Visionary Kids Childcare LLC

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 outside of the mulched area, the concrete had weeds growing and needs to be maintained.

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

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

Medical examination report(s) was/were not on file for K.W. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: T.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 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

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

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

1 child(ren) records did not include name of family physician or hospital.

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

5 CSR 25-400.055 (1) (B) · Annual Requirements

The equipment list did not contain a list of equipment as required in 5 CSR 25-400.095.

Required correction: The child care provider shall submit an equipment list as required.

5 CSR 25-400.055 (1) (C) · Annual Requirements

The listing of household members and assistants was not submitted.

Required correction: The child care provider shall submit a listing of all household members and assistants.

5 CSR 25-400.055 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The child care provider shall submit the Annual Declaration as required.

5 CSR 25-400.085 (1) (H) · Physical Requirements of the Family Day Care Home

Stairways in the facility did not meet requirements as evidenced by there was no safety gate.

Required correction: Stairways shall meet safety standards as required.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home

Hazardous items as follows were accessible to children: clorox bleach and other cleaning supplies. The item(s) was/were located under the sink in the bathroom.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.086 (2) (C) · Fire Safety

Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

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

5 CSR 25-400.105 (4) (A) · The Child Care Provider and Other Child Care 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: D.J. needs 3 hours.

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

5 CSR 25-400.105 · The Child Care Provider and Other Child Care Personnel (5) (A) .

Safe sleep training was not completed within the past 3 years for the provider, Destiney James.

Required correction: The child care provider and assistant(s) shall complete department-approved safe sleep training as required.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 1 A · Correction due March 5, 2025

The requirements for sleeping materials were not met as evidenced by 1 child(ren) 12 months or older, who nap or sleep, did not have a sheet.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due September 30, 2024

Hazardous items as follows were accessible to children: Bleach, cleaning sprays, etc.. The item(s) was/were located in the bathroom cabinet that was not locked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.085 (2) (A) 6. · Physical Requirements of the Family Day Care Home · Correction due September 30, 2024

The floors located in the kitchen area and the bathroom was/were not in good condition as evidenced by peeling up and chipping which can be easily peeled or tripped on.

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

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due September 30, 2024

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

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

5 CSR 25-400.125 (1) (G) · Medical Examination Reports · Correction due October 10, 2024

Medical examination report did not contain all required information as evidenced by Marilyn McAlester and Diamond Scotts medical did not clarify that they could work in childcare.

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

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due September 27, 2024

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 8/7/2024.

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

5 CSR 25-600.020 (1) · General Requirements · Correction due September 18, 2024

Criminal background check results were not on file for M.M., D.S., and D.J.

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

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home

Hazardous items as follows were accessible to children: Bleach, cleaning sprays, etc.. The item(s) was/were located in the bathroom cabinet that was not locked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.085 (2) (A) 6. · Physical Requirements of the Family Day Care Home

The floors located in the kitchen area and the bathroom was/were not in good condition as evidenced by peeling up and chipping which can be easily peeled or tripped on.

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

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

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

5 CSR 25-400.125 (1) (G) · Medical Examination Reports

Medical examination report did not contain all required information as evidenced by Marilyn McAlester and Diamond Scotts medical did not clarify that they could work in childcare.

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

5 CSR 25-400.125 (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 8/7/2024.

Required correction: Child medical requirements 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 M.M., D.S., and D.J.

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

5 CSR 25-400.105 (2) (A) · The Child Care Provider and Other Child Care Personnel · Correction due March 26, 2024

Staff/child ratio requirements were not met as evidenced by 3 children under age two and 4 children over age two were cared for by 1 caregiver(s).

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

5 CSR 25-400.105 (2) (A) · The Child Care Provider and Other Child Care Personnel

Staff/child ratio requirements were not met as evidenced by 3 children under age two and 4 children over age two were cared for by 1 caregiver(s).

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