Rising Sun Learning Center

Violation substantiated · 5 CSR 25-500.092(1)(B)2.I.

Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 23, 2026

The walls located in the 2 year old room and the 2/3 year old room was/were not finished with material which can be cleaned easily as evidenced by chipped and peeling paint exposing dry wall.

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 24, 2026

The floors located in the 2's classroom was/were not clean as evidenced by stains on 1 area rug were observed.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 23, 2026

Hazardous items as follows were accessible to children: 1 bottle of Clean Cide, 1 bottle of floor cleaner and 1 can of air freshner. The item(s) was/were located in unlocked cabinets in the 2 year old room and the 4 & 5 year old room accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in the 2's classroom was/were not clean as evidenced by stains on 1 area rug were 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 walls located in the 2 year old room and the 2/3 year old room was/were not finished with material which can be cleaned easily as evidenced by chipped and peeling paint exposing dry wall.

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

Violation substantiated · 5 CSR 25-500.082(6)(B)1.

Outdoor play space for infants and toddlers shall be separate from that used for older children or the same space shall be used at different times. (This rule does not apply to group day care homes with a maximum of four (4) infant/toddlers or to day care centers licensed for a maximum of twenty (20) children, including no more than four (4) infant/toddlers. )

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 25-600.020 (1) · General Requirements · Correction due September 9, 2025

Criminal background check results were not on file for R.T. and a 15 year old volunteer (8/15/25-ok).

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 August 13, 2025

The floors located in the forest room, garden room, 4 year old room and the school age room was/were not clean as evidenced by dirt stains were observed on the area rugs.

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 13, 2025

The walls located in the Garden room, 3 year old room, 4 year old room and the school age room was/were not clean as evidenced by chipping/peeling paint, evidence of dirt/crayon scribbles and contact paper sticky residue were observed on the walls, front & tops of counters/cabinets and doors .

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) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 13, 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 25-500.102 (1) (P) · Personnel · Correction due August 15, 2025

The facility did not conduct a Family Care Safety Registry screening for a 15 year old volunteer, who was hired on 2 weeks ago as a volunteer.

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

5 CSR 25-500.102 · Personnel (1) (C) . · Correction due August 15, 2025

The caregiver was not 18 years of age or older and did not meet the definition of a Junior Aide as defined in 5 CSR 25-500.010, as evidenced by a staff member was 15 years old in the 4's classroom.

Required correction: Caregivers counted in staff/child ratio shall be 18 years of age or older or meet the definition of a Junior Aide.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 15, 2025

Staff/child ratio requirements were not met as evidenced by 12 children , ages 4 years old, were cared for by one adult caregiver(s).

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for R.T. and a 15 year old volunteer (8/15/25-ok).

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due August 6, 2025

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 6, 2025

Hazardous items as follows were accessible to children: gallon jug of rubbing alcohol (4's), gallon jub of hand soap (4's), 1 spray can of insect repellent (4's) and 1 tube of sunscreen (4's). The item(s) was/were located in the 4 year old room on a low shelf accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

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

The walls located in the Garden room, 3 year old room, 4 year old room and the school age room was/were not clean as evidenced by chipping/peeling paint, evidence of dirt/crayon scribbles and contact paper sticky residue were observed on the walls, front & tops of counters/cabinets and doors .

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 August 6, 2025

Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.

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

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in the forest room, garden room, 4 year old room and the school age room was/were not clean as evidenced by dirt stains were observed on the area rugs.

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 August 6, 2025

Outdoor equipment, a little tike car and stroller, in the outside playground space was not in good condition as evidenced by exposed screws and sharp edges on the car and the stroller was missing 2 wheels.

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 a 15 year old volunteer, who was hired on 2 weeks ago as a volunteer.

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

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

The caregiver was not 18 years of age or older and did not meet the definition of a Junior Aide as defined in 5 CSR 25-500.010, as evidenced by a staff member was 15 years old in the 4's classroom.

Required correction: Caregivers counted in staff/child ratio shall be 18 years of age or older or meet the definition of a Junior Aide.

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

Staff/child ratio requirements were not met as evidenced by 12 children , ages 4 years old, were cared for by one adult caregiver(s).

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due August 6, 2025

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for R.T. and a 15 year old volunteer.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due March 20, 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: Tykita Cook (3) and Kirsten Hyland (8.5).

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 12, 2025

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

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 (4) (A) .

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

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Tykita Cook (3) and Kirsten Hyland (8.5).

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due September 6, 2024

The Family Care Safety Registry check was not conducted for A.D., B.F., D.M.S., and G.U. 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 25-500.102 (4) (A) 3. · Personnel · Correction due August 26, 2024

N.F., J.A. and J.D. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due August 22, 2024

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: G.U., N.F., J.A. and J.D.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 6, 2024

Medical examination report(s) was/were not on file for N.Y.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 August 6, 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: N.Y.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 (2) (A) · Medical Examination Reports · Correction due September 4, 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 January 2, 2023 and March 11, 2024.

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

5 CSR 25-500.182 (1) (E) 2. · Child Care Program · Correction due August 22, 2024

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

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

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

Requirements for immunization reports on file were not met as evidenced by one (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) (B) · Records and Reports · Correction due September 5, 2024

One (1) child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due October 31, 2024

Criminal background check results were not on file for B.F., D.M.S., Z.P., R.T., G.U., J.A. and J.D.

