Word of Life Learning Center

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due March 30, 2026

Medical examination reports, including TB testing, were not on file for L.L. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 (3) · Health Requirements · Correction due March 30, 2026

Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 31, 2026

Children were not restricted to approved space as evidenced by door to utility room is unlocked/open.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 30, 2026

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black landscaping material is exposed posing a tripping hazard.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 30, 2026

The equipment, a all equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare landscaping material in multiple areas by all pieces of equipment.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due March 30, 2026

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for L.L. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 (3) · Health Requirements

Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 1

Children were not restricted to approved space as evidenced by door to utility room is unlocked/open.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 20, 2026

Hazardous items as follows were accessible to children: staff purse, two bottles of children's liquid medication, bleach water. The item(s) was/were located on a low shelf in a closet in the 5s room.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black landscaping material is exposed posing a tripping hazard.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 4

The equipment, a all equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare landscaping material in multiple areas by all pieces of equipment.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.040 (8) · Staffing Requirements · Correction due April 1, 2025

Background screening information received by the provider was not available for review as evidenced by Director Fuller could not find some staff documents.

Required correction: Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due April 1, 2025

Medical examination reports, including TB testing, were not on file for T.M. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 31, 2025

The ceilings located in the 4s and 5s room was/were not in good condition as evidenced by stained ceiling tiles.

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

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 31, 2025

The ceilings located in the gym area was/were not in good condition as evidenced by 3 broken ceiling tiles.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 31, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash inside the fenced playground (paper trash).

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 31, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of exposed landscaping material posing a tripping hazard.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 31, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash on the route to the fenced in area (water bottle containing what appears to be urine, chicken can, cigarette packages, paper trash).

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 4 · Correction due March 31, 2025

The equipment, a all equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare spots around the equipment where resilient surface has worn away.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

5 CSR 25-600.020 (1) · General Requirements · Correction due March 12, 2025

Criminal background check results were not on file for T.M., N.T.

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

5 CSR 25-300.040 (8) · Staffing Requirements

Background screening information received by the provider was not available for review as evidenced by Director Fuller could not find some staff documents.

Required correction: Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

5 CSR 25-300.050 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for T.M. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 11, 2025

Hazardous items as follows were accessible to children: can of Lysol. The item(s) was/were located low shelf in the staff bathroom with door open.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located in the gym area was/were not in good condition as evidenced by 3 broken ceiling tiles.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash on the route to the fenced in area (water bottle containing what appears to be urine, chicken can, cigarette packages, paper trash).

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 4

The equipment, a all equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare spots around the equipment where resilient surface has worn away.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 11, 2025

Hazardous items as follows were accessible to children: two bottles of children's cold medicine and 1 bottle of eye drop. The item(s) was/were located low shelf in 3s room.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 11, 2025

Hazardous items as follows were accessible to children: cleaning chemicals and spray fragrance. The item(s) was/were located 4s and 5s room.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located in the 4s and 5s room was/were not in good condition as evidenced by stained ceiling tiles.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash inside the fenced playground (paper trash).

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of exposed landscaping material posing a tripping hazard.

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for T.M., N.T.

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

5 CSR 25-300.050 (2) · Health Requirements · Correction due March 22, 2024

Requirements for children's medical examination reports 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 September 29, 2023.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 4 · Correction due April 3, 2024

Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 4 inches where the fence would meet the ground in the northwest corner near the blue slide, and 5 inches in the lower corner of the gate.

Required correction: The outdoor play area shall be on or adjoining the property and fenced as required.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2 · Correction due March 29, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by three child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2 · Correction due March 29, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due March 26, 2024

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 (2) · Health Requirements

Requirements for children's medical examination reports 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 September 29, 2023.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 7, 2024

Hazardous items as follows were accessible to children: hammer. The item(s) was/were located on a shelf accessible to children in 3- to 4-year old room.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 4

Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 4 inches where the fence would meet the ground in the northwest corner near the blue slide, and 5 inches in the lower corner of the gate.

Required correction: The outdoor play area shall be on or adjoining the property and fenced as required.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due March 7, 2024

Hazardous items as follows were accessible to children: ibuprofen, Claritin, Kaopectate, rubbing alcohol, cough and mucous syrup. The item(s) was/were located on a desk accessible to children in 2-year old room.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.110 (B) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by three child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Required correction: An individual file with required information for each child shall be maintained.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.