance records shall be maintained and retained as required.

5 CSR 25-500.222 (11) · Records and Reports · Correction due December 2, 2024

Corrective measures relating to a substantiated complaint, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.222 (11) · Records and Reports · Correction due December 2, 2024

Child attendance records, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (1) · General Requirements · Correction due December 2, 2024

Criminal background check results were not on file for J.T., J.R., S.H., J.C., J.B.

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 walls located in the prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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

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

5 child(ren) records did not include date care begins and ends.

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

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

4 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

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 25-500.052 (1) (B) · Annual Requirements · Correction due November 13, 2024

Evidence of local zoning approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due November 13, 2024

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

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

The Family Care Safety Registry check was not conducted for J.R., S.H., J.C., J.B., J.L., T.M., L.B., J.S., C.T., J.T. 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 25-500.052 (2) (D) · Annual Requirements

The facility is owned by a legal entity and evidence of good standing was not available.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

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 pantry door was open and unsupervised.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant/toddler room, hallway and pantry were accessible and not covered.

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 in the infant classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.

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 infant/toddler classroom was/were not clean as evidenced by visible dirt and tape debris was observed.

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 prek classroom was/were not clean as evidenced by visible dirt and tape debris was observed.

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

5 CSR 25-500.087 (2) (B) · Fire Safety · Correction due November 13, 2024

The hangings/draperies in the infant/toddler room were not treated with a flame retardant material.

Required correction: Draperies and wall hanging must be flame retardant and not placed over exit doors.

5 CSR 25-500.087 (12) (D) · Fire Safety · Correction due November 13, 2024

The smoke detector in the prek classroom was alerting to a low battery.

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

5 CSR 25-500.092 (3) (I) · Furniture, Equipment and Materials · Correction due November 13, 2024

Outdoor play equipment had chain loops on the swings that might entrap, close or tighten upon a child.

Required correction: Any item that might entrap, close or tighten upon a child shall not be permitted.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 13, 2024

Outdoor equipment, Little Tykes riding car, in the prek playground was not in good condition as evidenced by plastic on the front right side was damaged and appeared partially melted.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 13, 2024

Outdoor equipment, red, white and blue slide, in on the prek playground was not in good condition as evidenced by broken plastic at the front left side of the bottom of the slide.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Joan Rudiq, Stephanie Hollins, Jesica Cazarez and James Brown, who was hired on various dates.

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

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) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (2) (A) 2. · Personnel

The director is not routinely on duty, as evidenced by the director is not present during hours of highest attendance as shown on the timesheets provided by Mrs. Jackie.

Required correction: The director/group home provider shall be routinely on duty, 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 J.M. (expired in MOPD).

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

Medical examination report(s) was/were not on file for J.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 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T. as evidenced by the medical examination was not signed by the required medical source.

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: J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T., J.T.

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

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

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source.

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 "2023".

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

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

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

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 25-500.222 (5) · Records and Reports

Daily attendance records were not maintained on file as evidenced by there were no child attendance records.

Required correction: Child attendance records shall be maintained and retained as required.

5 CSR 25-500.222 (11) · Records and Reports

Child attendance records, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.222 (11) · Records and Reports

Corrective measures relating to a substantiated complaint, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.T., J.R., S.H., J.C., J.B.

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

5 CSR 25-500.087 (2) (B) · Fire Safety

The hangings/draperies in the infant/toddler room were not treated with a flame retardant material.

Required correction: Draperies and wall hanging must be flame retardant and not placed over exit doors.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due October 9, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the evacuation time was not recorded.

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

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

The smoke detector in the prek classroom was alerting to a low battery.

