Union Hill Day School

Violation substantiated · 5 CSR 25-600.020 (1)

Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.

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 25-500.202 (1) (A) · Nutrition and Food Service · Correction due May 21, 2026

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by lunch being served was missing a fruit/vegetable component.

Required correction: Nourishing food shall be provided 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: TJ (Regan) Handley, Edith (Delmy) Palacios, Megan Reedy, Neveah McGlennon, Sherilyn Wiley (McLaughlin),.

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

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

The annual sanitation inspection was not approved.

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

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

The Family Care Safety Registry check was not conducted for E.B., H.B., Y.D., B.F., A.G., JT (Regan) Handley,Rosa M. Hernandez, S.K., H.L., Brooke McCarty,Kimberli M. Fuentes, E.M., K.M., E.D.P., C.P., S.R., B.R., L.S., J.W., E.Z., N.M., L.L., B.E., Z.M., C.T. 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) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2026

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet cover in cafeteria.

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

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 21, 2026

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

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 preschool bathroom and Shannon's preschool room 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 ceilings located in infant room was/were not in good condition as evidenced by loose vent cover.

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 2025, the staff listed need the following information: Rosa M. Hernandez-needs 11.5 hrs.; Chhayaben Petel-needs 6.5 hrs.; Bria Robinson-needs 4 hrs.; Lanisha Smith-needs 9.25 hrs.; JaAngel Williams-needs 2 hrs. .

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

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

H.B., B.F., S.K., E.D.P., C.P., M.R., E.Z., Neveah McGlennon,Sherilyn Wiley (McLaughlin) 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 JT (Regan) Handley, Edith (Delmy) Palacios, Megan Reedy, Neveah McGlennon, and Sherilyn Wiley (McLaughlin), 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 25-500.202 (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 no written diet plan on file.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Y.D., S.O., M.R., R.F., N.M., S.W.M.), I.N., L.L.

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

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

During naptime, groups composed of children two (2) years old and older shall not be required to maintain staff/child ratio within the napping area, but shall not exceed group size limitations. The required staff/child ratio shall be maintained on the premises during naptime.

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 25-500.112(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.

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

The ceilings located in Kindergarten, infant and crawler rooms was/were not clean as evidenced by dusty ceiling fan and stained ceiling tiles.

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 2, 2025

The walls located in infant room was/were not in good condition as evidenced by missing door frame.

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 17, 2025

Hazardous items as follows were accessible to children: purse, lotions, disinfectant spray. The item(s) was/were located in unlocked drawer and on low shelves.

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 infant room was/were not in good condition as evidenced by missing door frame.

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 Kindergarten, infant and crawler rooms was/were not clean as evidenced by dusty ceiling fan and stained ceiling tiles.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 17, 2025

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

Outdoor equipment, balls, in infant/toddler playground was not in good condition as evidenced by flat and leather peeling off.

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

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due November 17, 2025

Staff/child ratio requirements were not met as evidenced by eleven children , ages 4-to-5-years-old, were cared for by one adult caregiver(s).

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

5 CSR 25-500.182 (1) (A) 1. · Child Care Program · Correction due November 17, 2025

A child was left without competent supervision as evidenced by five children where alone in classroom when CI Smith-Jackson arrived to take attendance. .

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due June 16, 2025

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 9, 2025

The Family Care Safety Registry check was not conducted for R.H., L.M., C.P., Z.M., and B.E. 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) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 17, 2025

Children were not restricted to approved space as evidenced by no lock on staff lounge/bathroom doors.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 9, 2025

The floors located near 2-year-old room bathroom and on ramp to outside was/were not in good condition as evidenced by floor board/baseboard broken.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 17, 2025

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due July 9, 2025

Furniture/equipment, drawer, in toddler/2-year-old room was not in good condition as evidenced by face broken off.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due July 15, 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.G. 5 hours; Rosa Hernandez- needs 9 hours, C.P. 5 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 15, 2025

Medical examination report(s) was/were not on file for S.D., K.M., E.M., R.A., and C.M. 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 July 9, 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: S.D., K.M., E.M., R.A., and C.M.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due June 17, 2025

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not/could not be implemented as evidenced by plan for specialized care specified a medication that is no longer used by the child and the current medication instructions are not listed on the plan.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due July 30, 2025

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

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

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

The Family Care Safety Registry check was not conducted for R.H., L.M., C.P., Z.M., and B.E. 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 May 14, 2025

Hazardous items as follows were accessible to children: adult scissors. The item(s) was/were located on desk and low shelf.

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 near 2-year-old room bathroom and on ramp to outside was/were not in good condition as evidenced by floor board/baseboard broken.

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, drawer, in toddler/2-year-old room was not in good condition as evidenced by face broken off.

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

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.G. 5 hours; Rosa Hernandez- needs 9 hours, C.P. 5 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 S.D., K.M., E.M., R.A., and C.M. 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.D., K.M., E.M., R.A., and C.M.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) 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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers

Children were not restricted to approved space as evidenced by no lock on staff lounge/bathroom doors.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 14, 2025

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet cover.

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

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

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.

Required correction: Bathroom fixtures shall be functional and convenient.

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/could not be implemented as evidenced by plan for specialized care specified a medication that is no longer used by the child and the current medication instructions are not listed on the plan.

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

5 CSR 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 19, 2024

The facility's outdoor space was not safe for children's activities as evidenced by leaves and debris piled on infant/toddler 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 leaves and debris piled on infant/toddler playground.

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

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

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

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

Hazardous items as follows were accessible to children: C.T., B.B.S., Neutrogena sunscreen, Aquaphor, and scissors. The item(s) was/were located in an unlocked drawer and on a desk.

Required correction: Hazardous items shall be inaccessible to children.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that no outlet covers.

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

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 26, 2024

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: D.B. .

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

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

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

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 26, 2024

The ceilings located throughout facility was/were not clean as evidenced by dusty vents and stained ceiling tiles.

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

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

Medical examination report(s) was/were not on file for B.L. and B.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 October 1, 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: B.R.

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

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

Hazardous items as follows were accessible to children: scissors, razor, knife, Clean Fresh, Finish and Zep. The item(s) was/were located in an unlocked drawer and cabinet.

Required correction: Hazardous items shall be inaccessible to children.

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

A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: D.B. .

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

5 CSR 25-600.020 (1) · General Requirements

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

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 ceilings located throughout facility was/were not clean as evidenced by dusty vents and stained ceiling tiles.

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. D. · Correction due September 5, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

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

Medical examination report(s) was/were not on file for B.L. and B.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: B.R.

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