Tykes & Totz Inc.

5 CSR 25-500.192 (4) (D) · Health Care · Correction due June 9, 2026

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

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

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due December 9, 2025

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due December 9, 2025

The staff sheet was not submitted.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due December 9, 2025

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due December 9, 2025

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 September 2025 for both children. Specific day was not legible on either form.

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

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

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list 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 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 8, 2025

The Family Care Safety Registry check was not conducted for S.J. 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 (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 September 2025 for both children. Specific day was not legible on either form.

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

5 CSR 25-500.052 (2) (B) · Annual Requirements · Correction due July 1, 2025

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) (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) (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 · Correction due September 13, 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 (6) (A) 8. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 25, 2024

The observed surface area under swing set and climbing structures, from which a child might fall consists of grass.

Required correction: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material was not present around the children's swings and climbing structures.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 25, 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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was present on the chain link fence where damage was observed.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

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 chain link fencing on the right hand side of the playground was visibly damaged and had an opening approximately 6 feet wide where children could escape into the parking area.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 20, 2024

The floors located in the large classroom space was/were not in good condition as evidenced by a floor vent/register was broken with 1 and 2 inch holes where metal had broken away.

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 November 18, 2024

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located in front of the toilet in the children's restroom.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located next to the pantry shelving and next to the stove in the unsecured kitchen.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

Hazardous items as follows were accessible to children: a rusted grill. The item(s) was/were located on the path leading to the children's playground.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 18, 2024

Children were not restricted to approved space as evidenced by children had access to the kitchen space. No door or other barrier was present to restrict children from entering the kitchen area.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 18, 2024

The premises were not safe and suitable as evidenced by bollards are not present at the facility to stop cars moving through the parking spaces from making contact with the playground fence.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.102 (1) (L) · Personnel · Correction due November 20, 2024

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due November 18, 2024

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: S.J. must complete the verification process in MOPD and submit the program training report to her specialist for review. No training documentation is on file at this time. Saeda Jones will need to provide documentation showing that 12 training hours were completed and counted toward the year 2022.

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

5 CSR 25-500.222 · Records and Reports (2) . · Correction due November 18, 2024

An individual file was not kept for 1 child(ren).

Required correction: Accurate records shall be maintained.

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material was not present around the children's swings and climbing structures.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 8. · Physical Requirements of Group Day Care Homes and Day Care Centers

The observed surface area under swing set and climbing structures, from which a child might fall consists of grass.

Required correction: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

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 plant overgrowth was present on the chain link fence where damage was observed.

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

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 chain link fencing on the right hand side of the playground was visibly damaged and had an opening approximately 6 feet wide where children could escape into the parking area.

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

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

The floors located in the large classroom space was/were not in good condition as evidenced by a floor vent/register was broken with 1 and 2 inch holes where metal had broken away.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located in front of the toilet in the children's restroom.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located next to the pantry shelving and next to the stove in the unsecured kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: a rusted grill. The item(s) was/were located on the path leading to the children's playground.

Required correction: Hazardous items shall be inaccessible to children.

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

Children were not restricted to approved space as evidenced by children had access to the kitchen space. No door or other barrier was present to restrict children from entering the kitchen area.

Required correction: Caregivers shall restrict children to approved space.

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

The premises were not safe and suitable as evidenced by bollards are not present at the facility to stop cars moving through the parking spaces from making contact with the playground fence.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.102 (1) (L) · Personnel

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

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 2022, the staff listed need the following information: S.J. must complete the verification process in MOPD and submit the program training report to her specialist for review. No training documentation is on file at this time. Saeda Jones will need to provide documentation showing that 12 training hours were completed and counted toward the year 2022.

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

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

An individual file was not kept for 1 child(ren).

Required correction: Accurate records shall be maintained.

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due August 20, 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 25-500.052 (2) (B) · Annual Requirements · Correction due May 16, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.052 (1) (B) · Annual Requirements · Correction due August 20, 2024

Evidence of local zoning approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

5 CSR 25-500.052 (1) (B) · Annual Requirements · Correction due August 20, 2024

Evidence of local building approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

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

The premises were not safe and suitable as evidenced by bollards are not present at the facility to stop cars moving through the parking spaces from making contact with the playground fence.

Required correction: The premises shall be safe and suitable for the care of children.

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

Children were not restricted to approved space as evidenced by children had access to the kitchen space. No door or other barrier was present to restrict children from entering the kitchen area.

Required correction: Caregivers shall restrict children to approved space.

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

Stairways in the child care space did not meet requirements as evidenced by the safety gate was not physically secured.

Required correction: Stairways shall meet safety standards as required.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located next to the pantry shelving and next to the stove in the unsecured kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located in front of the toilet in the children's restroom.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in the large classroom space was/were not in good condition as evidenced by a floor vent/register was broken with 1 and 2 inch holes where metal had broken away.

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 August 20, 2024

There was evidence of roaches in the children's cubby area where two dead roaches were observed near the cubbies and next to the secondary front entrance.