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

5 CSR 25-500.090 (3) (A) · Disaster and Emergency Preparedness · Correction due October 9, 2024

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

Medical examination report(s) was/were not on file for J.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 25-500.052 (1) (B) · Annual Requirements

Evidence of local zoning approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

5 CSR 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due October 9, 2024

The annual sanitation inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for J.R., S.H., J.C., J.B., J.L., T.M., L.B., J.S., C.T., J.T. 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 25-500.052 (2) (D) · Annual Requirements

The facility is owned by a legal entity and evidence of good standing was not available.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

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 pantry door was open and unsupervised.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant/toddler room, hallway and pantry were accessible and not covered.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 9, 2024

The facility's outdoor space was not safe for children's activities as evidenced by overgrowth was present on the back fence.

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

5 CSR 25-500.092 (3) (I) · Furniture, Equipment and Materials

Outdoor play equipment had chain loops on the swings that might entrap, close or tighten upon a child.

Required correction: Any item that might entrap, close or tighten upon a child shall not be permitted.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 9, 2024

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, Little Tykes riding car, in the prek playground was not in good condition as evidenced by plastic on the front right side was damaged and appeared partially melted.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, red, white and blue slide, in on the prek playground was not in good condition as evidenced by broken plastic at the front left side of the bottom of the slide.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Joan Rudiq, Stephanie Hollins, Jesica Cazarez and James Brown, who was hired on various dates.

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

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) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: J.R., J.C., J.B., K.B., T.M., L.B., J.S., C.T., J.T., B.D.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Safe sleep training was not completed within the past 3 years for the following staff J.M. (expired in MOPD).

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 (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) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T. as evidenced by the medical examination was not signed by the required medical source.

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: J.R., J.C., J.B., K.B., L.B., B.D., J.S., C.T., J.T.

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

5 CSR 25-500.122 (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 "2023".

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 the medical examination was not signed by the required medical source.

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

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

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

5 child(ren) records did not include date care begins and ends.

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

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

4 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

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

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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.T., J.R., S.H., J.C., J.B.

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

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 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 6, 2024

The premises were not safe and suitable as evidenced by exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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

Children were not restricted to approved space as evidenced by pantry door was open and unsupervised.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant/toddler room, hallway and pantry were accessible and not covered.

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

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

There was evidence of dirt/debris in the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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

The facility's outdoor space was not safe for children's activities as evidenced by overgrowth was present on the back fence.

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 September 6, 2024

The facility's outdoor space was not safe for children's activities as evidenced by excessive yard debris was present on the playground.

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

5 CSR 25-500.087 (2) (B) · Fire Safety

The hangings/draperies in the infant/toddler room were not treated with a flame retardant material.

Required correction: Draperies and wall hanging must be flame retardant and not placed over exit doors.

5 CSR 25-500.087 (2) (D) · Fire Safety · Correction due September 6, 2024

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety · Correction due September 6, 2024

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety · Correction due September 6, 2024

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the evacuation time was not recorded.

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

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

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

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.

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

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with licensing regulations involving supervision.

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

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

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with licensing regulations involving supervision.

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 exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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

The facility's outdoor space was not safe for children's activities as evidenced by overgrowth was present on the back fence.

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 excessive yard debris was present on the playground.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 3, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.087 (2) (F) · Fire Safety · Correction due July 3, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the evacuation time was not recorded.

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

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

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

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) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

The premises were not safe and suitable as evidenced by exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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

The facility's outdoor space was not safe for children's activities as evidenced by overgrowth was present on the back fence.

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 excessive yard debris was present on the playground.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.

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

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

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

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

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 exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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 March 1, 2024

Children were not restricted to approved space as evidenced by the kitchen door was open and unsecured 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 March 1, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant classroom and hallway did not have protective 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 · Correction due March 1, 2024

The walls located in the prek and infant classrooms was/were not in good condition as evidenced by chipped and peeling paint and tape debris was observed.

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 March 1, 2024

The floors located in the prek and infant classrooms was/were not clean as evidenced by tape residue was observed on the floors.

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 March 1, 2024

The floors located inside the front door was/were not in good condition as evidenced by tiles were observed damaged and loose including one or more tiles that slipped freely when stepped on.

