United Inner City Services

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due July 17, 2026

Medical examination report form did not contain all required information as evidenced by the signed physical for Sydney Jones did not have the physically and mentally able to care for children statement .

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 14, 2026

Children were not restricted to approved space as evidenced by the laundry room off the multipurpose room was unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due July 14, 2026

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by one shelf in the Innovators classroom had sticky tape residue with dirt .

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

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

Medical examination report form did not contain all required information as evidenced by the signed physical for Sydney Jones did not have the physically and mentally able to care for children statement .

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

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due February 4, 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 28, 2026

The walls located in the purple room and the stage was/were not in good condition as evidenced by chipping and peeling paint.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 28, 2026

The ceilings located in the rainbow room and at the end of the right hallway was/were not in good condition as evidenced by water stains were observed on three 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 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 28, 2026

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 the fence wire was loose on the left side of the playground creating an approximate 5 foot long piece of wire coming out of the fence.

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 · Correction due January 28, 2026

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 approximately 6 inches on the back left corner of the fence line at the bottom of the fence.

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 January 28, 2026

The facility's outdoor space was not safe for children's activities as evidenced by standing water was observed in the back right hand corner of the playground where the splash pad used to be at.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due January 28, 2026

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the purple room had a table and a shelf that sticky tape residue with dirt attached was observed.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 14, 2026

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

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) (D) · Medical Examination Reports · Correction due April 14, 2026

Medical examination report form did not contain all required information as evidenced by the physicals for Marlie Escoto and Sada Ward did not have the physically and mentally able to care for children statements.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due January 28, 2026

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

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

5 CSR 25-500.052 (1) (D) · Annual Requirements · Correction due January 12, 2026

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 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 12, 2026

Children were not restricted to approved space as evidenced by the janitor closet was not locked .

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 12, 2026

Hazardous items as follows were accessible to children: cleaning chemicals such as floor polish and disinfectant. The item(s) was/were located on the floor in the janitor closet that was not locked.

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 the rainbow room and at the end of the right hallway was/were not in good condition as evidenced by water stains were observed on three 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 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 12, 2026

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Required correction: The facility shall provide a safe and clean diapering table 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches on the back left corner of the fence line at the bottom of the fence.

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 standing water was observed in the back right hand corner of the playground where the splash pad used to be at.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 the purple room and the stage was/were not in good condition as evidenced by chipping and peeling paint.

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

5 CSR 25-500.082 (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 the fence wire was loose on the left side of the playground creating an approximate 5 foot long piece of wire coming out of the fence.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due January 12, 2026

Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.

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

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 the purple room had a table and a shelf that sticky tape residue with dirt attached was observed.

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

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

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

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) (D) · Medical Examination Reports

Medical examination report form did not contain all required information as evidenced by the physicals for Marlie Escoto and Sada Ward did not have the physically and mentally able to care for children statements.

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

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due January 12, 2026

One child(ren) records did not include child's address.

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 January 12, 2026

One child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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 January 12, 2026

Two child(ren) records did not include name, address and 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 25-600.020 (1) · General Requirements

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

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

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due July 21, 2025

Medical examination report form did not contain all required information as evidenced by the physical for Margaret Agee didn't have a statement that she was physically and mentally able to care for children.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 11, 2025

Children were not restricted to approved space as evidenced by the laundry room and the kitchen supply closet were unlocked .

Required correction: Caregivers shall restrict children to approved space.

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

Medical examination report form did not contain all required information as evidenced by the physical for Margaret Agee didn't have a statement that she was physically and mentally able to care for children.

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

5 CSR 25-600.020 (5) · General Requirements · Correction due June 9, 2025

Criminal background check results were older than five (5) years for Shirley Agee (4/21), Bonita Conley (4/21), Ashley Garrett, Silvia Giron Zayala (4/21), Barbara Hill (4/21), Shuryce Hill (4/21), Merrill Hunt, Vicki Lockett (4/21) and Andrea Scott.

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

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 21, 2025

The Family Care Safety Registry check was not conducted for S.A., J.A., A.B., D.B., M.B. B.C., A.C., T.D., K.D., M.E., R.F., A.G., S.G.Z., T.H., B.H., S.H., D.H., M.H., V.L., A.M., D.M., L.M., June McDaniel, N.M., E'Lisa Moses, E.N., K.O., J.P., S.R., A.S., L.T., A.V., A.W., A.W., L.W., R.W., D.P., Dei"Nea Jones and Elzata Nelson 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 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 28, 2025

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 the gate on the fence did not latch in the left corner of the playground.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due April 21, 2025

Documentation of caregiver completion of the facility orientation was not on file for the following staff: M.B., T.H., D.H., E.N., K.O. and E.N.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due February 28, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: D.B. (5),Tye Day (5), K.D. (4)Tkia Hill (3),Delonda Hollis (1)Karla Om'Williams (1), A.V. (7) and Le"onia White (4).