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

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 chain link fencing on the right hand side of the playground was visibly damaged and had an opening approximately 6 feet wide where children could escape into the parking area.

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 August 20, 2024

The facility's outdoor space was not safe for children's activities as evidenced by yard debris, fallen limbs and rocks were observed on the children's playground.

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

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 plant overgrowth was present on the chain link fence where damage was observed.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material was not present around the children's swings and climbing structures.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 8. · Physical Requirements of Group Day Care Homes and Day Care Centers

The observed surface area under swing set and climbing structures, from which a child might fall consists of grass.

Required correction: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 20, 2024

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 20, 2024

The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.

Required correction: Bathrooms shall be clean and odor free.

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

Hazardous items as follows were accessible to children: a rusted grill. The item(s) was/were located on the path leading to the children's playground.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.102 (1) (L) · Personnel

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

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 2022, the staff listed need the following information: S.J. must complete the verification process in MOPD and submit the program training report to her specialist for review. No training documentation is on file at this time. Saeda Jones will need to provide documentation showing that 12 training hours were completed and counted toward the year 2022.

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

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · Correction due August 20, 2024

Caregiver did not provide frequent, direct contact as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 5. · Child Care Program · Correction due August 20, 2024

Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.

Required correction: A caregiver shall be in the room with napping children, and shall be able to see and hear them.

5 CSR 25-500.212 (1) (B) · Transportation and Field Trips · Correction due August 20, 2024

Written parental consent was not on file for field trips and transportation.

Required correction: Written parental consent shall be on file at the facility for field trips and transportation.

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

An individual file was not kept for 1 child(ren).

Required correction: Accurate records shall be maintained.

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

Evidence of local building approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

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

Evidence of local zoning approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due December 4, 2023

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list as required.

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due December 4, 2023

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 December 4, 2023

The Annual Declaration was not submitted.

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

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 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (6) (A) 8. · Physical Requirements of Group Day Care Homes and Day Care Centers

The observed surface area under swing set and climbing structures, from which a child might fall consists of grass.

Required correction: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

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

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material was not present around the children's swings and climbing structures.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

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) 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 plant overgrowth was present on the chain link fence where damage was observed.

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

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 yard debris, fallen limbs and rocks were observed on the children's playground.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 7, 2023

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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches at the widest point leading to the playground area.

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

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 chain link fencing on the right hand side of the payground was visibly damaged and had an opening approximately 6 feet wide where children could escape into the parking area.

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

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of roaches in the children's cubby area where two dead roaches were observed near the cubbies and next to the secondary front entrance.

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

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

The floors located in the large classroom space was/were not in good condition as evidenced by a floor vent/register was broken with 1 and 2 inch holes where metal had broken away.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located in front of the toilet in the children's restroom.

Required correction: Hazardous items shall be inaccessible to children.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located next to the pantry shelving and next to the stove in the unsecured kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Stairways in the child care space did not meet requirements as evidenced by the safety gate was not physically secured.

Required correction: Stairways shall meet safety standards as required.

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

Children were not restricted to approved space as evidenced by children had access to the kitchen space. No door or other barrier was present to restrict children from entering the kitchen area.

Required correction: Caregivers shall restrict children to approved space.

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

The premises were not safe and suitable as evidenced by bollards are not present at the facility to stop cars moving through the parking spaces from making contact with the playground fence.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 7, 2023

Outdoor equipment, two picnic tables, in the children's playground space was not in good condition as evidenced by broken wooden planks were present with sharp edges and holes that measured 3 inches.

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

5 CSR 25-500.102 (1) (B) · Personnel · Correction due December 4, 2023

A caregiver did not cooperate with the department as evidenced by documentation requested by the department on multiple occasions regarding supervision of children (initially requested September 8th via phone call and email) was not provided prior to the inspection or available during the inspection.

Required correction: Caregivers shall be cooperative.

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (1) (Q) · Personnel · Correction due December 6, 2023

Background screening information was not kept confidential for Saeda Jones who did not have her complete background screening information on file and available for review.

Required correction: Background screening information shall be kept confidential.

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 2022, the staff listed need the following information: S.J. must complete the verification process in MOPD and submit the program training report to her specialist for review. No training documentation is on file at this time. Saeda Jones will need to provide documentation showing that 12 training hours were completed and counted toward the year 2022.

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

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 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 5. · Child Care Program

Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.

Required correction: A caregiver shall be in the room with napping children, and shall be able to see and hear them.

5 CSR 25-500.212 (1) (B) · Transportation and Field Trips

Written parental consent was not on file for field trips and transportation.

Required correction: Written parental consent shall be on file at the facility for field trips and transportation.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 4, 2023

1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 4, 2023

1 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 25-500.222 (2) (B) · Records and Reports · Correction due December 4, 2023

1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due December 4, 2023

1 child(ren) records did not include telephone number of another individual who might be reached in an emergency.

