The Curators of the University of Missouri

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 18, 2026

Safe sleep training was not completed within the past 3 years for the following staff S.K.

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

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

Safe sleep training was not completed within the past 3 years for the following staff S.K.

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

Criminal background check results were older than five (5) years for Shayla Kellogg.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 17, 2025

Criminal background check results were not on file for G.B.

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 Shayla Kellogg.

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 G.B.

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 May 19, 2025

The walls located in the Westport 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 25-500.087 (2) (F) · Fire Safety · Correction due May 14, 2025

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due May 15, 2025

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

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

Samyuktha Vankadari 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 May 6, 2025

Medical examination report(s) was/were not on file for L.G. 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 May 6, 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: L.G.

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 (9) · Records and Reports · Correction due May 2, 2025

Requirements for children's records were not met as evidenced by a child's record was not kept confidential - specifically children allergies and medication sheets were posted on the classroom walls available for unauthorized access .

Required correction: Children's records shall be confidential and available to parents upon request.

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

The walls located in the Westport 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 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-500.102 (1) (L) · Personnel

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

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

Samyuktha Vankadari 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 L.G. 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: L.G.

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 (9) · Records and Reports

Requirements for children's records were not met as evidenced by a child's record was not kept confidential - specifically children allergies and medication sheets were posted on the classroom walls available for unauthorized access .

Required correction: Children's records shall be confidential and available to parents upon request.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

The facility's outdoor space was not safe for children's activities as evidenced by two puddles filled with approximately 1 inch of water measuring approximately 10 - 12 inches in circumference were observed on the back left corner of the preschool playground by the mud kitchen.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due November 20, 2024

Safe sleep training was not completed within the past 3 years for the following staff L.V.

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 November 20, 2024

C.B., S.C. and A.G. 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) (P) · Personnel · Correction due November 18, 2024

The facility did not conduct a Family Care Safety Registry screening for Anupama Ganjam and Meghana Bonthu, who was hired on 8/20/24 and 4/15/24.

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 November 8, 2024

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due November 20, 2024

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

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

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

Criminal background check results were older than five (5) years for Asia Brockman, Karen Hutchinson, Susan Myers and Kimberly Vittorino.

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 November 6, 2024

Hazardous items as follows were accessible to children: tubes of destin, aquaphor and butt paste. The item(s) was/were located in two baskets on the back of toilets in the toddler Roo and Trolley rooms.

Required correction: Hazardous items shall be inaccessible to children.

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

The facility's outdoor space was not safe for children's activities as evidenced by two puddles filled with approximately 1 inch of water measuring approximately 10 - 12 inches in circumference were observed on the back left corner of the preschool playground by the mud kitchen.

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

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

Safe sleep training was not completed within the past 3 years for the following staff L.V.

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

C.B., S.C. and A.G. 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) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Anupama Ganjam and Meghana Bonthu, who was hired on 8/20/24 and 4/15/24.

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 A.G. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-600.020 (1) · General Requirements

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

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 Asia Brockman, Karen Hutchinson, Susan Myers and Kimberly Vittorino.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 17, 2024

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

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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 15, 2024

Hazardous items as follows were accessible to children: 2 baskets of diaper ointments and creams (approximately 10 tubes). The item(s) was/were located in the shared bathroom between the Roo and Trolly room sitting on the back of the toilets.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 15, 2024

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 25-500.102 · Personnel (4) (A) .

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

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 25-500.052 (2) (A) · Annual Requirements · Correction due August 21, 2023

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 November 28, 2023

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due December 7, 2023

Safe sleep training was not completed within the past 3 years for the following staff L.N.

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 November 30, 2023

D.E., R.T. and L.K. 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 November 8, 2023

Criminal background check results were not on file for A.E., D.E. and C.D.

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

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

The annual sanitation inspection was not conducted.

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

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

Safe sleep training was not completed within the past 3 years for the following staff L.N.

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

D.E., R.T. and L.K. 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 A.E., D.E. and C.D.

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