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due February 28, 2025

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

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due April 8, 2025

Elzata Nelson 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 · Medical Examination Reports (1) (B) . · Correction due March 24, 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: M.B.

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 (1) (D) · Medical Examination Reports · Correction due March 24, 2025

Medical examination report form did not contain all required information as evidenced by Kameisha Dye's physical didni't have the statement she is physically and mentally able to care for children.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Shirley Agee (4/21), Bonita Conley (4/21), Ashley Garrett, Silvia Giron Zayala (4/21), Barbara Hill (4/21), Shuryce Hill (4/21), Merrill Hunt, Vicki Lockett (4/21) and Andrea Scott.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due April 21, 2025

Criminal background check results were not on file for L.W., R.W., D.P., D.J. and E.N.

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 S.A., J.A., A.B., D.B., M.B. B.C., A.C., T.D., K.D., M.E., R.F., A.G., S.G.Z., T.H., B.H., S.H., D.H., M.H., V.L., A.M., D.M., L.M., June McDaniel, N.M., E'Lisa Moses, E.N., K.O., J.P., S.R., A.S., L.T., A.V., A.W., A.W., L.W., R.W., D.P., Dei"Nea Jones and Elzata Nelson 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 January 22, 2025

Children were not restricted to approved space as evidenced by the laundry room was unlocked allowing for access.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 22, 2025

Hazardous items as follows were accessible to children: 1 galloon jug of Cloroz bleach. The item(s) was/were located on the floor in the unlocked laundry room.

Required correction: Hazardous items shall be inaccessible to children.

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 the gate on the fence did not latch in the left corner of the playground.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 1. D. · Correction due January 22, 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 less than two feet for five cots.

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

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

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

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

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

Elzata Nelson did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.102 (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: D.B. (5),Tye Day (5), K.D. (4)Tkia Hill (3),Delonda Hollis (1)Karla Om'Williams (1), A.V. (7) and Le"onia White (4).

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: M.B., T.H., D.H., E.N., K.O. and E.N.

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: M.B.

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 (1) (D) · Medical Examination Reports

Medical examination report form did not contain all required information as evidenced by Kameisha Dye's physical didni't have the statement she is physically and mentally able to care for children.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for L.W., R.W., D.P., D.J. and E.N.

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

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Shirley Agee, Bonita Conley, Ashley Garrett, Silvia Giron Zayala, Barbara Hill, Shuryce Hill, Merrill Hunt, Vicki Lockett and Andrea Scott.

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

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 11, 2024

Children were not restricted to approved space as evidenced by the janitorial closet was unlocked making it accessible to the children.

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 September 11, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2 outlets in the rainbow room were uncovered & corrected during the inspection, 2 outlets in the red room were uncovered, 1 outlet in the yellow room was uncovered and 1 outlet in the hallway was uncovered.

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 September 11, 2024

Hazardous items as follows were accessible to children: a bottle of windex (yellow room) and 1 bottle peroxide, 1 can air freshener and 1 bottle of Rex X (red room). The item(s) was/were located in the yellow and red rooms.

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 September 11, 2024

Hazardous items as follows were accessible to children: 1 bottle pine sol, 2 bottles windex, multiple bottles of sanitizer and cleaning supplies. The item(s) was/were located located in the unlocked janitor closet.

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 September 11, 2024

The ceilings located rainbow room was/were not in good condition as evidenced by water stains were observed on the ceiling area by the windows.

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 October 14, 2024

The floors located in the art room and stage area was/were not clean as evidenced by dirt and paint stains were observed in multiple areas on the floor.

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 September 11, 2024

The walls located turquoise room was/were not clean as evidenced by chipped paint inside the classroom door to the left on the wall ,above the sink area and the back wall by the door. There was also scribbles on the back wall by the door.

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 September 11, 2024

The walls located orange room was/were not clean as evidenced by sticky residue with dirt observed on the classroom door.

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 October 28, 2024

The walls located red room was/were not finished with material which can be cleaned easily as evidenced by chipped paint was observed on the back wall of the classroom.

