Northland Early Education Center

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 1, 2026

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 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 25, 2026

There was evidence of dirt/debris in L4L room (sticky residue on play kitchen).

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due March 26, 2026

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 April 13, 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: S.W. 3 hrs..

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due April 13, 2026

Medical examination report(s) was/were not on file for T.B., R.T., C.J. 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 April 21, 2026

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: T.B., R.T., C.J.

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) (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 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in L4L room (sticky residue on play kitchen).

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

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 (3) (A) · Furniture, Equipment and Materials · Correction due March 24, 2026

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

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

5 CSR 25-500.102 (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: S.W. 3 hrs..

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

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

Medical examination report(s) was/were not on file for T.B., R.T., C.J. 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: T.B., R.T., C.J.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 19, 2025

The floors located in cafe was/were not clean as evidenced by sticky and food on floor in closet.

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 21, 2025

The ceilings located in teal room and middle bay-cafe was/were not in good condition as evidenced by stained and holes.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 19, 2025

There was evidence of dirt/debris in that sticky/paper residue on shelf in pink room and refrigerator in play cafe.

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 August 28, 2025

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

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

5 CSR 25-500.090 (2) (B) 2. · Disaster and Emergency Preparedness · Correction due August 21, 2025

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

Required correction: Facility must post information as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 8, 2025

Outdoor equipment, swing , in preschool playground was not in good condition as evidenced by broken.

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

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

The ceilings located in teal room and middle bay-cafe was/were not in good condition as evidenced by stained and holes.

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

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

There was evidence of dirt/debris in that sticky/paper residue on shelf in pink room and refrigerator in play cafe.

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 broken fence board.

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

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

The floors located in cafe was/were not clean as evidenced by sticky and food on floor in closet.

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

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

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

Required correction: Facility must post information as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 12, 2025

Furniture/equipment, shelf , in teal room was not in good condition as evidenced by broken.

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, swing , in preschool playground was not in good condition as evidenced by broken.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 21, 2025

The ceilings located in teal and copper rooms was/were not clean as evidenced by stained 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 April 3, 2025

The floors located in copper room was/were not clean as evidenced by tape peeling .

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 April 21, 2025

The walls located in teal and orange rooms 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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 17, 2025

There was evidence of dirt/debris in that sticky residue on shelves in silver and copper rooms.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due April 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 25-500.122 (1) (A) · Medical Examination Reports · Correction due April 21, 2025

Medical examination report(s) was/were not on file for T.L., K.S. 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) (C) · Medical Examination Reports · Correction due April 7, 2025

The medical examination report on file for M.M. was older than 12 months before the individual's begin date at the facility.

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

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

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

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 · Medical Examination Reports (1) (B) . · Correction due April 1, 2025

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: M.M.

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

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

The walls located in teal and orange rooms 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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in that sticky residue on shelves in silver and copper rooms.

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 ceilings located in teal and copper rooms was/were not clean as evidenced by stained tiles.

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

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

The floors located in copper room was/were not clean as evidenced by tape peeling .

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

Medical examination report(s) was/were not on file for T.L., K.S. 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) (C) · Medical Examination Reports

The medical examination report on file for M.M. was older than 12 months before the individual's begin date at the facility.

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

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

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: M.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 · 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: B.R.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 23, 2024

The floors located in silver room was/were not clean as evidenced by soiled/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 · Correction due October 29, 2024

The ceilings located in L&L, blue and orange rooms was/were not clean as evidenced by dusty bathroom vents.

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 October 29, 2024

Furniture/equipment, shelves and refrigerator, in in copper and yellow rooms was not in good condition as evidenced by sticky residue.

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 November 25, 2024

Outdoor equipment, adaptive swing , in preschool playground was unsafe as evidenced by ropes unraveling .

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

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

The ceilings located in L&L, blue and orange rooms was/were not clean as evidenced by dusty bathroom vents.

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 silver room was/were not clean as evidenced by soiled/stained.

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 and refrigerator, in in copper and yellow rooms was not in good condition as evidenced by sticky residue.

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, adaptive swing , in preschool playground was unsafe as evidenced by ropes unraveling .

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

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.

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.

Violation substantiated · 5 CSR 25-500.182(1)(A)4.

Children under three (3) shall be supervised and assisted while in the bathroom.

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 25-500.132 (6) · Admission Policies and Procedures · Correction due July 10, 2024

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-500.132 (6) · Admission Policies and Procedures

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

Violation substantiated · 5 CSR 25-600.020 (2)

A prospective child care staff member may begin work for a child care provider if:

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 licensing violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-600.020 (2)(A)

The prospective child care staff member has received notice from the department that the individual is eligible for employment or presence in a child care setting; or

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 licensing violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 4, 2024

The annual fire safety inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for K.D. and E.G. 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 16, 2024

Furniture/equipment, shelves, in Copper room was not in good condition as evidenced by sticky residue.

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 May 1, 2024

Furniture/equipment, step stool, in Brown room was not in good condition as evidenced by skid resistant material peeling off.

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 April 22, 2024

Furniture/equipment, cribs, in Pink 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 (1) (A) 1. · Furniture, Equipment and Materials · Correction due May 15, 2024

Furniture/equipment, Toilet paper holder, in Brown room was not in good condition as evidenced by rusting.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 2, 2024

Safe sleep training was not completed within the past 3 years for the following staff T.K., K.J., and M.W.

