North Oak Academy Corp.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 15, 2026

The ceilings located in two's bathroom was/were not in good condition as evidenced by torn ceiling tile.

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 June 23, 2026

Furniture/equipment, changing table, in in toddler room was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due July 6, 2026

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: B.G., and H.M.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due June 23, 2026

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: M.R. .75 hrs.; Katherine Self-needs-5.75 hrs..

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due July 6, 2026

Safe sleep training was not completed within the past 3 years for the following staff R.B., T.C., A.P., M.R., and B.G.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 2, 2026

Hazardous items as follows were accessible to children: unknown cleaner and sunscreen . The item(s) was/were located in unlocked cabinet and on low shelf.

Required correction: Hazardous items shall be inaccessible to children.

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

The ceilings located in two's bathroom was/were not in good condition as evidenced by torn ceiling tile.

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

Furniture/equipment, changing table, in in toddler room was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: B.G., and H.M.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: M.R. .75 hrs.; Katherine Self-needs-5.75 hrs..

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

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

Safe sleep training was not completed within the past 3 years for the following staff R.B., T.C., A.P., M.R., and B.G.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 20, 2026

The walls located in common area was/were not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 20, 2026

The floors located in infant/toddler bathroom was/were not in good condition as evidenced by missing baseboards.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2026

The facility's outdoor space was not safe for children's activities as evidenced by hole in concrete near fence creating a tripping hazard.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 23, 2025

Hazardous items as follows were accessible to children: purse, sanitizing spray and diaper creams. The item(s) was/were located on low shelves.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in common area was/were not in good condition as evidenced by chipping paint.

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

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

The floors located in infant/toddler bathroom was/were not in good condition as evidenced by missing baseboards.

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 hole in concrete near fence creating a tripping hazard.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due December 23, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by some children were served cereal and water for morning snack.

Required correction: Nourishing food shall be provided as required.

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

Hazardous items as follows were accessible to children: purse, sanitizing spray and diaper creams. The item(s) was/were located on low shelves.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 11, 2025

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

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

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

The floors located in infant/toddler bathroom was/were not in good condition as evidenced by missing baseboards.

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 hole in concrete near fence creating a tripping hazard.

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 walls located in common area was/were not in good condition as evidenced by chipping paint.

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 December 11, 2025

Outdoor equipment, ball, in preschool playground was not in good condition as evidenced by flat.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 11, 2025

Group size requirements were not met as evidenced by twenty-two children, ages 2-to-5-years-old, were cared for by 3 adult caregiver(s).

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

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

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by some children were served cereal and water for morning snack.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due October 7, 2025

The annual fire safety inspection was not approved.

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

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

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

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

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

The ceilings located in preschool room was/were not clean as evidenced by stained tile.

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 July 10, 2025

Furniture/equipment, changing table , in toddler room was not in good condition as evidenced by chipping paint.

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

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

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

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due November 13, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: S.C. 12.

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

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due July 7, 2025

Medical examination report form did not contain all required information as evidenced by physical examination section not completed by physician.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due July 1, 2025

1 child(ren) records did not include name, address and telephone number 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 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

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

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

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

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

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

The floors located in toddler room was/were not in good condition as evidenced by mat worn and stained.

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 ceilings located in preschool room was/were not clean as evidenced by stained tile.

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

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

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

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

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

Hazardous items as follows were accessible to children: purse and staff bags. The item(s) was/were located on a table.

Required correction: Hazardous items shall be inaccessible to children.

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

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

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

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

Furniture/equipment, changing table , in toddler room was not in good condition as evidenced by chipping paint.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: S.C. 12.

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

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

Medical examination report form did not contain all required information as evidenced by physical examination section not completed by physician.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due June 25, 2025

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by AM snack was missing one component.

Required correction: Nourishing food shall be provided as required.

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

1 child(ren) records did not include name, address and telephone number 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 19, 2024

The ceilings located in both infant rooms and one's room was/were not clean as evidenced by dusty fans, light fixtures and ceiling tiles.

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

5 CSR 25-500.102 (1) (H) · Personnel · Correction due November 19, 2024

The requirements for availability and understanding of the Licensing Rules for Group Child Care Homes and Child Care Centers in Missouri were not met as evidenced by licensing rules were not available.

Required correction: Licensing rules shall be available and all caregivers working directly with children shall be knowledgeable of the rules.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due November 19, 2024

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due November 19, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

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

Hazardous items as follows were accessible to children: Sanitizer spray, Glade air freshener, purses, Aquaphor, Gentle Stars diaper cream, and Vaseline. The item(s) was/were located on desks and in low cubbies.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 7, 2024

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 7, 2024

The floors located in one's room was/were not clean as evidenced by dirty areas by the back door and soiled area blanket/mat.

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

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

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

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

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.102 (1) (H) · Personnel

The requirements for availability and understanding of the Licensing Rules for Group Child Care Homes and Child Care Centers in Missouri were not met as evidenced by licensing rules were not available.