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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 · Correction due March 1, 2024

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 the link fence was only sucured to the supporting poles at the very top with the rest of the link fence able to be pushed outward 6+ inches.

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 overgrowth was present on the back fence.

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 excessive yard debris was present 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 1, 2024

The facility's outdoor space was not safe for children's activities as evidenced by trash and debris was observed on the playground such as torn pieces of the saucer swing and food wrappers.

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 March 1, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 1, 2024

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 the fence was no longer attached to the pole next to the gate leading onto the playground.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due March 1, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado 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 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.

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

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 (1) (E) · Personnel · Correction due March 1, 2024

A caregiver was not knowledgeable of the needs of children as evidenced by caregiver P.W. did not know the ages of the children in the infant/toddler unit and was not knowledgeable of their individual needs according to their age.

Required correction: Caregivers shall meet child care personnel requirements.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due March 1, 2024

The facility did not conduct a Family Care Safety Registry screening for Justice miller and Jay'P London, who was hired on within two months prior to this inspection.

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

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

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

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Medical examination report(s) was/were not on file for J.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 25-500.122 · Medical Examination Reports (1) (B) . · Correction due March 1, 2024

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

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

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

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 25-500.222 (11) · Records and Reports · Correction due March 1, 2024

Updated hours of operation, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.222 (11) · Records and Reports · Correction due March 1, 2024

Notification of temporary closures, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (1) · General Requirements · Correction due March 1, 2024

Criminal background check results were not on file for J.M. and J.L.

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

Violation substantiated · 5 CSR 25-500.032(4)

The person(s) or legal entity who owns a child care facility shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for group child care homes and child care centers.

Required correction: The facility shall ensure all debts and obligations are met. The facility shall provide documentation to the Office of Childhood verifying debt/obligation has been met. Documentation must be submitted by February 19, 2024.

5 CSR 25-500.042 (12) · Licensing Process · Correction due January 26, 2024

Posting requirements were not met as evidenced by the license was not posted near the entrance.

Required correction: The official license shall be posted.

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 kitchen door was open and unsecured allowing children access.

Required correction: Caregivers shall restrict children to approved space.

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

Medical examination report(s) was/were not on file for J.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 25-500.222 (11) · Records and Reports

Updated hours of operation, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.222 (11) · Records and Reports

Notification of temporary closures, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

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

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

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 overgrowth was present on the back fence.

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 excessive yard debris was present 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) 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 trash and debris was observed on the playground such as torn pieces of the saucer swing and food wrappers.

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

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 the link fence was only sucured to the supporting poles at the very top with the rest of the link fence able to be pushed outward 6+ inches.

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

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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

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

The walls located in the prek and infant classrooms was/were not in good condition as evidenced by chipped and peeling paint and tape debris was observed.

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 prek and infant classrooms was/were not clean as evidenced by tape residue was observed on the floors.

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 inside the front door was/were not in good condition as evidenced by tiles were observed damaged and loose including one or more tiles that slipped freely when stepped on.

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

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 outlets in the infant classroom and hallway did not have protective covers.

Required correction: The facility shall use outlet covers or twist-lock outlets 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 exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

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 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due January 26, 2024

Outdoor equipment, saucer swing, in the playground was not in good condition as evidenced by frame and seat had visible tears and missing pieces of padding which was located scattered across the playground.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due January 26, 2024

The director is not routinely on duty, as evidenced by the director was reported to be absent from the premises frequently by the owner.

Required correction: The director/group home provider shall be routinely on duty, as required.

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: J.M.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Justice miller and Jay'P London, who was hired on within two months prior to this inspection.

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

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not knowledgeable of the needs of children as evidenced by caregiver P.W. did not know the ages of the children in the infant/toddler unit and was not knowledgeable of their individual needs according to their age.

Required correction: Caregivers shall meet child care personnel requirements.

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: J.M.

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

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

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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.M. and J.L.

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

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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

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

The walls located in the prek and infant classrooms was/were not in good condition as evidenced by chipped and peeling paint and tape debris was observed.

