Winterset Montessori

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2026

Children were not restricted to approved space as evidenced by the sprinkler system control closet was not locked in the Pre K classroom.

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 June 11, 2026

Hazardous items as follows were accessible to children: 4 bottles of sunscreen, 1 can of Febreeze Air Spray, 2 containers of Clorox Wipes and 1 can of household paint. The item(s) was/were located in children's cubbies (Sunscreen), under sinks in unlocked cabinets (clorox, febreeze, paint) in the 2/3 year old room and the preschool 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

The floors located in the 2 year old room, 2/3 year old room, preschool classrooms and the prek classrooms was/were not clean as evidenced by soiled/dirt was observed on area rugs, carpets and apple carpet squares.

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 June 11, 2026

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2026

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due June 11, 2026

The passage to an exit located in the preschool classroom was not clear as evidenced by 2 stacks of chairs was blocking the emergency exit door.

Required correction: Caregivers shall keep passageways to all exits clear.

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 tables in the 2/3 year old room had evidence of dirty sticky tape residue on the table tops.

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

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

Medical examination report(s) was/were not on file for J.B.,, K.K., A.S., T.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: K.K., A.S. and T.W.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 29, 2025

The floors located in the prek classroom, preschool classrooms, preschool 4, 2 year old classrooms was/were not clean as evidenced by dirt and stains were observed on the carpets as well as sticky tape residue on the tiles.

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

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

The ceilings located in the preschool classroom and the 2&3 year old classrooms was/were not in good condition as evidenced by the light covers were missing over the fluorescent bulbs.

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 5, 2026

The walls located in the prek room, 2 year old room, toddler room and the infant room was/were not in good condition as evidenced by the cove board in the prek room was off the wall, the wall covering in the prek boys bathroom was coming off the wall, paint in the 2 year old room in the library area was chipping off the wall (12/10/25) and in the infant room back by the cribs the paint was chipping (12/12/25).

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 December 29, 2025

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

Required correction: Bathrooms shall be clean and odor free.

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

Furniture/equipment, the classroom sink counters, in the prek classroom, 2 year old classroom and the preschool classroom was not in good condition as evidenced by the counters were not clean (12/2/25) and the edges needed to be chaulked.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due December 17, 2025

Medical examination report(s) was/were not on file for Y.S. 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 December 17, 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: Y.S.

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 (2) (A) · Medical Examination Reports · Correction due January 5, 2026

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 June 2, 2025.

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

5 CSR 25-500.192 (4) (A) · Health Care · Correction due January 5, 2026

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.222 (1) · Records and Reports · Correction due December 12, 2025

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing 2 acknowledgement signatures.

Required correction: Accurate records shall be maintained.

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

The floors located in the prek classroom, preschool classrooms, preschool 4, 2 year old classrooms was/were not clean as evidenced by dirt and stains were observed on the carpets as well as sticky tape residue on the tiles.

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

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

The ceilings located in the preschool classroom and the 2&3 year old classrooms was/were not in good condition as evidenced by the light covers were missing over the fluorescent bulbs.

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 prek room, 2 year old room, toddler room and the infant room was/were not in good condition as evidenced by the cove board in the prek room was off the wall, the wall covering in the prek boys bathroom was coming off the wall, paint in the 2 year old room in the library area was chipping off the wall (12/10/25) and in the infant room back by the cribs the paint was chipping (12/12/25).

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

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 9, 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4 - 5 inches in 2 places on the preschool playground.

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

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2025

Furniture/equipment, the diaper changing table, in the toddler classroom was not in good condition as evidenced by exposed cork board was observed on the top edges of the changing table.

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

Furniture/equipment, the classroom sink counters, in the prek classroom, 2 year old classroom and the preschool classroom was not in good condition as evidenced by the counters were not clean (12/2/25) and the edges needed to be chaulked.

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 December 10, 2025

Furniture/equipment, the tables and the front of 2 refrigerators, in in the 2 year old classroom and in the toddler classroom was not in good condition as evidenced by sticky tape residue was observed with dirt.

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 December 3, 2025

Furniture/equipment, the corn hole wood games, in the outside playspace was not in good condition as evidenced by raw wood was observed on the games.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due December 10, 2025

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Y.S.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 12, 2025

Staff/child ratio requirements were not met as evidenced by eleven children , ages 3 - 5 year olds, were cared for by one adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for Y.S. 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: Y.S.

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 (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 June 2, 2025.

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

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

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.192 (6) (B) · Health Care · Correction due December 10, 2025

Requirements for handwashing were not met as evidenced by the toddler teacher stated that they did not wash the children's hands after diaper changing each child.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-500.222 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing 2 acknowledgement signatures.

