5 CSR 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.

The requirements for sleeping materials were not met as evidenced by eight child(ren) 12 months or older was/were sleeping/napping on mats.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 1 E states: Sleeping equipment shall be arranged to provide at least a two-foot (2') aisle on one (1) long side of the equipment.

Arrangement of sleeping equipment was not met as evidenced by the aisle on the long side of napping equipment was too narrow and measured 1 ft between the sleeping mats.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.185 · 5 CSR 25-400.185 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department. The immunization records shall be available for review by department personnel upon request.

Facility did not submit the 2025-2026 annual summary report showing immunization status of each child enrolled by January 15.