Stephen's House

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 30, 2026

The walls located in the basement was/were not finished with material which can be cleaned easily as evidenced by there were 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2026

The floors located in Room 10 was/were not clean as evidenced by sticky residue from dot stickers peeling from the floor.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2026

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there was a missing outlet cover in Room 16.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2026

Hazardous items as follows were accessible to children: diaper cream and Aquaphor . The item(s) was/were located in unlocked drawers in the Room 4, Room 9, and bathroom 1 in the preschool section.

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 basement was/were not finished with material which can be cleaned easily as evidenced by there were missing baseboards.

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due December 22, 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 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 30, 2025

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

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

5 CSR 25-500.052 (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 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 24, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that twist lock was stuck open and was not covered.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 24, 2025

Furniture/equipment, foam steps, in room 2 was not in good condition as evidenced by material had holes and was not able to be properly cleaned.

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

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

Medical examination report(s) was/were not on file for C.L. and C.I. 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.

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.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 8, 2025

Children were not restricted to approved space as evidenced by teacher was carrying an infant in the halls outside the infant room.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 8, 2025

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

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 31, 2025

Children were not restricted to approved space as evidenced by kitchen door was standing open.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 31, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet in Room 1 did not have a cover.

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

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

Children were not restricted to approved space as evidenced by teacher was carrying an infant in the halls outside the infant room.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due March 31, 2025

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

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

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 non-fitted sheet was used.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 31, 2025

Outdoor equipment, Little Tykes car, in older playground was not in good condition as evidenced by cracked plastic.

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 March 31, 2025

Outdoor equipment, Little Tykes sand and water table, in older playground was not in good condition as evidenced by crack in plastic.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due September 30, 2024

Criminal background check results were older than five (5) years for Cassandra Glass.

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 September 27, 2024

The walls located in Room 4 was/were not in good condition as evidenced by chipping paint on box on wall.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 27, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by vinyl couches in Rooms 5 and 11 have torn vinyl.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 27, 2024

Furniture/equipment, Teacher Chair, in Room 10 was not in good condition as evidenced by peeling vinyl.

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 September 27, 2024

Furniture/equipment, Teacher black cabinet, in Room 12 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 September 27, 2024

Furniture/equipment, shelf, in Room 12 was not in good condition as evidenced by exposed screws on top where particle board has chipped 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 September 27, 2024

Furniture/equipment, Purple cabinet, in Room 13 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 September 27, 2024

Furniture/equipment, Shelf, in Room 13 was not in good condition as evidenced by Bottom shelf insert is not attached.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 27, 2024

Group size requirements were not met as evidenced by (Rooms 2 & 3 were outside on playground together) 10 children, ages 12 to 24 months, were cared for by three adult caregiver(s).

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cassandra Glass.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 18, 2024

Hazardous items as follows were accessible to children: Hand sanitizer. The item(s) was/were located Room 15 on shelf.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due September 18, 2024

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

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 18, 2024

Outdoor equipment, Dump truck, in older playground was not in good condition as evidenced by cracked plastic in bed of truck.

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

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by vinyl couches in Rooms 5 and 11 have torn vinyl.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due September 18, 2024

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.

Required correction: Safe and secure feeding equipment shall be provided as required.

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

Furniture/equipment, Teacher black cabinet, in Room 12 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, shelf, in Room 12 was not in good condition as evidenced by exposed screws on top where particle board has chipped 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, Purple cabinet, in Room 13 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, Shelf, in Room 13 was not in good condition as evidenced by Bottom shelf insert is not attached.

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

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

Group size requirements were not met as evidenced by (Rooms 2 & 3 were outside on playground together) 10 children, ages 12 to 24 months, were cared for by three adult caregiver(s).

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 18, 2024

Three child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 18, 2024

Two 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 September 18, 2024

One 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) (A) · Records and Reports · Correction due September 18, 2024

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

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cassandra Glass.

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

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

The walls located in Room 4 was/were not in good condition as evidenced by chipping paint on box on wall.

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, Teacher Chair, in Room 10 was not in good condition as evidenced by peeling vinyl.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due April 17, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 8, 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 25-500.052 (2) (B) · Annual Requirements

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 29, 2024

Furniture/equipment, trash can, in Room 10 was not in good condition as evidenced by lid had food residue.

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. 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 25-500.132 · Admission Policies and Procedures (2) A. 4. d. · Correction due April 3, 2024

The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.

Required correction: The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.

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

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 28, 2024

Children were not restricted to approved space as evidenced by kitchen door was standing open.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 28, 2024

Hazardous items as follows were accessible to children: benadryl, diaper creams, and sunscreen. The item(s) was/were located in unlocked drawers in bathrooms and Room 4.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 28, 2024

Furniture/equipment, sofa, in Room 11 was not in good condition as evidenced by vinyl covering has come off on arm rest .

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. 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 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due March 28, 2024

Outdoor equipment, Rocking horse, in younger playground was not in good condition as evidenced by handle bars were missing.

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 March 28, 2024

Outdoor equipment, Blue Motorcycle, in younger playground was not in good condition as evidenced by hole in side.

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 March 28, 2024

Outdoor equipment, Little Tykes pink car, in younger playground was not in good condition as evidenced by hole with jagged edges in roof support piece.

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 March 28, 2024

Outdoor equipment, Picnic table, in older playground was not in good condition as evidenced by crack in seat.

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, trash can, in Room 10 was not in good condition as evidenced by lid had food residue.

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

5 CSR 25-500.132 · Admission Policies and Procedures (2) A. 4. d.

The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.

Required correction: The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 20, 2023

Furniture/equipment, Shelves, in Room 2 was not in good condition as evidenced by lower corners of shelves were missing shelf material.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due October 20, 2023

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

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · No longer displayed by the state

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 18, 2023 · No longer displayed by the state

Children were not restricted to approved space as evidenced by kitchen door was open.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 18, 2023 · No longer displayed by the state

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that Room 16 and 17 had outlets uncovered.

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

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

Furniture/equipment, Shelves, in Room 2 was not in good condition as evidenced by lower corners of shelves were missing shelf material.

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 September 18, 2023 · No longer displayed by the state

Outdoor equipment, rocking boat and fish, in two's playground was not in good condition as evidenced by handles children hold on to ride the toy were missing.

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 September 18, 2023 · No longer displayed by the state

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by There was no vegetable served at lunch.

Required correction: Nourishing food shall be provided as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 18, 2023 · No longer displayed by the state

One child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due September 18, 2023 · No longer displayed by the state

One 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 25-500.132 (6) · Admission Policies and Procedures · No longer displayed by the state

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 25-500.222 (2) (A) · Records and Reports · Correction due September 18, 2023 · No longer displayed by the state

Two child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

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