Tree House Expression

5 CSR 25-500.042 (18) · Licensing Process

The ages of children was/were exceeded as evidenced by 21 year old with special needs, an enrollment form dated 8/2025 in on file.

Required correction: The facility shall maintain compliance with the specifications on the license.

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

The walls located in basement above the windows (2 windows on the front of the building) was/were not in good condition as evidenced by can see daylight above window and wall .

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) 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 25-500.102 · 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: S.M.

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 (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: A.A. needs .75.

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

5 CSR 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 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 25-500.087 (4) (E) · Fire Safety · Correction due December 12, 2025

tires and other items was observed on the stair landing.

Required correction: Steps/ramps shall be free of objects.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2025

Furniture/equipment, shelf, in play area was not in good condition as evidenced by broken shelf.

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 December 12, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Kitchen set, stove sink and dishwasher, not in good condition..

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

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 (4) (E) · Fire Safety

tires and other items was observed on the stair landing.

Required correction: Steps/ramps shall be free of objects.

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

Furniture/equipment, shelf, in play area was not in good condition as evidenced by broken shelf.

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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Kitchen set, stove sink and dishwasher, not in good condition..

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

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

Outdoor equipment, two rakes, in playground was not in good condition as evidenced by broken handle and parts.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 22, 2025

The walls located in dramatic play area under window near floor was/were not in good condition as evidenced by peeling paint.

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 June 3, 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: C.F. needs 7 hours.

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

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

The walls located in dramatic play area under window near floor was/were not in good condition as evidenced by peeling paint.

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

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: C.F. needs 7 hours.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 19, 2024

Hazardous items as follows were accessible to children: bottle labeled bleach. The item(s) was/were located boys bathroom.

Required correction: Hazardous items shall be inaccessible to children.

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 25-500.052 (1) (D) · Annual Requirements · Correction due May 30, 2024

The staff sheet was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due May 30, 2024

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due July 9, 2024

Furniture/equipment, Desk, in at the front door was not in good condition as evidenced by cardboard pieces 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 July 9, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mirror by the hallway is coming apart as the foam and material are falling off..

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

5 CSR 25-500.102 (1) (T) · Personnel · Correction due May 30, 2024

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 9, 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.F. needs 7 hours and Alisha Macy needs 12 hours.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due July 12, 2024

Medical examination report(s) was/were not on file for A.M. 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 25-500.132 (6) · Admission Policies and Procedures · Correction due July 9, 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 25-500.222 (2) (A) · Records and Reports · Correction due July 9, 2024

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due July 9, 2024

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

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

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

Criminal background check results were older than five (5) years for Dawn Amador and Judy Macy.

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

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 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

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

Furniture/equipment, Desk, in at the front door was not in good condition as evidenced by cardboard pieces 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

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mirror by the hallway is coming apart as the foam and material are falling off..

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

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

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: C.F. needs 7 hours and Alisha Macy needs 12 hours.

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

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

Medical examination report(s) was/were not on file for A.M. 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 25-500.132 (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 25-500.222 (2) (A) · Records and Reports

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

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

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

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

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Dawn Amador and Judy Macy.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 29, 2023

Outdoor equipment, seesaw, in the playground was not free of sharp parts as evidenced by pipes were exposed and sharp.

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