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 October 28, 2024

The walls located in the right hallway was/were not finished with material which can be cleaned easily as evidenced by the hallway by the playground door had an area of the dry wall that was exposed.

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 October 16, 2024

The walls located in the left hallway was/were not finished with material which can be cleaned easily as evidenced by by the hallway by this playground door had exposed drywall and dirty walls.

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 October 28, 2024

The walls located in the gym area by the yellow and blue rooms was/were not finished with material which can be cleaned easily as evidenced by chipping and peeling paint was observed.

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 October 28, 2024

The walls located in the art room was/were not in good condition as evidenced by exposed drywall and dirty walls were observed by the sink and paper towel area.

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 October 16, 2024

The walls located in the green room was/were not in good condition as evidenced by chipping paint and dirt on walls was observed in the bathroom and by the drama and art area.

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 October 28, 2024

The ceilings located red room was/were not in good condition as evidenced by the cover over the light fixture was falling out of the light frame.

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) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 16, 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches on the gate joining the fence area of the playground which included the latch on the gate .

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 September 11, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the roots on the tree in the far back right corner of the playground were sticking out of the group creating sharp edges were children could be harmed..

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

5 CSR 25-500.087 (12) (D) · Fire Safety · Correction due September 11, 2024

The smoke detector was chirping in the green room.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due September 30, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2024

Furniture/equipment, pillows, in the orange room was not in good condition as evidenced by wet stains were observed on 2 of the pillows that are shared pillows for lounging in the quiet area.

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 September 11, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by in the orange room there was sticky residue with dirt observed on the kitchen cabinets.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the blue room had sticky residue with dirt observed on the computer desk top and the area by the door. .

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by in the blue room had a water fountain that has standing wall in it that might be clogged.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by in the yellow room there was sticky residue with dirt on the shelves just inside the room to the left..

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 11, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by in the rainbow room there was sticky residue with dirt on the block shelves, the wall to the window seat area and on the drama area shelves.

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 October 16, 2024

Outdoor equipment, the fence area, in the preschool playground space was not free of pointed parts as evidenced by the additional layers of fencing had jagged edges by the gate fencing in the lower left side of the playground and the upper right area of the playground by the trees..

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due September 11, 2024

Outdoor equipment, the mud kitchen, in the preschool playground space was unsafe as evidenced by bee nests were observed in the cabinet portions of the mud kitchen.

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

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 16, 2024

Outdoor equipment, the mud kitchen area, in the preschool playground space was not free of sharp parts as evidenced by protruding nails/screws were observed in the wood.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due October 28, 2024

Documentation of caregiver completion of the facility orientation was not on file for the following staff: A.V., N.W. and A.W.

5 CSR 25-500.122 (1) (D) · Medical Examination Reports · Correction due October 16, 2024

Medical examination report form did not contain all required information as evidenced by the physical for Andrea Wesley didn't have the mentally and physically able to care for children statement on the form that was signed by the doctor.

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

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

Children were not restricted to approved space as evidenced by the janitorial closet was unlocked making it accessible to the children.

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

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 2 outlets in the rainbow room were uncovered & corrected during the inspection, 2 outlets in the red room were uncovered, 1 outlet in the yellow room was uncovered and 1 outlet in the hallway was uncovered.

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

Hazardous items as follows were accessible to children: 1 bottle pine sol, 2 bottles windex, multiple bottles of sanitizer and cleaning supplies. The item(s) was/were located located in the unlocked janitor closet.

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 red room was/were not in good condition as evidenced by the cover over the light fixture was falling out of the light frame.

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) 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 approximately 6 inches on the gate joining the fence area of the playground which included the latch on the gate .

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 the roots on the tree in the far back right corner of the playground were sticking out of the group creating sharp edges were children could be harmed..

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

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

The ceilings located rainbow room was/were not in good condition as evidenced by water stains were observed on the ceiling area by the windows.

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 the art room and stage area was/were not clean as evidenced by dirt and paint stains were observed in multiple areas on the floor.

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 turquoise room was/were not clean as evidenced by chipped paint inside the classroom door to the left on the wall ,above the sink area and the back wall by the door. There was also scribbles on the back wall by the door.

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 orange room was/were not clean as evidenced by sticky residue with dirt observed on the classroom door.

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 red room was/were not finished with material which can be cleaned easily as evidenced by chipped paint was observed on the back wall of the classroom.

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 the right hallway was/were not finished with material which can be cleaned easily as evidenced by the hallway by the playground door had an area of the dry wall that was exposed.

