The Learning Experience

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.P., A.R., L.P., S.L., A.L., D.G., M.C.

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

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

The walls located in hallway, preschool 2, toddler C, preschool 3, preppers, twaddlers, pre-k 2 was/were not in good condition as evidenced by room sign peeling off wall chipping paint, sticky residue, cabinet face warped.

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 ceilings located in preschool 1 was/were not clean as evidenced by stained tile.

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 preppers and pre-k 2 was/were not in good condition as evidenced by crumpled & stained area rugs.

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

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Lisa Palmer, who was hired on 7/6/2026.

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

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: Dominique Gordon-6.25, Jennifer Patton-1 hr, Angelina Spero- 9 hrs.

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

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

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

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

Medical examination report(s) was/were not on file for S.A., C.R. 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: S.A., C.R.

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

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/1/2026.

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

5 CSR 25-500.192 (4) (A) · Health Care

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

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

Violation substantiated · 5 CSR 25-500.112(1)(A)

The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.

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 25-500.192(5)(A)

In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.

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 25-500.052 (2) (A) · Annual Requirements · Correction due January 16, 2026

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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 22, 2026

The walls located in twaddlers, toddler C, toddler hallway, pre-k-2, preppers, and pre-k was/were not in good condition as evidenced by chipping paint and sticky residue.

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

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

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

The walls located in twaddlers, toddler C, toddler hallway, pre-k-2, preppers, and pre-k was/were not in good condition as evidenced by chipping paint and sticky residue.

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 December 30, 2025

The floors located in preschool-3, preschool-1, and pre-k-2 was/were not clean as evidenced by tape/residue .

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) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 30, 2025

There was evidence of dirt/debris in preschool-1 (sticky residue on shelf and refrigerator), Pre-K (sticky residue on shelf).

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.192 (6) (A) · Health Care · Correction due December 30, 2025

Requirements for handwashing were not met as evidenced by staff did not wash hands after wiping child's nose.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due July 30, 2025

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

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

The annual fire safety inspection was not approved.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due July 29, 2025

The Family Care Safety Registry check was not conducted for S.L. 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 December 18, 2025

Hazardous items as follows were accessible to children: Desitin. The item(s) was/were located on a low shelf.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 18, 2025

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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 29, 2025

The floors located in Preppers was/were not clean as evidenced by stained area rug.

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 July 29, 2025

The walls located in preschool 1 was/were not in good condition as evidenced by holes.

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

There was evidence of dirt/debris in preschool-1 (sticky residue on shelf and refrigerator), Pre-K (sticky residue on shelf).

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

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

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 walls located in twaddlers, toddler C, toddler hallway, pre-k-2, preppers, and pre-k was/were not in good condition as evidenced by chipping paint and sticky residue.

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 preschool-3, preschool-1, and pre-k-2 was/were not clean as evidenced by tape/residue .

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) 2. B. · Correction due August 29, 2025

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due July 30, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.C. and N.G.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due July 30, 2025

Angelina Spero 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 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 18, 2025

Group size requirements were not met as evidenced by thirteen children, ages 23-months-2-years-old, were cared for by two 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 · Correction due December 18, 2025

Staff/child ratio requirements were not met as evidenced by thirteen children children , ages 23-months-2-years-old, were cared for by two adult caregiver(s).

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 18, 2025

Medical examination report(s) was/were not on file for R.B., E.G., N.G., J.H., A.K., A.S., S.H., and A.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) . · Correction due August 25, 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: R.B. and R.W.

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

5 CSR 25-500.192 (6) (A) · Health Care

Requirements for handwashing were not met as evidenced by staff did not wash hands after wiping child's nose.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements

The staff sheet was not submitted.

Required correction: The facility shall submit a current staff sheet as required.

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

The Family Care Safety Registry check was not conducted for S.L. 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 16, 2025

The walls located in Toddler C and hallway was/were not clean as evidenced by sticky residue.

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 Preppers was/were not clean as evidenced by stained area rug.

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 preschool 1 was/were not in good condition as evidenced by holes.

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) 2. B.

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

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

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: M.C. and N.G.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

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

Angelina Spero 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 R.B., E.G., N.G., J.H., A.K., A.S., S.H., and A.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: R.B. and R.W.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 21, 2025

The walls located in toddler B and Pre-k-1 was/were not in good condition as evidenced by chipping paint.

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 April 21, 2025

Furniture/equipment, shelf , in preschool-3 was not in good condition as evidenced by stripping peeling off bottom.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 23, 2025

Hazardous items as follows were accessible to children: various sunscreens and diaper creams. The item(s) was/were located in a low, unlocked drawer.