Required correction: Licensing rules shall be available and all caregivers working directly with children shall be knowledgeable of the rules.

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

The ceilings located in both infant rooms and one's room was/were not clean as evidenced by dusty fans, light fixtures and ceiling tiles.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2024

The walls located between two year old rooms was/were not clean as evidenced by chipping paint.

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

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

The premises were not safe and suitable as evidenced by pipe by back door has ice/slush on the outside.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 26, 2024

Furniture/equipment, changing table, in small infant room was not in good condition as evidenced by chipping paint.

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 July 1, 2024

Outdoor equipment, tree house and rock climber, in both playgrounds was not in good condition as evidenced by broken.

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

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

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

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 · Medical Examination Reports (1) (B) . · Correction due July 17, 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: M.D., J.E., E.H., M.S.

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) (D) · Medical Examination Reports · Correction due June 26, 2024

Medical examination report form did not contain all required information as evidenced by date of exam was missing.

Required correction: Medical reports shall be 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 pipe by back door has ice/slush on the outside.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 12, 2024

Hazardous items as follows were accessible to children: expo cleaner, Corona ointment, Boudreaux's Butt paste, cortisone cream. The item(s) was/were located on low shelves.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located between two year old rooms was/were not clean as evidenced by chipping paint.

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

Furniture/equipment, changing table, in small infant room was not in good condition as evidenced by chipping paint.

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, tree house and rock climber, in both playgrounds was not in good condition as evidenced by broken.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 12, 2024

Furniture/equipment, drawers , in infant room was not in good condition as evidenced by tape peeling.

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

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

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

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 · 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: M.D., J.E., E.H., M.S.

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) (D) · Medical Examination Reports

Medical examination report form did not contain all required information as evidenced by date of exam was missing.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 16, 2024

The ceilings located in two's room was/were not clean as evidenced by dusty ceiling tiles around fan .

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 13, 2024

The walls located bathroom was/were not in good condition as evidenced by paint peeling on trim and wood peeling off door.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 16, 2024

The floors located in two's room was/were not in good condition as evidenced by tape peeling off floor and dirty mat.

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 January 17, 2024

Furniture/equipment, changing tables, in infant and two's room was not in good condition as evidenced by chipping paint and dirty.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due January 25, 2024

Furniture/equipment, shelves, in infant and two's rooms was not in good condition as evidenced by sticky residue and wood peeling .

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 February 1, 2024

Outdoor equipment, Plastic climber, in toddler playground was not in good condition as evidenced by paint chipping.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due January 23, 2024

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by two children served lunch missing dairy component..

Required correction: Nourishing food shall be provided as required.

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

Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.

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

Violation substantiated · 5 CSR 25-500.192(5)(A)

In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 19, 2023

Hazardous items as follows were accessible to children: scissors, purse, expo cleaner. The item(s) was/were located on low shelf.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in two's room was/were not in good condition as evidenced by tape peeling off floor and dirty mat.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 19, 2023

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

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 19, 2023

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

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

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

The ceilings located in two's room was/were not clean as evidenced by dusty ceiling tiles around fan .

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

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

The walls located bathroom was/were not in good condition as evidenced by paint peeling on trim and wood peeling off door.

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

Furniture/equipment, shelves, in infant and two's rooms was not in good condition as evidenced by sticky residue and wood peeling .

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, Plastic climber, in toddler playground was not in good condition as evidenced by paint chipping.

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

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

Furniture/equipment, changing tables, in infant and two's room was not in good condition as evidenced by chipping paint and dirty.

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

5 CSR 25-500.192 (6) (A) · Health Care · Correction due December 19, 2023

Requirements for handwashing were not met as evidenced by caregiver did not wash hands after assisting with a child that had an accident.

Required correction: Staff/children shall wash hands as required.

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

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by two children served lunch missing dairy component..

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 12, 2023

The floors located two year old room was/were not finished with material which can be cleaned easily as evidenced by stickers peeling off .

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 16, 2023

The facility's outdoor space was not safe for children's activities as evidenced by large spaces/cracks in between rubber mats.

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 two year old room was/were not finished with material which can be cleaned easily as evidenced by stickers peeling off .

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 large spaces/cracks in between rubber mats.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due October 2, 2023

Caregiver did not provide frequent, direct contact as evidenced by a preschool child was sent to the bathroom down the hall and around the corner unsupervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.082 (1) (K) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 19, 2023 · No longer displayed by the state

Smoking occurred in a child care facility as evidenced by a caregiver was observed to vape in a classroom with children present by four other caregivers.

Required correction: Smoking shall be prohibited in any area of the child care facility when children are present.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 2, 2023 · No longer displayed by the state

The ceilings located in two's room and Pre-k was/were not clean as evidenced by dusty vent, ceiling tiles and ceiling fan.

