Willow Woods Child Development Center, Inc.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due March 25, 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 25-500.052 (2) (C) · Annual Requirements · Correction due March 25, 2026

The Family Care Safety Registry check was not conducted for P.W. 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 25-500.102 (3) (A) · Personnel · Correction due March 25, 2026

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: P.W. needs .5 hours.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 25, 2026

2 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 March 25, 2026

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 25-500.222 (2) (D) · Records and Reports · Correction due March 25, 2026

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

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due March 25, 2026

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 25-500.222 (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 25-500.052 (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 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for P.W. 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 25-500.102 (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: P.W. needs .5 hours.

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

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

2 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

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

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

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

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.

Violation substantiated · 5 CSR 25-500.202(2)(B)

The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods.

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 25-500.102(1)(E)

Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.

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 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 27, 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 from the playground to the parking lot had a broken latch and the gate was held together with a bungee cord. The gate with the bungee cord was able to be pushed open over two feet which allows for a child to escape into the parking lot.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that the gate from the playground to the parking lot had a broken latch and the gate was held together with a bungee cord. The gate with the bungee cord was able to be pushed open over two feet which allows for a child to escape into the parking lot.

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

Violation substantiated · 5 CSR 25-500.082(2)(A)9.

The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

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 25-500.102 (3) (A) · Personnel · Correction due June 6, 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: D.T. needs .75 hours and Monae Williams needs 1.5 hours.

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due June 6, 2025

Safe sleep training was not completed within the past 3 years for the following staff D.N.

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 25-600.020 (5) · General Requirements · Correction due March 25, 2025

Criminal background check results were older than five (5) years for Donisha Taylor, Monae Williams, Pamela Williams, Ciera Malone and Wanda Lee.

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

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: D.T. needs .75 hours and Monae Williams needs 1.5 hours.

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

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

Safe sleep training was not completed within the past 3 years for the following staff D.N.

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 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Donisha Taylor, Monae Williams, Pamela Williams, Ciera Malone and Wanda Lee.

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

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 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 large enough for a child to crawl or fall through - the openings measured 3 feet where the gate could not be secured properly and was being held with a bungee cord. The gate opens from the playground directly to the parking lot where cars enter from the road.

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

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

Outdoor equipment, gate latch, in the children's playground was not in good condition as evidenced by the latch no longer functioned. The latch could not be secured preventing the gate from the children's playground to the parking lot from being secured. The gate was observed to be held closed by a bungee cable.

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

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 large enough for a child to crawl or fall through - the openings measured 3 feet where the gate could not be secured properly and was being held with a bungee cord. The gate opens from the playground directly to the parking lot where cars enter from the road.

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

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

Outdoor equipment, gate latch, in the children's playground was not in good condition as evidenced by the latch no longer functioned. The latch could not be secured preventing the gate from the children's playground to the parking lot from being secured. The gate was observed to be held closed by a bungee cable.

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

Violation substantiated · 5 CSR 25-500.082(2)(A)9.

The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

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 licensing violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.042 (12) · Licensing Process · Correction due May 14, 2024

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due April 26, 2024

The annual fire safety inspection was not approved.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 14, 2024

The floors located in the toddler classroom was/were not in good condition as evidenced by broken tiles were observed in the adjoining restroom.

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 May 14, 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 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due May 14, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by toys and materials in the 2's classroom were not accessible to children due to the storage cabinet doors being painted shut.

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

5 CSR 25-500.102 (3) (A) · Personnel · Correction due May 14, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: W.L. is missing 2 hours, D.T. is missing .25 hours and Monae Williams is missing 1 hour of approved clock hour training.

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

5 CSR 25-500.042 (12) · Licensing Process

Posting requirements were not met as evidenced by the posted license was outdated.

Required correction: The official license shall be posted.

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 April 15, 2024

Children were not restricted to approved space as evidenced by children had access to the kitchen area which had open and unsecured doors.

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 April 15, 2024

Hazardous items as follows were accessible to children: hand sanitizer, Bordeaux Buttpaste, perfume/body spray, unused epi pen, bleach spray mix, Aquaphor baby ointment and basket of various toothpaste . The item(s) was/were located in unlocked cabinets and on top of cabinets in prek and 2 year old classrooms.

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 April 15, 2024

The floors located in the 12-24 month old classroom was/were not clean as evidenced by tape residue from alphabet stickers was present on the floor where the stickers had been pulled up.