Required correction: Accurate records shall be maintained.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due December 4, 2025

The Family Care Safety Registry check was not conducted for A.A. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 4, 2025

Hazardous items as follows were accessible to children: 1 gallon of hand soap, plastic bags, 1 container tick repellent, Staff pointed scissors, air fresheners, Febreeze & Glade. The item(s) was/were located under unlocked cabinets in the prek room, preschool room in a backpack, on low counters in the preschool, 2 year old and toddler classrooms and in low baskets all within reach of 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 walls located in the prek room, 2 year old room, toddler room and the infant room was/were not in good condition as evidenced by the cove board in the prek room was off the wall, the wall covering in the prek boys bathroom was coming off the wall, paint in the 2 year old room in the library area was chipping off the wall and in the infant room back by the cribs the paint was chipping.

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

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

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (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 4 - 5 inches in 2 places on the preschool playground.

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 December 4, 2025

The facility's outdoor space was not safe for children's activities as evidenced by observed paper and plastic liter on the preschool playground .

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 · Correction due December 4, 2025

The walls located in the toddler classroom was/were not clean as evidenced by there was food debris dried on the wall by the feeding table.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 4, 2025

The ceilings located in the 2 year old classrooms, in the toddler classrooms and the infant classroom was/were not clean as evidenced by dust buildup on the ceiling fans.

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 preschool classroom and the 2&3 year old classrooms was/were not in good condition as evidenced by the light covers were missing over the fluorescent bulbs.

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 prek classroom, preschool classrooms, preschool 4, 2 year old classrooms was/were not clean as evidenced by dirt and stains were observed on the carpets as well as sticky tape residue on the tiles.

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, the corn hole wood games, in the outside playspace was not in good condition as evidenced by raw wood was observed on the games.

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

Furniture/equipment, the classroom sink counters, in the prek classroom, 2 year old classroom and the preschool classroom was not in good condition as evidenced by the counters were not clean and the edges needed to be chaulked.

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

Furniture/equipment, the tables and the front of 2 refrigerators, in in the 2 year old classroom and in the toddler classroom was not in good condition as evidenced by sticky tape residue was observed with dirt.

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

Furniture/equipment, the diaper changing table, in the toddler classroom was not in good condition as evidenced by exposed cork board was observed on the top edges of the changing table.

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

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Y.S.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by eleven children , ages 3 - 5 year olds, were cared for by one adult caregiver(s).

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

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

Medical examination report(s) was/were not on file for Y.S. 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: Y.S.

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 (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 June 2, 2025.

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

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

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.192 (6) (B) · Health Care

Requirements for handwashing were not met as evidenced by the toddler teacher stated that they did not wash the children's hands after diaper changing each child.

Required correction: Staff/children shall wash hands as required.

5 CSR 25-500.222 (1) · Records and Reports

The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child file was missing 2 acknowledgement signatures.

Required correction: Accurate records shall be maintained.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due December 4, 2025

One 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 (9) · Records and Reports · Correction due December 4, 2025

Requirements for children's records were not met as evidenced by a child's record was not kept confidential - specifically the 2 year old classroom had multiple postings of a child with special health care/allergies were non-staff could view the information.

Required correction: Children's records shall be confidential and available to parents upon request.

Violation substantiated · 5 CSR 25-500.182(1)(C)6.

Firm, positive statements or redirection of behavior shall be used with infants and toddlers.

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.

Violation substantiated · 5 CSR 25-500.182(1)(C)6.

Firm, positive statements or redirection of behavior shall be used with infants and toddlers.

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 25-500.182(1)(C)9.

Punishment or threat of punishment shall not be associated with food, rest, or toilet training.

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

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 20, 2025

The floors located in the Preschool 2 and Preschool 4 classrooms was/were not clean as evidenced by dirt stains were observed on the carpets in both rooms.

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 July 28, 2025

The ceilings located in the kindergarten room was/were not in good condition as evidenced by water stain was observed on 1 ceiling tile back by the utility closet.

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

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 15, 2025

Medical examination report(s) was/were not on file for S.A., D.A. (ok 7/2/25), K.L., Kevannah pinter, V.B. and S.T. 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 August 15, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.A., D.A. (ok 7/7/25), K.L., V.B. and S.T.

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

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

The floors located in the Preschool 2 and Preschool 4 classrooms was/were not clean as evidenced by dirt stains were observed on the carpets in both rooms.

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 kindergarten room was/were not in good condition as evidenced by water stain was observed on 1 ceiling tile back by the utility closet.

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

5 CSR 25-500.102 (1) (Q) · Personnel · Correction due June 30, 2025

Background screening information was not kept confidential for Kyli Lothamer.

