Sunny Days Day Care and Pre-School, Inc.

5 CSR 25-500.082 (2) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2026

The concrete floors located in the downstairs school age classroom was/were not covered with approved materials as evidenced by there were several areas missing floor tiles and the concrete area was not sealed.

Required correction: Floors shall be made of approved materials.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2026

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due June 26, 2026

Stationary equipment, the teeter totter, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due June 26, 2026

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

5 CSR 25-500.102 (3) (C) · Personnel · Correction due June 26, 2026

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: L.C. (3), K.M. 5), C.C. (4) and Kim Moler 3).

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due June 26, 2026

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

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due June 26, 2026

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: S.D. (3), R.M. (1), T.S. (.50), S.S. (1) and Jody Wycoff (4).

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due June 8, 2026

L.C., K.M., C.C. and K.M. 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 25-600.020 (1) · General Requirements · Correction due June 26, 2026

Criminal background check results were not on file for L.C. and K.M.

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

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 10, 2026

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 PreK classroom.

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

5 CSR 25-500.082 (2) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The concrete floors located in the downstairs school age classroom was/were not covered with approved materials as evidenced by there were several areas missing floor tiles and the concrete area was not sealed.

Required correction: Floors shall be made of approved materials.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials

Stationary equipment, the teeter totter, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.102 (1) (L) · Personnel

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

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: L.C. (3), K.M. 5), C.C. (4) and Kim Moler 3).

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

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: L.C., K.M., C.C. and K.M.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: S.D. (3), R.M. (1), T.S. (.50), S.S. (1) and Jody Wycoff (4).

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

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

L.C., K.M., C.C. and K.M. 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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.C. and K.M.

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

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due February 18, 2026

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

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

5 CSR 25-500.082 (VII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due February 18, 2026

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

5 CSR 25-500.082 (VII) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due February 18, 2026

The infant/toddler unit did not have a method for heating bottles.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 18, 2026

The ceilings located school age classroom and the PreK classroom was/were not in good condition as evidenced by water stains on the ceilings showing signs of a leak.

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) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 18, 2026

The room was not free of drafts as evidenced by both outside doors in the downstairs school age space had areas were light could be seen on the bottoms and sides of the doors that were creating drafts of cold air into the classroom.

Required correction: The facility shall meet temperature, humidity and ventilation requirements.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 18, 2026

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 18, 2026

Furniture/equipment, a shelf, in the 2 year old classroom was not in good condition as evidenced by exposed cork board on the flat surface of the shelf.

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 February 18, 2026

Furniture/equipment, the toddler room loft, in the toddler classroom was unsafe as evidenced by one rail was missing on 1 side of the loft creating an entrapment concern and the rails were loose causing the loft to be wobbly.

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

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

The infant/toddler unit did not have refrigeration provided.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

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

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

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

The room was not free of drafts as evidenced by both outside doors in the downstairs school age space had areas were light could be seen on the bottoms and sides of the doors that were creating drafts of cold air into the classroom.

Required correction: The facility shall meet temperature, humidity and ventilation requirements.

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

The ceilings located school age classroom and the PreK classroom was/were not in good condition as evidenced by water stains on the ceilings showing signs of a leak.

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

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

The infant/toddler unit did not have a method for heating bottles.

Required correction: The facility shall provide refrigeration and a method for heating bottles in the I/T unit. (GF)

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

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

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

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

Furniture/equipment, the toddler room loft, in the toddler classroom was unsafe as evidenced by one rail was missing on 1 side of the loft creating an entrapment concern and the rails were loose causing the loft to be wobbly.

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, a shelf, in the 2 year old classroom was not in good condition as evidenced by exposed cork board on the flat surface of the shelf.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due October 17, 2025

The Family Care Safety Registry check was not conducted for J.H., M.M. and S.S. 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 25-500.122 (1) (A) · Medical Examination Reports · Correction due November 21, 2025

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The floors located in the school age classroom was/were not in good condition as evidenced by tiles missing and/or chipped in a couple of areas.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The walls located in the prek classroom was/were not in good condition as evidenced by the stripping/base board area was missing in one area in the back area of the classroom.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The walls located in the prek room and the school age classroom 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 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the latch on the gate of the toddler room was broken and would not close to the fence post.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the back playground fence was not attached to the top rail of the fence in an area approximately 3 feet long..

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the rail road ties had wood rot with gaps of approximately 4 to 12 inches of exposed areas in the wood creating an entrapment concern for hands/feet.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 17, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 17, 2025

Outdoor equipment, the wood climber with yellow slide, in the back playground space was not free of pointed parts as evidenced by protruding nail heads were observed on the wood portion of the structure at the base.

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

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due October 17, 2025

Stationary equipment, the tetter totters, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due November 24, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: K.M., M.M. and J.W.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 24, 2025

Jody Wycoff 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 · Medical Examination Reports (1) (B) . · Correction due November 21, 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: J.W.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due October 17, 2025

Criminal background check results were older than five (5) years for Jamie Hudgens.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 26, 2025

Criminal background check results were not on file for K.M., M.M. and J.W.

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 J.H., M.M. and S.S. 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 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 9, 2025

Hazardous items as follows were accessible to children: 2 tubes of diaper ointment. The item(s) was/were located on the changing table shelf within reach of children in the 2 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 walls located in the prek room and the school age classroom 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 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the back playground fence was not attached to the top rail of the fence in an area approximately 3 feet long..