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 April 9, 2024

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

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 (3) (C) · Personnel · Correction due May 2, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Jennifer Boller-1 hour; Olivia Bowman-Allen-3 hours.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 20, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: K.J., T.K., B.M., and M.W. need 12 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 15, 2024

Medical examination report(s) was/were not on file for A.C. 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) (C) · Medical Examination Reports · Correction due May 1, 2024

The medical examination report on file was older than 12 months before the individual's begin date at the facility.

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

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

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: S.B. and P.R.

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 · Medical Examination Reports (1) (B) . · Correction due April 9, 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: S.R.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due May 15, 2024

Criminal background check results were older than five (5) years for Robert Tant.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due May 15, 2024

Criminal background check results were not on file for K.D., E.G., and D.R.

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

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

The Family Care Safety Registry check was not conducted for K.D. and E.G. 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) (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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 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 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2024

Hazardous items as follows were accessible to children: D.A., and bleach spray. The item(s) was/were located in an unlocked cabinet and on a low cart.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due March 26, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1".

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

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

The requirements for sleeping materials were not met as evidenced by 1 children 12 months or older, who nap or sleep, did not have a sheet.

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

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

Furniture/equipment, shelves, in Copper room was not in good condition as evidenced by sticky residue.

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

Furniture/equipment, step stool, in Brown room was not in good condition as evidenced by skid resistant material peeling off.

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

Furniture/equipment, cribs, in Pink 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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, Toilet paper holder, in Brown room was not in good condition as evidenced by rusting.

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 2023, the staff listed need the following information: K.J., T.K., B.M., and M.W. need 12 hours.

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

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Jennifer Boller-1 hour; Olivia Bowman-Allen-3 hours.

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

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: D.R. and R.T.

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 T.K., K.J., and M.W.

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 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: S.B. and P.R.

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 · 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: S.R.

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) (C) · Medical Examination Reports

The medical examination report on file was older than 12 months before the individual's begin date at the facility.

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 A.C. 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for K.D., E.G., and D.R.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Robert Tant.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2023

The floors located in Orange, Blue and Silver rooms, gym was/were not clean as evidenced by stained carpets, tape peeling/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 November 29, 2023

The walls located in Copper room, Silver room, L for L room, cafeteria, and Brown room was/were not in good condition as evidenced by chunks missing, chipping paint, and sticky residue (back door).

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 18, 2024

The facility's outdoor space was not safe for children's activities as evidenced by broken siding piece on north preschool playground.

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 November 20, 2023

Furniture/equipment, shelves and changing table (Green room), table (middle bay), in all rooms was not in good condition as evidenced by sticky residue/contact paper peeling.

Required correction: The facility shall provide safe and clean furniture/equipment 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 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)(C)7.

Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.

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)(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.

5 CSR 25-500.042 (13) (C) · Licensing Process · Correction due October 16, 2023

The telephone number of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

5 CSR 25-500.042 (13) (C) · Licensing Process · Correction due October 16, 2023

The address of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 26, 2023

The ceilings located in several classrooms/bathrooms was/were not clean as evidenced by dusty vents.

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 Orange, Blue and Silver rooms, gym was/were not clean as evidenced by stained carpets, tape peeling/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

The walls located in Copper room, Silver room, L for L room, cafeteria, and Brown room was/were not in good condition as evidenced by chunks missing, chipping paint, and sticky residue (back door).

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 broken siding piece on north preschool playground.

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

Furniture/equipment, shelves and changing table (Green room), table (middle bay), in all rooms was not in good condition as evidenced by sticky residue/contact paper peeling.

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 October 26, 2023

Furniture/equipment, stepstools , in Brown, Orange, Yellow, Green and Blue rooms was not in good condition as evidenced by worn and peeling skid resistant material .

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. I · Correction due October 26, 2023

An infant was observed sleeping in a/an swing.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 26, 2023

Outdoor equipment, balance toy , in I/T playground was not in good condition as evidenced by foam covering peeling off handles.

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 October 26, 2023

Outdoor equipment, easel , in preschool playground was not in good condition as evidenced by mixing plexi .

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

5 CSR 25-500.042 (13) (C) · Licensing Process

The telephone number of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

5 CSR 25-500.042 (13) (C) · Licensing Process

The address of the board president was not prominently posted near the license.

Required correction: The name, address, and board president or chairperson shall be posted near the license.

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

The facility's outdoor space was not safe for children's activities as evidenced by broken siding piece on north preschool 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 ceilings located in several classrooms/bathrooms was/were not clean as evidenced by dusty vents.

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 Orange, Blue and Silver rooms, gym was/were not clean as evidenced by stained carpets, tape peeling/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

The walls located in Copper room, Silver room, L for L room, cafeteria, and Brown room was/were not in good condition as evidenced by chunks missing, chipping paint, and sticky residue (back door).

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

Outdoor equipment, balance toy , in I/T playground was not in good condition as evidenced by foam covering peeling off handles.

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, easel , in preschool playground was not in good condition as evidenced by mixing plexi .

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

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

An infant was observed sleeping in a/an swing.

Required correction: Infants shall only sleep in a crib, portable crib, or playpen.

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

Furniture/equipment, shelves and changing table (Green room), table (middle bay), in all rooms was not in good condition as evidenced by sticky residue/contact paper peeling.

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

Furniture/equipment, stepstools , in Brown, Orange, Yellow, Green and Blue rooms was not in good condition as evidenced by worn and peeling skid resistant material .

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