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (3) (F) 1. · Personnel · Correction due June 26, 2025

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: S.A., J.T., V.B. and S.T.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due June 26, 2025

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

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 June 26, 2025

S.A., J.T., D.A., K.L., K.P., V.B. and S.T. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Medical examination report(s) was/were not on file for S.A., D.A. (ok 7/2/25), K.L., Kevannah pinter, V.B. and S.T. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.A., D.A. (ok 7/7/25), K.L., V.B. and S.T.

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

5 CSR 25-500.182 (1) (C) 7. · Child Care Program · Correction due July 16, 2025

Physical punishment was used as evidenced by self reported incident that occurred on July 15, 2025. Staff member, Kevanah Pointer was bitten by a student and then grabbed the student by the chin and yelled, "we don't bite" in a loud and elevated tone.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

5 CSR 25-500.182 (1) (C) 8. · Child Care Program · Correction due July 16, 2025

Caregiver used a discipline technique that included speaking harshly, abusively or with profanity as evidenced by self reported incident that occurred on July 15, 2025. Staff member, Kevanah Pointer was bitten by a student and then grabbed the student by the chin and yelled, "we don't bite" in a loud and elevated tone.

Required correction: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

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

The ceilings located in the kindergarten room was/were not in good condition as evidenced by water stain was observed on 1 ceiling tile back by the utility closet.

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 June 20, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the 2 year old playground had a mushroom area approximately 6 inches by 6 inches that was observed growing in the mulch by a climber.

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 floors located in the Preschool 2 and Preschool 4 classrooms was/were not clean as evidenced by dirt stains were observed on the carpets in both rooms.

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

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due June 20, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the toddler 2 classroom didn't have books and gross motor requirements accessible to the children.

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 June 20, 2025

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

5 CSR 25-500.102 (1) (Q) · Personnel

Background screening information was not kept confidential for Kyli Lothamer.

Required correction: Background screening information shall be kept confidential.

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: S.A., J.T., V.B. and S.T.

Required correction: All caregivers shall obtain a MOPD ID.

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

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

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

S.A., J.T., D.A., K.L., K.P., V.B. and S.T. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

Medical examination report(s) was/were not on file for S.A., D.A., K.L., Kevannah pinter, V.B. and S.T. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

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

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: S.A., D.A., K.L., V.B. and S.T.

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

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

Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other nonbreakable material.

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) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 13, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the Sprectrum (Wi Fi ) box is on the infant/toddler playground and has cable laying on playground and needs to secured and with no protruding screws.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 29, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due March 19, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: B.A. (2.5).

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

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due March 13, 2025

Safe sleep training was not completed within the past 3 years for the following staff B.P.

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 March 13, 2025

Linidsy Ball and Katelyn Whetsobe did not complete safe sleep training within 30 days of employment or volunteering at the facility.

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

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

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) . · Correction due March 21, 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: K.W.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due March 21, 2025

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not from a qualified professional source.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures · Correction due March 13, 2025

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care · Correction due March 13, 2025

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.192 · Health Care (4) (B) 2. A. · Correction due March 13, 2025

There was no certification by a licensed physician for a medical exemption on file for one child(ren).

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due March 13, 2025

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 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 10, 2025

Hazardous items as follows were accessible to children: bottle of windex, 1 bottle of hair detangler and 1 bottle of air freshner. The item(s) was/were located in unlocked cabinets and on a low bookshelf in the toddler and 2 year old rooms.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due March 10, 2025

Window and door requirements were not met as evidenced by there was no screen on an open window.

Required correction: Open windows and doors shall be screened securely and barriers shall be installed 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 Sprectrum (Wi Fi ) box is on the infant/toddler playground and has cable laying on playground and needs to secured and with no protruding screws.

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

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (1) (A) 2. · Furniture, Equipment and Materials · Correction due March 10, 2025

The passage to an exit located in the hallway leading to the playground was not clear as evidenced by a rock salt spreader and cots were blocking the exit.

Required correction: Caregivers shall keep passageways to all exits clear.

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

Safe sleep training was not completed within the past 3 years for the following staff B.P.

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

Linidsy Ball and Katelyn Whetsobe 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: B.A. (2.5).

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

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: K.W.

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

5 CSR 25-500.132 (6) · Admission Policies and Procedures

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not from a qualified professional source.

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

5 CSR 25-500.132 (8) (E) 3. · Admission Policies and Procedures

A diet plan for each infant/toddler was not on file.

Required correction: Each infant and toddler's diet plan shall be completed and on file as required.

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

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.192 · Health Care (4) (B) 2. A.

There was no certification by a licensed physician for a medical exemption on file for one child(ren).

Required correction: Child immunization requirements shall be on file as required.

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

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.