Summit Children's Center

5 CSR 25-600.020 (1) · General Requirements · Correction due April 7, 2026

Criminal background check results were not on file for N.B. and E.M.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due April 7, 2026

Ella Maintz and Nevaeh Binkly 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 April 7, 2026

Medical examination report(s) was/were not on file for E.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 April 7, 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: E.M.

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

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

Ella Maintz and Nevaeh Binkly 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

Medical examination report(s) was/were not on file for E.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: E.M.

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

5 CSR 25-500.202 (1) (A) · Nutrition and Food Service · Correction due March 27, 2026

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by pm snack observed was vanilla wafers and water..

Required correction: Nourishing food shall be provided as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for N.B. and E.M.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 17, 2026

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) (C) · Records and Reports · Correction due March 17, 2026

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 · Correction due March 17, 2026

Criminal background check results were not on file for E.M.

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 March 17, 2026

The ceilings located in the prek classroom and the young toddler classroom was/were not clean as evidenced by dust buildup on the ceiling tiles/vent.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 17, 2026

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

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due March 17, 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: E.M.

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

Violation substantiated · 5 CSR 25-500.182(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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in the prek classroom and the young toddler classroom was/were not clean as evidenced by dust buildup on the ceiling tiles/vent.

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

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

Medical examination report(s) was/were not on file for K.K. and E.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: E.M.

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

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

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) (C) · Records and Reports

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 E.M.

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 December 19, 2025

The floors located in the infant room was/were not in good condition as evidenced by a couple areas of the infant concrete floor had spots that didn't appear to be sealed. Area was approximately 1 foot by 1 foot and looked like scratches from the crib legs.

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

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

The floors located in the infant room was/were not in good condition as evidenced by a couple areas of the infant concrete floor had spots that didn't appear to be sealed. Area was approximately 1 foot by 1 foot and looked like scratches from the crib legs.

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

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.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 20, 2025

Outdoor equipment, the swing set, in the playground space was not free of sharp parts as evidenced by protruding nails were observed on the wood part of the swing set.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due November 5, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: S.S. and A.A.

5 CSR 25-600.020 (1) · General Requirements · Correction due November 5, 2025

Criminal background check results were not on file for S.S.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: S.S. and A.A.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for S.S.

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

5 CSR 25-500.102 · Personnel (1) (C) 1. C. · Correction due September 19, 2025

A Junior Aide, 17 year old staff member, was counted toward infant/toddler staff/child ratios.

Required correction: Junior Aides shall not be counted toward infant/toddler staff/child ratios.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 19, 2025

Staff/child ratio requirements were not met as evidenced by six children , ages 12 months - 24 months, were cared for by one adult caregiver(s).

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

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

Staff/child ratio requirements were not met as evidenced by six children , ages 12 months - 24 months, were cared for by one adult caregiver(s).

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

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

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

Required correction: Caregivers shall restrict children to approved space.

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

The floors located in the infant room was/were not finished with material which can be cleaned easily as evidenced by as the paint was chipping on the floor in two spots.

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) 1. D. · Correction due September 8, 2025

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 less than 12 inches.

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

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

A Junior Aide, 17 year old staff member, was counted toward infant/toddler staff/child ratios.

Required correction: Junior Aides shall not be counted toward infant/toddler staff/child ratios.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due September 8, 2025

Staff/child ratio requirements were not met as evidenced by 21 children , ages 3 through 5 years old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 26, 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 wasn't covered in the infant classroom.

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 August 26, 2025

Hazardous items as follows were accessible to children: 1 bucket of approximately 20 containers of sunscreen. The item(s) was/were located on a shelf within the reach of children in the 2 & 3 year old 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

The floors located in the infant room was/were not finished with material which can be cleaned easily as evidenced by as the paint was chipping on the floor in two spots.

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) 1. A. · Correction due August 26, 2025

The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 2 sheets in the 2 & 3 year old room.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due August 26, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long 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 August 26, 2025

Outdoor equipment, 2 swing sets, in the outside playspace was not free of sharp parts as evidenced by 3 nails were protruding out of the wood.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due August 26, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: M.C.