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 toddler B and Pre-k-1 was/were not in good condition as evidenced by chipping paint.

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, shelf , in preschool-3 was not in good condition as evidenced by stripping peeling off bottom.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due January 23, 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 1'.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due August 22, 2024

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 3, 2024

The walls located preschool 1 was/were not in good condition as evidenced by paint peeling.

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 22, 2024

Furniture/equipment, crib, in infant was not in good condition as evidenced by labels peeling off of inside.

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

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

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (C) 1. D. · Correction due August 22, 2024

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 13 items in this category.

Required correction: The facility shall provide approved equipment as required.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due September 17, 2024

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: N.A. 1 hour; Dominique Gordon-needs 1 hour.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 3, 2024

Medical examination report(s) was/were not on file for T.A., M.D., P.F., A.H., J.K., E.M., A.R. 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 September 3, 2024

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: T.A., M.D., P.F., A.H., J.K., E.M., A.R.

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 (2) (B) · Nutrition and Food Service · Correction due August 22, 2024

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that toddler children plan still showing formula/breast milk, and they eat table food.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

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

Hazardous items as follows were accessible to children: purse. The item(s) was/were located hanging on low cabinet.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 15, 2024

The walls located in Pre-K B was/were not clean as evidenced by sticky residue.

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 preschool 1 was/were not in good condition as evidenced by paint peeling.

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 July 15, 2024

Furniture/equipment, shelves , in toddler A and preschool 1 was not in good condition as evidenced by sticky residue.

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

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

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

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

The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 13 items in this category.

Required correction: The facility shall provide approved equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due July 15, 2024

Furniture/equipment, chair, in toddler C was not in good condition as evidenced by soiled cover.

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, crib, in infant was not in good condition as evidenced by labels peeling off of inside.

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

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: N.A. 1 hour; Dominique Gordon-needs 1 hour.

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

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

Medical examination report(s) was/were not on file for T.A., M.D., P.F., A.H., J.K., E.M., A.R. 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., M.D., P.F., A.H., J.K., E.M., A.R.

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 (2) (B) · Nutrition and Food Service

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that toddler children plan still showing formula/breast milk, and they eat table food.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 23, 2024

The walls located Preschool 2(A), Pre-K 2, (Preschool 2(B) on outside kickplate) was/were not clean as evidenced by sticky residue.

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 May 23, 2024

The walls located in all bathrooms was/were not clean as evidenced by top of baseboards dusty.

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 May 23, 2024

The floors located in all rooms was/were not clean as evidenced by tape/sticky residue (toddler B) and build up around shelves.

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 May 23, 2024

The ceilings located in all rooms was/were not clean as evidenced by dusty return vents.

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 May 23, 2024

Furniture/equipment, shelves, in Preschool 2(B), Pre-k, and Pre-K-2 was not in good condition as evidenced by sticky residue.

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

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

The walls located in all bathrooms was/were not clean as evidenced by top of baseboards dusty.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 20, 2024

Hazardous items as follows were accessible to children: Aquaphor, dry hand relief, Febreze,disinfectant wipes. The item(s) was/were located unlocked drawer and cabinet.

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 ceilings located in all rooms was/were not clean as evidenced by dusty return vents.

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 Preschool 2(A), Pre-K 2, (Preschool 2(B) on outside kickplate) was/were not clean as evidenced by sticky residue.

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 all rooms was/were not clean as evidenced by tape/sticky residue (toddler B) and build up around shelves.

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, shelves, in Preschool 2(B), Pre-k, and Pre-K-2 was not in good condition as evidenced by sticky residue.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due July 7, 2023

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 10, 2023

The walls located in Prepper room, Twaddler, Preschool 2 and Preschool 3 was/were not in good condition as evidenced by chipping paint and residue on doors.

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 October 4, 2023

Furniture/equipment, shelves, in in all rooms was not in good condition as evidenced by stickers/picture peeling off.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 10, 2023

Furniture/equipment, shelf, in in Toddler B was not in good condition as evidenced by edging coming off.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due August 10, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by broken sink in toy kitchen in Toddler C room.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due October 2, 2023

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: R.G. 2.25 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 10, 2023

Medical examination report(s) was/were not on file for M.D., L.K., S.L., A.N., A.T. as evidenced by the medical examination was not signed by the required medical source.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due October 4, 2023

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.A., E.B., S.L.

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