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 April 15, 2024

The floors located in the toddler classroom was/were not in good condition as evidenced by broken tile was present at 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 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 15, 2024

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

Required correction: Bathrooms shall be clean and odor free.

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

The floors located in the toddler classroom was/were not in good condition as evidenced by broken tiles were observed in the adjoining restroom.

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 · Correction due April 15, 2024

Furniture/equipment, rocking chair, in infant/toddler 2 was not in good condition as evidenced by cracked and splitting wood was observed on the seat.

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

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

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 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due April 15, 2024

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

Required correction: Safe and secure feeding equipment shall be provided 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 toys and materials in the 2's classroom were not accessible to children due to the storage cabinet doors being painted shut.

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

5 CSR 25-500.102 (1) (E) · Personnel · Correction due April 15, 2024

A caregiver was not knowledgeable of the needs of children as evidenced by lifting an 8 month old child by her onesie.

Required correction: Caregivers shall meet child care personnel requirements.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: W.L. is missing 2 hours, D.T. is missing .25 hours and Monae Williams is missing 1 hour of approved clock hour training.

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 12, 2024

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

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

5 CSR 25-500.052 (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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in the 12-24 month old classroom was/were not clean as evidenced by tape residue from alphabet stickers was present on the floor where the stickers had been pulled up.

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 toddler classroom was/were not in good condition as evidenced by broken tile was present at the door.

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

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

Required correction: Safe and secure feeding equipment shall be provided 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 2023, the staff listed need the following information: W.L. is missing 2 hours, D.T. is missing .25 hours and Monae Williams is missing 1 hour of approved clock hour training.

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

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due March 12, 2024

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.I., A.E., D.J., P.W. and L.G.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (1) (E) · Personnel

A caregiver was not knowledgeable of the needs of children as evidenced by lifting an 8 month old child by her onesie.

Required correction: Caregivers shall meet child care personnel requirements.

5 CSR 25-500.222 (2) (F) · Records and Reports · Correction due March 12, 2024

1 child(ren) records did not include field trip and transportation authorization.

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

5 CSR 25-500.222 (2) (D) · Records and Reports · Correction due March 12, 2024

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 25-500.222 (2) (D) · Records and Reports · Correction due March 12, 2024

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

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 March 12, 2024

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due March 21, 2024

Criminal background check results were not on file for P.W. and L.G.

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

5 CSR 25-500.052 (1) (C) · Annual Requirements · Correction due March 4, 2024

The equipment list was not submitted.

Required correction: The facility shall submit an equipment list 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 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in the toddler classroom was/were not in good condition as evidenced by broken tile was present at 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 floors located in the 12-24 month old classroom was/were not clean as evidenced by tape residue from alphabet stickers was present on the floor where the stickers had been pulled up.

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

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: A.I., A.E., D.J., P.W. and L.G.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: W.L. is missing 2 hours, D.T. is missing .25 hours and Monae Williams is missing 1 hour of approved clock hour training.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due March 4, 2024

Medical examination report(s) was/were not on file for A.I. 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 March 4, 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: A.I.

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

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

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

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

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

1 child(ren) records did not include field trip and transportation authorization.

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

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

1 (Child A) 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) (D) · Records and Reports

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

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 March 4, 2024

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

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

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 4, 2024

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

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for P.W. and L.G.

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

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

The equipment list was not submitted.

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

5 CSR 25-500.052 (1) (A) · Annual Requirements · Correction due February 13, 2024

The Annual Declaration was not submitted.

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

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

The floors located in the toddler classroom was/were not in good condition as evidenced by broken tile was present at 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 floors located in the 12-24 month old classroom was/were not clean as evidenced by tape residue from alphabet stickers was present on the floor where the stickers had been pulled up.

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 February 13, 2024

Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located mounted to the far wall in the restroom of the 12-24 month old classroom.

Required correction: The facility shall provide a safe and clean diapering table as required.

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent adult supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with supervision.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. The facility is placed on close supervision and will receive additional inspections to monitor compliance with supervision.

Violation substantiated · 5 CSR 25-500.212(1)(A)

The provider shall be responsible for the care, safety and supervision of children on field trips or at any time they transport children away from the facility.

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. The facility is placed on close supervision and will receive additional inspections to monitor compliance with supervision.