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 the left hallway was/were not finished with material which can be cleaned easily as evidenced by by the hallway by this playground door had exposed drywall and dirty walls.

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 the gym area by the yellow and blue rooms was/were not finished with material which can be cleaned easily as evidenced by chipping and peeling paint was observed.

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 the art room was/were not in good condition as evidenced by exposed drywall and dirty walls were observed by the sink and paper towel area.

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 the green room was/were not in good condition as evidenced by chipping paint and dirt on walls was observed in the bathroom and by the drama and art area.

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: a bottle of windex (yellow room) and 1 bottle peroxide, 1 can air freshener and 1 bottle of Rex X (red room). The item(s) was/were located in the yellow and red rooms.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.087 (12) (D) · Fire Safety

The smoke detector was chirping in the green room.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

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

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

Furniture/equipment, pillows, in the orange room was not in good condition as evidenced by wet stains were observed on 2 of the pillows that are shared pillows for lounging in the quiet area.

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 in the rainbow room there was sticky residue with dirt on the block shelves, the wall to the window seat area and on the drama area shelves.

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

Outdoor equipment, the mud kitchen area, in the preschool playground space was not free of sharp parts as evidenced by protruding nails/screws were observed in the wood.

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

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

Outdoor equipment, the fence area, in the preschool playground space was not free of pointed parts as evidenced by the additional layers of fencing had jagged edges by the gate fencing in the lower left side of the playground and the upper right area of the playground by the trees..

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

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

Outdoor equipment, the mud kitchen, in the preschool playground space was unsafe as evidenced by bee nests were observed in the cabinet portions of the mud kitchen.

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

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 in the orange room there was sticky residue with dirt observed on the kitchen cabinets.

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

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 the blue room had sticky residue with dirt observed on the computer desk top and the area by the door. .

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

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 in the blue room had a water fountain that has standing wall in it that might be clogged.

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

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 in the yellow room there was sticky residue with dirt on the shelves just inside the room to the left..

Required correction: Indoor play equipment, clean and in good repair, shall be accessible 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: A.V., N.W. and A.W.

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

Medical examination report form did not contain all required information as evidenced by the physical for Andrea Wesley didn't have the mentally and physically able to care for children statement on the form that was signed by the doctor.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due July 23, 2024

One (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) (C) · Records and Reports · Correction due July 23, 2024

One (1) child(ren) records did not include address 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 25-500.052 (2) (B) · Annual Requirements · Correction due April 15, 2024

The annual sanitation inspection was not conducted.

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 29, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the secondary fencing was coming unattached from the primary fence creating tripping hazard and sharp edges on fencing.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 (2) (C) · Annual Requirements · Correction due March 26, 2024

The Family Care Safety Registry check was not conducted for R.D., A.G., M.H., M.H., A.J., R.M., N.M., E'Lisa Moses, J.P., M.R., S.R., A.S., S.S., A.W., J.W. and L.Y. 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 February 20, 2024

The ceilings located in the green room was/were not in good condition as evidenced by the plastic to the light fixture is falling from the ceiling light fixture.

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 March 25, 2024

The walls located in the turquoise room, gym room, orange room and green room was/were not clean as evidenced by sticky residue with dirt attached.

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 March 25, 2024

The walls located in the turquoise room and in the gym room was/were not in good condition as evidenced by exposed dry wall with paint chipping.

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 January 30, 2024

The floors located in the hallway by the gym was/were not clean as evidenced by sticky contact paper residue with dirt attached was observed on the floor.

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 March 26, 2024

The ceilings located in the purple room, red room, green room and yellow room was/were not clean as evidenced by dust buildup on the ceiling tiles and vents.

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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 5, 2024

The facility's outdoor space was not safe for children's activities as evidenced by standing water at the bottom of the drain on the left front side of the main playground with about 4 -5 inches of water in an area about 8 inches by 8 inches. There was also a sensory table filled with water about 8 inches deep. The weather was about 36 degrees so no children were outside.

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 the secondary fencing was coming unattached from the primary fence creating tripping hazard and sharp edges on fencing.

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

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 21, 2024

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

Required correction: Bathrooms shall be clean and odor free.

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

Furniture/equipment, the classroom door, in the green room was not in good condition as evidenced by the door doesn't fit into the door jam so it doesn't open and close properly.

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 February 6, 2024

Furniture/equipment, a window seal, in the green room was unsafe as evidenced by wood was rotted and left hole in the window seat.

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 March 7, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by shelves in the purple room, orange room, gym room, green room and yellow room had evidence of sticky residue with dirt attached.