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

5 CSR 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the license was not posted near the entrance.

Required correction: The official license shall be posted.

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

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

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 overgrowth was present on the back fence.

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

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 the link fence was only sucured to the supporting poles at the very top with the rest of the link fence able to be pushed outward 6+ inches.

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

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 outlets in the infant classroom and hallway did not have protective covers.

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

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

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

Required correction: Caregivers shall restrict children to approved space.

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 exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

Required correction: The premises shall be safe and suitable for the care of 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 prek and infant classrooms was/were not in good condition as evidenced by tape residue was observed on the floors.

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 inside the front door was/were not in good condition as evidenced by tiles were observed damaged and loose including one or more tiles that slipped freely when stepped on.

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 excessive yard debris was present 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) 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 trash and debris was observed on the playground such as torn pieces of the saucer swing and food wrappers.

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

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, saucer swing, in the playground was not in good condition as evidenced by frame and seat had visable tears and missing pieces of padding which was located scattered across the playground.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

5 CSR 25-500.102 (2) (A) 2. · Personnel

The director is not routinely on duty, as evidenced by the director was reported to be absent from the premises frequently by the owner.

Required correction: The director/group home provider shall be routinely on duty, as required.

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: J.M.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Justice Miller and Jay'P London, who was hired on within two months prior to this inspection.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 15, 2023

Staff/child ratio requirements were not met as evidenced by two children, ages 1 year old, were cared for by no caregiver(s).

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

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: J.M.

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

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

Medical examination report(s) was/were not on file for J.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 25-500.222 (11) · Records and Reports

Update hours of operation, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

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

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 25-500.222 (11) · Records and Reports

Notification of temporary closures, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.M. and J.L.

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

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: J.M.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (2) (A) 2. · Personnel

The director is not routinely on duty, as evidenced by the director was reported to be absent from the premises frequently by the owner.

Required correction: The director/group home provider shall be routinely on duty, as required.

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

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 25-500.222 (11) · Records and Reports

Updated hours of operation, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-500.222 (11) · Records and Reports

Notification of temporary closures, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.M. and J.L.

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

5 CSR 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the license was not posted near the entrance.

Required correction: The official license shall be posted.

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 exposed wiring was observed 1 foot off the ground and immediately next to a crib in the infant/toddler classroom. The wiring was attached to a device that appeared to be functioning.

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

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the infant classroom and hallway did not have protective 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 in the prek and infant classrooms was/were not in good condition as evidenced by chipped and peeling paint and tape debris was observed.

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 the infant and prek classrooms where it was observed that the floors had food crumbs and yard debris present.

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 the link fence was only sucured to the supporting poles at the very top with the rest of the link fence able to be pushed outward 6+ inches.

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 overgrowth was present on the back fence.

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

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

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 trash and debris was observed on the playground such as torn pieces of the saucer swing and food wrappers.

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 excessive yard debris was present on the playground.

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

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

The floors located in the prek and infant classrooms was/were not clean as evidenced by tape residue was observed on the floors.

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 inside the front door was/were not in good condition as evidenced by tiles were observed damaged and loose including one or more tiles that slipped freely when stepped on.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in the infant/toddler classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.

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

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the prek classroom.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

5 CSR 25-500.087 (2) (D) · Fire Safety

Art work/teaching materials, artwork, wall decor and documentation, was observed covering more than thirty percent (30%) of the walls in in the hallways and office spaces.

Required correction: Art work/teaching materials cannot hang in doorways, from ceilings or cover too much wall space.

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 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, saucer swing, in the playground was not in good condition as evidenced by frame and seat had visible tears and missing pieces of padding which was located scattered across the playground.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, basketball net, in the playground was not in good condition as evidenced by the net had been torn in multiple spots.

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Justice miller and Jay'P London, who was hired on within two months prior to this inspection.

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

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

Medical examination report(s) was/were not on file for J.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 25-500.122 · 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: J.M.

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