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

Staff/child ratio requirements were not met as evidenced by 21 children , ages 3 through 5 years old, were cared for by 2 adult caregiver(s).

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 1, 2025

The walls located in the new toddler room and the prk k/school age room was/were not in good condition as evidenced by chipping and peeling paint.

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) 1. D. · Correction due August 1, 2025

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due August 1, 2025

Group size requirements were not met as evidenced by thirty three (33) children, ages 3 through 9 years old, were cared for by four (4) adult caregiver(s).

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

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

Group size requirements were not met as evidenced by thirty three (33) children, ages 3 through 9 years old, were cared for by four (4) adult caregiver(s).

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 21, 2025

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

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 July 21, 2025

Hazardous items as follows were accessible to children: 1 plastic container of approximately 18 - 20 tubes/containers of diaper ointments. The item(s) was/were located on a changing table shelf in the 2 year old classroom within reach of 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 new toddler room and the prk k/school age room was/were not in good condition as evidenced by chipping and peeling paint.

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) 1. D.

Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.

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

Violation substantiated · 5 CSR 25-500.182(1)(C)9.

Punishment or threat of punishment shall not be associated with food, rest, or toilet training.

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)9.

Punishment or threat of punishment shall not be associated with food, rest, or toilet training.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due February 28, 2025

Two child(ren) records did not include telephone number of family physician or hospital.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due March 11, 2025

Criminal background check results were not on file for T.A.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due March 11, 2025

Criminal background check results were older than five (5) years for Sam Massey and Rebecca Wilkin.

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 February 28, 2025

The floors located in the 4 year old room was/were not finished with material which can be cleaned easily as evidenced by there was a section of tile that was missing in an area approximately 1 inch by 2 inches by the 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 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 28, 2025

Furniture/equipment, a table, in in the 2 year old room was not in good condition as evidenced by exposed cork board was observed on the table top.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due February 28, 2025

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 25-500.102 (3) (C) · Personnel · Correction due March 19, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: T.A. (1), A.B. (2), A.F.V. (6) and Kenzie Fricke (1.75).

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due February 28, 2025

The facility did not conduct a Family Care Safety Registry screening for Tionna Alexander, who was hired on February 3, 2025.

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 28, 2025

Medical examination report(s) was/were not on file for K.F. 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 28, 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: T.A. and E.M.B.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due February 28, 2025

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

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due February 28, 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 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 3, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the toddler room had two outlets not covered.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 3, 2025

The ceilings located in the 4 and 5 year old room and the hallway outside the 2 year old room was/were not clean as evidenced by the ceiling vents had dust build up on them.

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 February 3, 2025

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

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

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

The floors located in the 4 year old room was/were not finished with material which can be cleaned easily as evidenced by there was a section of tile that was missing in an area approximately 1 inch by 2 inches by the 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 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, a table, in in the 2 year old room was not in good condition as evidenced by exposed cork board was observed on the table top.

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

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

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 (3) (A) · Furniture, Equipment and Materials · Correction due February 3, 2025

Outdoor equipment, the wood framing on the swing sets, in the outside play space was not free of sharp parts as evidenced by four protruding nails were observed on the wood of the frame.

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

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: T.A. (1), A.B. (2), A.F.V. (6) and Kenzie Fricke (1.75).

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Tionna Alexander, who was hired on February 3, 2025.

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 K.F. 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.A. and E.M.B.

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

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

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

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

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

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

Two child(ren) records did not include telephone number of family physician or hospital.

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 T.A.

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 Sam Massey and Rebecca Wilkin.

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 28, 2024

The floors located in the toddler room was/were not finished with material which can be cleaned easily as evidenced by the concrete sealant was chipped in multiple areas of the flooring.

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 August 28, 2024

Furniture/equipment, nine children's tables, in the prek room, school age room and the 3 year old room was not in good condition as evidenced by the table topping was missing with chipped areas exposing cork board on the tables.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due August 28, 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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 15, 2024

Children were not restricted to approved space as evidenced by the kitchen door and the supply closet were both unlocked.

Required correction: Caregivers shall restrict children to approved space.