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

5 CSR 25-500.102 (1) (L) · Personnel · Correction due January 11, 2024

Documentation of caregiver completion of the facility orientation was not on file for the following staff: A.B., S.S. and L.Y.

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 staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

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 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for R.D., A.G., M.H., M.H., A.J., R.M., N.M., E'Lisa Moses, J.P., M.R., S.R., A.S., S.S., A.W., J.W. and L.Y. 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 January 8, 2024

Children were not restricted to approved space as evidenced by the electrical room was not locked.

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 January 8, 2024

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets were not covered in the gym area.

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 January 8, 2024

Hazardous items as follows were accessible to children: toilet bowl cleaner and disinfectant bottles. The item(s) was/were located in the electrical closet that was not locked making it accessible to children.

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 the purple room, red room, green room and yellow room was/were not clean as evidenced by dust buildup on the ceiling tiles and vents.

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) 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 the secondary fencing was coming unattached from the primary fence creating tripping hazard and sharp edges on fencing.

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

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 8, 2024

Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

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 hand sink 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 standing water at the bottom of the drain on the left front side of the main playground with about 4 -5 inches of water in an area about 8 inches by 8 inches. There was also a sensory table filled with water about 8 inches deep. The weather was about 36 degrees so no children were outside.

Required correction: The outdoor play area shall be clean, safe and well-maintained 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 the turquoise room, gym room, orange room and green room was/were not clean as evidenced by sticky residue with dirt attached.

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 the turquoise room and in the gym room was/were not in good condition as evidenced by exposed dry wall with paint chipping.

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 the hallway by the gym was/were not clean as evidenced by sticky contact paper residue with dirt attached was observed on the floor.

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 the green room was/were not in good condition as evidenced by the plastic to the light fixture is falling from the ceiling light fixture.

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, a window seal, in the green room was unsafe as evidenced by wood was rotted and left hole in the window seat.

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 shelves in the purple room, orange room, gym room, green room and yellow room had evidence of sticky residue with dirt attached.

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

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

Furniture/equipment, the classroom door, in the green room was not in good condition as evidenced by the door doesn't fit into the door jam so it doesn't open and close properly.

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

5 CSR 25-500.102 (1) (L) · Personnel

Documentation of caregiver completion of the facility orientation was not on file for the following staff: A.B., S.S. and L.Y.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 22, 2023

Children were not restricted to approved space as evidenced by the door to the upstairs staff rooms was unlocked, the door to the janitorial closet in the hallway was unlocked.

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 August 7, 2023

The walls located in the 2 year old purple room and in the hallway outside the classroom door of red room was/were not in good condition as evidenced by chipped areas of peeling paint.

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 August 22, 2023

The walls located in the hallway by the exit to the playground door was/were not in good condition as evidenced by there was a hole approximately 3 inches by 3 inches in the dry wall.

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 August 22, 2023

The walls located in the hallways was/were not clean as evidenced by dirt was observed on the walls.

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 11, 2023

There was evidence of dirt/debris in the cabinet under the handwashing sink in the green room. .

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

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 11, 2023

The facility's outdoor space was not safe for children's activities as evidenced by there is a hole from a drain pipe that is approximately 8 inches by 8 inches in diameter and approximately 10 inches deep in the back right corner of the 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 · Correction due July 28, 2023

The facility's outdoor space was not safe for children's activities as evidenced by there is an area of the playground by the facility playground door that is approximately 10 feet by 4 feet that had approximately 1 - 2 inches of standing water in it.

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

5 CSR 25-500.082 (3) (A) 3. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 13, 2023

The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.

Required correction: Bathroom fixtures shall be functional and convenient.

5 CSR 25-500.087 (12) (D) · Fire Safety · Correction due September 1, 2023

The smoke detector in the hallway by the infant/toddler rooms had a chirping battery.

Required correction: Smoke detectors shall be installed and be in good operating condition.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due August 16, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the red room large pillows showed evidence of dirt and stains on the pillow cases.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due August 11, 2023

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by there was evidence of contact paper sticky residue with dirt attached to those areas on surfaces in the classrooms. Specifically the purple room had residue on the bathroom doors, tops of shelves and fronts of cabinets. The red room had residue on the tops and backs of shelves. The green room had sticky residue on the play kitchen furniture and various shelves in the room. The yellow room had sticky residue on various shelves in the room The blue room had residue on various shelves and the writing table in the room. The infant room had sticky residue on the fronts of several cabinet doors.

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

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due August 22, 2023

Mariah Roady 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.