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

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

An individual file was not kept for 1 child(ren).

Required correction: Accurate records shall be maintained.

5 CSR 25-500.222 (11) · Records and Reports · Correction due December 4, 2023

A supervision plan, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

5 CSR 25-600.020 (5) · General Requirements · Correction due December 6, 2023

Criminal background check results were older than five (5) years for Saeda Jones (expiration date 11/21/2023).

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

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

Evidence of local zoning approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

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

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list 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 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

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

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

Evidence of local building approval was not received.

Required correction: The facility shall submit evidence of local building/zoning approval as required.

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

The premises were not safe and suitable as evidenced by bollards are not present at the facility to stop cars moving through the parking spaces from making contact with the playground fence.

Required correction: The premises shall be safe and suitable for the care of children.

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

Children were not restricted to approved space as evidenced by children had access to the kitchen space. No door or other barrier was present to restrict children from entering the kitchen area.

Required correction: Caregivers shall restrict children to approved space.

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

Stairways in the child care space did not meet requirements as evidenced by the safety gate was not physically secured.

Required correction: Stairways shall meet safety standards as required.

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located in front of the toilet in the children's restroom.

Required correction: Hazardous items shall be inaccessible to children.

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

The floors located in the large classroom space was/were not in good condition as evidenced by a floor vent/register was broken with 1 and 2 inch holes where metal had broken away.

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 roaches in the children's cubby area where two dead roaches were observed near the cubbies and next to the secondary front entrance.

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

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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches at the widest point leading to the playground area.

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 plant overgrowth was present on the chain link fence where damage was observed.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The provider did not provide resilient material necessary for the protection of children as evidenced by resilient material was not present around the children's swings and climbing structures.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.082 (6) (A) 8. · Physical Requirements of Group Day Care Homes and Day Care Centers

The observed surface area under swing set and climbing structures, from which a child might fall consists of grass.

Required correction: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

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 yard debris, fallen limbs and rocks were observed on the children's playground.

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

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 chain link fencing on the right hand side of the payground was visibly damaged and had an opening approximately 6 feet wide where children could escape into the parking area.

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

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

Hazardous items as follows were accessible to children: box roach trap. The item(s) was/were located next to the pantry shelving and next to the stove in the unsecured kitchen.

Required correction: Hazardous items shall be inaccessible to children.

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

Outdoor equipment, two picnic tables, in the children's playground space was not in good condition as evidenced by broken wooden planks were present with sharp edges and holes that measured 3 inches.

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

5 CSR 25-500.102 (1) (B) · Personnel

A caregiver did not cooperate with the department as evidenced by documentation requested by the department on multiple occasions regarding supervision of children (initially requested September 8th via phone call and email) was not provided prior to the inspection or available during the inspection.

Required correction: Caregivers shall be cooperative.

5 CSR 25-500.102 (1) (L) · Personnel

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

5 CSR 25-500.102 (1) (Q) · Personnel

Background screening information was not kept confidential for Saeda Jones who did not have her complete background screening information on file and available for review.

Required correction: Background screening information shall be kept confidential.

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 2022, the staff listed need the following information: S.J. must complete the verification process in MOPD and submit the program training report to her specialist for review. No training documentation is on file at this time. Saeda Jones will need to provide documentation showing that 12 training hours were completed and counted toward the year 2022.

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

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 25-500.182 (1) (A) 1. · Child Care Program

Child(ren) was left without competent adult supervision as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 5. · Child Care Program

Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.

Required correction: A caregiver shall be in the room with napping children, and shall be able to see and hear them.

5 CSR 25-500.212 (1) (B) · Transportation and Field Trips

Written parental consent was not on file for field trips and transportation.

Required correction: Written parental consent shall be on file at the facility for field trips and transportation.

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

1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

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

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

1 child(ren) records did not include telephone number of another individual who might be reached in an emergency.

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

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

An individual file was not kept for 1 child(ren).

Required correction: Accurate records shall be maintained.

5 CSR 25-500.222 (11) · Records and Reports

A supervision plan, requested by the department, was/were not submitted.

Required correction: Requested documents shall be submitted.

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

1 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 25-500.222 (2) (B) · Records and Reports

1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Saeda Jones (expiration date 11/21/2023).

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program

Child(ren) was left without competent adult supervision as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 3. · Child Care Program

Caregiver did not provide frequent, direct contact as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.212 (1) (B) · Transportation and Field Trips

Written parental consent was not on file for field trips and transportation.

Required correction: Written parental consent shall be on file at the facility for field trips and transportation.

5 CSR 25-500.182 (1) (A) 1. · Child Care Program · No longer displayed by the state

Child(ren) was left without competent adult supervision as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.

5 CSR 25-500.182 (1) (A) 3. · Child Care Program · No longer displayed by the state

Caregiver did not provide frequent, direct contact as evidenced by the director stated that they are the only person working at the facility and that there are times when the children are not being supervised.

Required correction: The facility shall provide competent adult supervision for each child as required.