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

The floors located in the toddler room was/were not finished with material which can be cleaned easily as evidenced by the concrete sealant was chipped in multiple areas of the flooring.

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, nine children's tables, in the prek room, school age room and the 3 year old room was not in good condition as evidenced by the table topping was missing with chipped areas exposing cork board on the tables.

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

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

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 25-500.102 · Personnel (1) (C) 1. A. · Correction due August 15, 2024

A Junior Aide, C.C., was not under the direct supervision of an adult caregiver within the same group of children.

Required correction: Junior Aides counted in staff/child ratio must be under the direct supervision of an adult caregiver within the same group of children.

5 CSR 25-500.102 · Personnel (1) (C) 1. B. · Correction due August 15, 2024

A Junior Aide, C.C., was the sole caregiver for a group of children.

Required correction: Junior Aides shall not be the sole caregiver for a group of children.

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

Criminal background check results were not on file for A.K., J.T., C.D. and C.C.

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

Children were not restricted to approved space as evidenced by the kitchen door and the supply closet were both unlocked.

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 August 6, 2024

Hazardous items as follows were accessible to children: 2 baskets of approximately 30 bottles total of sunscreen, nail polish remover, hair & body oil and hair detangler and 7 tubes of diaper ointment. The item(s) was/were located on a shelf in the school age room and under the changing table in the toddler classroom all accessible to children.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 6, 2024

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that the toddler room had curtains pulled shut and it was nap time not allowing staff to see children.

Required correction: Rooms used by children shall be equipped with required lighting.

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

The floors located in the toddler room was/were not finished with material which can be cleaned easily as evidenced by the concrete sealant was chipped in multiple areas of the flooring.

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 6, 2024

The ceilings located in the 2 year old room was/were not clean as evidenced by dust build up on the ceiling vent.

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, nine children's tables, in the prek room, school age room and the 3 year old room was not in good condition as evidenced by the table topping was missing with chipped areas exposing cork board on the tables.

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

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

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 (3) (A) · Furniture, Equipment and Materials · Correction due August 6, 2024

Outdoor equipment, the swing set, in the outside play space was not free of pointed parts as evidenced by protruding nails and screws.

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

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

A Junior Aide, C.C., was not under the direct supervision of an adult caregiver within the same group of children.

Required correction: Junior Aides counted in staff/child ratio must be under the direct supervision of an adult caregiver within the same group of children.

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

A Junior Aide, C.C., was the sole caregiver for a group of children.

Required correction: Junior Aides shall not be the sole caregiver for a group of children.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.K., J.T., C.D. and C.C.

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

5 CSR 25-500.182 (1) (E) 6. · Child Care Program · Correction due February 28, 2024

Handwashing requirements were not met as evidenced by a caregiver did not wash his/her hands with soap and water after changing a child's diaper.

Required correction: Caregivers shall wash their hands after each diaper change.

5 CSR 25-500.192 (6) (A) · Health Care · Correction due February 28, 2024

Requirements for handwashing were not met as evidenced by toddler teacher was observed not washing her hands after diaper changing.

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

5 CSR 25-500.192 (6) (B) · Health Care · Correction due February 28, 2024

Requirements for handwashing were not met as evidenced by toddler children's hands were not washed after diaper changing.

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

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 20, 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 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 20, 2024

Furniture/equipment, tables, in the 2 year old room and the 2/3 year old room was not in good condition as evidenced by exposed cork board on the 4 tables in the 2 year old room and the 2/3 year old room.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 10, 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: C.B. (12), L.B. (12), C.C. (4), A.W. (12), M.E. (12)Talor Harrison (12), D.H. (12), Alyssa Lashure(12) Sam Massey (12), B.L. (12) and Rebecca Wilkin (12).

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

5 CSR 25-500.102 (1) (P) · Personnel · Correction due February 20, 2024

The facility did not conduct a Family Care Safety Registry screening for Aiyana Freeman Vasquez, who was hired on January 15, 2024.

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

5 CSR 25-500.182 (1) (E) 2. · Child Care Program · Correction due February 28, 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.