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 A.D., B.F., D.M.S., and G.U. 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 25-500.192 (4) (A) · Health Care

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

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

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

Hazardous items as follows were accessible to children: diaper ointment tubes, staff purse with cigarettes visible, sunscreen bottles, bathroom cleaner, can of house paint. The item(s) was/were located in the ocean room, preschool 3 room, preschool 4 room and the school age room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 1, 2024

The floors located in the 2 year old Garden room was/were not clean as evidenced by dirt stains were observed on two area rugs.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 1, 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 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 1, 2024

Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 1, 2024

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 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 25-500.102 (4) (A) 3. · Personnel

N.F., J.A. and J.D. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: G.U., N.F., J.A. and J.D.

Required correction: All caregivers shall obtain a MOPD ID.

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

Medical examination report(s) was/were not on file for N.Y.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: N.Y.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 (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 January 2, 2023 and March 11, 2024.

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

5 CSR 25-500.182 (1) (E) 2. · Child Care Program

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

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

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

One (1) child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for B.F., D.M.S., Z.P., R.T., G.U., J.A. and J.D.

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

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due March 21, 2024

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the classrooms did not have the full emergency plan in each classroom with children.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due April 17, 2024

Criminal background check results were not on file for Tykita Cook (2/22/24), Ann Dorsey, Caleb McDonald(2/22/24), Ty Stivers (2/22/24) and Angel Stivers (3/13/24).

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 20, 2024

The facility's outdoor space was not safe for children's activities as evidenced by two (2) of the railroad ties used as the border of the playground had splintered wood .

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

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

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the classrooms did not have the full emergency plan in each classroom with children.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due February 21, 2024

I.J., Z.P. and H.U. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due February 21, 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: P.C. (5.50), K.H. (4) and Debra Martley-Shelton (5).

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due February 21, 2024

The facility did not conduct a Family Care Safety Registry screening for Tykita Cook, A.D., C.M., T.S. and A.S., who was hired on 12/27/23, 12/27/23, 11/27/23, 12/27/23 and 12/28/23 respectfully.

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 · Correction due February 21, 2024

Medical examination report(s) was/were not on file for T.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 · Medical Examination Reports (1) (B) . · Correction due February 21, 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: T.S.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Tykita Cook, A.D., C.M., T.S. and A.S.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Tykita Cook, A.D., C.M., T.S. and A.S.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 9, 2024

Children were not restricted to approved space as evidenced by the laundry room and maintenance rooms in the hallways were not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 9, 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 (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 two (2) of the railroad ties used as the border of the playground had splintered wood .

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

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

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the classrooms did not have the full emergency plan in each classroom with children.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due February 9, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.

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

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

Outdoor equipment, riding bikes and push toys, in the playground space was not in good condition as evidenced by cracked wheels with pinch points and sharp hard plastic .

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

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

I.J., Z.P. and H.U. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: P.C. (5.50), K.H. (4) and Debra Martley-Shelton (5).

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Tykita Cook, A.D., C.M., T.S. and A.S., who was hired on 12/27/23, 12/27/23, 11/27/23, 12/27/23 and 12/28/23 respectfully.

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 T.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 · 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.S.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due November 22, 2023

The Family Care Safety Registry check was not conducted for D.M.S. (11/16/23), I.J. (11/16/23), J.G. (11/16/23), H.U., S.L. (11/16/23), M.P. (11/16/23) and Allen Huffman (11/16/23) 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 25-600.020 (1) · General Requirements · Correction due November 22, 2023

Criminal background check results were not on file for J.K. (11/16/23), I.J. (11/16/23(, J.G. (11/16/23), H.U., S.L. (11/16/23) and Michelle Perez (11/16/23).

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 November 16, 2023

The floors located toddler ocean room(corrected during inspection) garden room, forest room, (corrected during inspection) dinosaur room and the prek 4 room was/were not clean as evidenced by dirt stains on area rugs and/or vinyl mats.

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 November 16, 2023

Furniture/equipment, one pack and play, in the infant room (Reef) was unsafe as evidenced by there was a tear approximately 2 inches in diameter on 1 mesh siding of the pack and play.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due November 16, 2023

Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due November 16, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by pillows used for lounging in the reading areas of the forest room and the prek 3 room had evidence of stains on the pillows.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.092 (3) (H) · Furniture, Equipment and Materials · Correction due November 16, 2023

Outdoor play equipment, the wood railroad border, was not safe as evidenced by exposed bolts or screws were not recessed into the frame, covered or filed to avoid sharp edges.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 16, 2023

Jacqueline Garcia and Isabelle Jones 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 (1) (A) · Medical Examination Reports · Correction due November 16, 2023

Medical examination report(s) was/were not on file for J.K., I.J., J.G. and H.U. 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 J.K. (11/16/23), I.J. (11/16/23(, J.G. (11/16/23), H.U., S.L. (11/16/23) and Michelle Perez (11/16/23).

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 D.M.S. (11/16/23), I.J. (11/16/23), J.G. (11/16/23), H.U., S.L. (11/16/23), M.P. (11/16/23) and Allen Huffman (11/16/23) 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 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 16, 2023

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due November 16, 2023

Documentation of caregiver completion of the facility orientation was not on file for the following staff: J.K., I.J., J.G., H.U., S.L. and M.P.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due November 16, 2023

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: J.G., H.U., J.K. and I.J.

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

Violation substantiated · 5 CSR 25-500.082(1)(K)

No person shall smoke or otherwise use tobacco products in any area of the child care facility during the period of time when children cared for under the license are present.

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(s) shall be submitted to the Office of Childhood.