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 August 2, 2023 · No longer displayed by the state

The walls located in toddler room was/were not in good condition as evidenced by peeling paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 2, 2023 · No longer displayed by the state

The floors located in preschool room was/were not in good condition as evidenced by circles peeling off the floor/sticky residue.

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 August 2, 2023 · No longer displayed by the state

The walls located in hallway was/were not clean as evidenced by dusty vent.

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 August 2, 2023 · No longer displayed by the state

The walls located in two's room was/were not in good condition as evidenced by dirty wall entering bathroom and baseboard missing.

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

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due September 19, 2023 · No longer displayed by the state

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

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by large spaces/cracks in between rubber mats.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 2, 2023 · No longer displayed by the state

Furniture/equipment, shelves, in toddler rooms was not in good condition as evidenced by dirty and chipping paint.

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 August 2, 2023 · No longer displayed by the state

Outdoor equipment, trikes, in toddler playground was not in good condition as evidenced by rusting.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due August 2, 2023 · No longer displayed by the state

Arielle Thomas and Savannah Collins did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. . · Correction due September 13, 2023 · No longer displayed by the state

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by no director on file.

Required correction: The director or group home provider shall be responsible for the daily program.

5 CSR 25-500.102 · Personnel (2) (A) 1. B. · Correction due September 13, 2023 · No longer displayed by the state

The facility has not submitted the approval request for proposed director: A.C.

Required correction: An approval request form shall be submitted to the department.

5 CSR 25-500.102 (2) (A) 2. · Personnel · Correction due September 13, 2023 · No longer displayed by the state

The director is not routinely on duty, as evidenced by no director on file.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due September 13, 2023 · No longer displayed by the state

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.112 (1) (B) · Staff/Child Ratios · Correction due September 19, 2023 · No longer displayed by the state

Staff/child ratio requirements were not met as evidenced by 11 children, ages 2-years-old, were cared for by 1 caregiver(s).

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

5 CSR 25-500.112 (1) (C) · Staff/Child Ratios · Correction due September 19, 2023 · No longer displayed by the state

Staff/child ratio requirements were not met as evidenced by 18 children, ages 3-to-4-years-old, were cared for by 1 (no extra staff on premises during naptime) caregiver(s).

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 2, 2023 · No longer displayed by the state

Medical examination report(s) was/were not on file for K.B. 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 August 2, 2023 · No longer displayed by the state

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: R.B., K.B., E.M., M.R., A.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 August 2, 2023 · No longer displayed by the state

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 7/5/2022.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · No longer displayed by the state

Caregiver did not provide frequent, direct contact as evidenced by a preschool child was sent to the bathroom down the hall and around the corner unsupervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due August 2, 2023 · No longer displayed by the state

2 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) (B) · Records and Reports · Correction due August 2, 2023 · No longer displayed by the state

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · No longer displayed by the state

2 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 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The facility's outdoor space was not safe for children's activities as evidenced by large spaces/cracks in between rubber mats.

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 · No longer displayed by the state

The ceilings located in two's room and Pre-k was/were not clean as evidenced by dusty vent, ceiling tiles and ceiling fan.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located in toddler room was/were not in good condition as evidenced by peeling paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The floors located in preschool room was/were not in good condition as evidenced by circles peeling off the floor/sticky residue.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located in hallway was/were not clean as evidenced by dusty vent.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located in two's room was/were not in good condition as evidenced by dirty wall entering bathroom and baseboard missing.

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

5 CSR 25-500.082 (1) (K) · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

Smoking occurred in a child care facility as evidenced by a caregiver was observed to vape in a classroom with children present by four other caregivers.

Required correction: Smoking shall be prohibited in any area of the child care facility when children are present.

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

Outdoor equipment, trikes, in toddler playground was not in good condition as evidenced by rusting.

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

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

Furniture/equipment, shelves, in toddler rooms was not in good condition as evidenced by dirty and chipping paint.

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

5 CSR 25-500.102 (2) (A) 3. · Personnel · No longer displayed by the state

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.102 (2) (A) 2. · Personnel · No longer displayed by the state

The director is not routinely on duty, as evidenced by no director on file.

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

5 CSR 25-500.102 · Personnel (2) (A) 1. B. · No longer displayed by the state

The facility has not submitted the approval request for proposed director: A.C.

Required correction: An approval request form shall be submitted to the department.

5 CSR 25-500.102 · Personnel (2) (A) 1. . · No longer displayed by the state

The director was not responsible for the daily planning, monitoring and managing of the facilities program as evidenced by no director on file.

Required correction: The director or group home provider shall be responsible for the daily program.

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

Arielle Thomas and Savannah Collins did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · No longer displayed by the state

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 7/5/2022.

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

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

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: R.B., K.B., E.M., M.R., A.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 (1) (A) · Medical Examination Reports · No longer displayed by the state

Medical examination report(s) was/were not on file for K.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · No longer displayed by the state

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · No longer displayed by the state

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

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