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

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 the rail road ties had wood rot with gaps of approximately 4 to 12 inches of exposed areas in the wood creating an entrapment concern for hands/feet.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

The floors located in the school age classroom was/were not in good condition as evidenced by tiles missing and/or chipped in a couple of areas.

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 prek classroom was/were not in good condition as evidenced by the stripping/base board area was missing in one area in the back area of the classroom.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the latch on the gate of the toddler room was broken and would not close to the fence post.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, the wood climber with yellow slide, in the back playground space was not free of pointed parts as evidenced by protruding nail heads were observed on the wood portion of the structure at the base.

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

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials

Stationary equipment, the tetter totters, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: K.M., M.M. and J.W.

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

Jody Wycoff 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 J.W. 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: J.W.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Jamie Hudgens.

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

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 April 15, 2025

The ceilings located in the down stairs school age classroom was/were not in good condition as evidenced by one ceiling tile was missing and one ceiling tile was stained.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due March 24, 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: J.A. (3), H.D. (2), R.M. (2), L.R. (7) and Eli Wycoff (3.5).

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due April 28, 2025

Safe sleep training was not completed within the past 3 years for the following staff E.W.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due March 15, 2025

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

The ceilings located in the down stairs school age classroom was/were not in good condition as evidenced by one ceiling tile was missing and one ceiling tile was stained.

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 March 11, 2025

Outdoor equipment, the rock box, in the older children playground was not free of pointed parts as evidenced by one protruding nail was observed on the left side of the wood box.

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

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

Safe sleep training was not completed within the past 3 years for the following staff E.W.

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

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

Sarah Stewart 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 2024, the staff listed need the following information: J.A. (3), H.D. (2), R.M. (2), L.R. (7) and Eli Wycoff (3.5).

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due October 2, 2024

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due November 6, 2024

Emilee Hamilton and Josie Ashurt 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 October 2, 2024

Medical examination report(s) was/were not on file for J.A. 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 October 2, 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: J.A.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due October 2, 2024

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 6, 2024

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

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

5 CSR 25-600.020 (5) · General Requirements · Correction due October 2, 2024

Criminal background check results were older than five (5) years for Shelby Antes, Sarah Dunham, Luke Edwards, Michelle Munson and Shannon Smith.

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

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

Emilee Hamilton and Josie Ashurt 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 (1) (L) · Personnel

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

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

Medical examination report(s) was/were not on file for J.A. 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: J.A.

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

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

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for J.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 Shelby Antes, Sarah Dunham, Luke Edwards, Michelle Munson and Shannon Smith.

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

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

The annual fire safety inspection was not approved.

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

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

The room was not free of drafts as evidenced by the doors leading to the outside playground area in the downstairs classrooms had gaps at the bottom of the doors allowing a draft to enter the classrooms.

Required correction: The facility shall meet temperature, humidity and ventilation requirements.

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

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

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

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials · Correction due June 5, 2024

Stationary equipment, 2 teeter totters, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due June 5, 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: W.M. (1).

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

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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 26, 2024

Children were not restricted to approved space as evidenced by the kitchen gate was not latched shut and the storage room door was not locked and shut allowing access to children in care.

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 26, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets were not covered in the school age room.

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 March 26, 2024

The walls located in the down stairs school age classroom was/were not clean as evidenced by dried food stains were observed on the wall by the trash can.

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) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers

The room was not free of drafts as evidenced by the doors leading to the outside playground area in the downstairs classrooms had gaps at the bottom of the doors allowing a draft to enter the classrooms.

Required correction: The facility shall meet temperature, humidity and ventilation requirements.

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

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) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.087 · Fire Safety (6) . · Correction due March 26, 2024

The facility cares for children under the age of 24 months and at least one means of egress did not lead directly outside at level exit discharge as evidenced by no exit in the infant area to the outside.

Required correction: The facility shall maintain means of egress for children under 24 months as required.

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due March 26, 2024

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by staff stated they didn't have the emergency plan available in the classrooms.

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

5 CSR 25-500.092 (3) (D) · Furniture, Equipment and Materials

Stationary equipment, 2 teeter totters, was unsafe as evidenced by the equipment had exposed footings.

Required correction: Stationary equipment shall be safely installed, stable and securely anchored.

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: W.M. (1).

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

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 25-500.052 (2) (B) · Annual Requirements · Correction due June 21, 2023

The annual sanitation inspection was not approved.

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

5 CSR 25-500.087 · Fire Safety (6) .

The facility cares for children under the age of 24 months and at least one means of egress did not lead directly outside at level exit discharge as evidenced by no exit in the infant area to the outside.

Required correction: The facility shall maintain means of egress for children under 24 months as required.

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

The annual sanitation inspection was not approved.

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

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 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 6, 2023

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.087 · Fire Safety (6) .

The facility cares for children under the age of 24 months and at least one means of egress did not lead directly outside at level exit discharge as evidenced by no exit in the infant area to the outside.

Required correction: The facility shall maintain means of egress for children under 24 months as required.

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

Children were not restricted to approved space as evidenced by Storage room unlocked in school age area.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 19, 2023 · No longer displayed by the state

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that during naptime I could not see where to walk because it was to dark.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.087 · Fire Safety (6) . · No longer displayed by the state

The facility cares for children under the age of 24 months and at least one means of egress did not lead directly outside at level exit discharge as evidenced by no exit in the infant area to the outside.

Required correction: The facility shall maintain means of egress for children under 24 months as required.