1905 E LANGSFORD RD, Lees Summit MO 64063-3608 · Directions
Hours
Not published by the state. Owners can add hours via profile claim.
Care & schedule
When they operate
Schedule type not published.
Ages served
Ages not published.
Licensed for 118 children
121
Violations, past 3 yrs
From inspections (not complaints)
34
Inspections, past 3 yrs
Monitoring & assessments
Complaint outcomes are not published by Missouri DESE.
How This Facility Compares
Violations per inspection, 3-yr
This facility
3.6
Missouri average
1.9
Inspection History & Violations
Source: Missouri Department of Elementary and Secondary Education, Office of Childhood
Tap a row to expand inspection details, findings, and the state record.
May 7, 2026Supplemental11 violationsCitedDetailsHide
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
5 CSR 25-500.087 · Not corrected
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Criminal background check results were not on file for Maddelyn Hile.
5 CSR 25-600.020 · Not corrected
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
2 child(ren) records did not include address of another individual who might be reached in an emergency.
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Data synced from Missouri Department of Elementary and Secondary Education, Office of Childhood on Jul 9, 2026 · Source records · Report an error
5 CSR 25-500.222 · Not corrected
5 CSR 25-500.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.
Caregiver did not provide frequent, direct contact as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver Kaitlyn Kircher is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director Justin Brumeister and Regional Director Brooke Rogers stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for. .
5 CSR 25-500.182 · Not corrected
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
1 child(ren) records did not include telephone number of family physician or hospital.
5 CSR 25-500.222 · Not corrected
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
Criminal background check results were older than five (5) years for Marsha Beck and Rebecca Wilson.
5 CSR 25-600.020 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
The staff sheet was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
The Annual Declaration was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Zoe Anderson, Marsha Beck, Justin Burmeister, Maddelyn Hile, Mary Mooneyham, Shannon Ponzar, Brooke Rogers, Shannay Smith and Rebecca Wilson within thirty (30) days prior to the anniversary date.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the pre-k classroom next to the directors office and on the classroom door was/were not in good condition as evidenced by tipped/peeling paint was observed accessible to the children in care.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision.
A child was left without competent supervision as evidenced by CI Eddins observing Child A alone in the hallway sitting down outside of her classroom with no adults present. Caregiver Kaitlyn Kircher is the primary caregiver of Child A. CI Eddins interviewed Kaitlyn who stated that she was transitioning from bike time and was walking her 10 4-year-old children back to her classroom to get ready for lunch at around 11:50 a.m. She admitted that she forgot to conduct a name-to-face count and did not see Child A return to her room. Child A must have been outside in the hallway for around five to six minutes alone. This was the only time she had a supervision related concern. Director Justin Brumeister and Regional Director Brooke Rogers stated that they reviewed cameras and observed Child A alone in the hallway for around seven minutes. Child A was alone from 11:50 a.m. to 11:57 a.m. with CI Eddins being the first person to observe Child A in the hallway. Child A did not appear scared or injured. CI Eddins walked Child A back to her classroom. Justin and Brooke stated that Kaitlyn will most likely be terminated for this incident. CI Eddins called Parent A and Parent B to inform them of the situation. They did not have any questions or concerns about incident and were thankful that Child A was safe. Caregiver Anahi also observed Child A right around the same time CI Eddins did in the hallway. She helped CI Eddins find Child A’s caregiver. Anahi did not know how long Child A was left outside in the hallway for. .
May 20, 2025Supplemental9 violationsCitedDetailsHide
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
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: Justin Burmeister, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Jan 27, 2025Supplemental10 violationsCitedDetailsHide
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
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: Justin Burmeister, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Ashton Morrow and Shanay Smith within thirty (30) days prior to the anniversary date.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Oct 23, 2024Complaint investigationNo findingsCleanDetailsHide
This complaint investigation inspection recorded no violations or advisories.
Oct 11, 2024Compliance monitoring12 violationsCitedDetailsHide
5 CSR 25-500.042 Licensing Process (20) states: The provider shall permit the department access to the facility, premises, and records during all inspections.
Department staff were not permitted access to the facility as evidenced by facility staff did not respond to the doorbell. Doorbell was rung three times.
5 CSR 25-500.042 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
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: Justin Burmeister, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
The facility does not have an approved director on staff.
5 CSR 25-500.102 · Not corrected
Oct 7, 2024Complaint investigationNo findingsCleanDetailsHide
This complaint investigation inspection recorded no violations or advisories.
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
The facility does not have an approved director on staff.
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet;
Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large carpeted rugs that were not observed to be washable by the facility if soiled.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: 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.
Staff/child ratio requirements were not met as evidenced by nine children , ages 4 to 16-months-old , were cared for by Caregiver Sylvia Gibbson and Caregiver Zoe Anderson adult caregiver(s).
Aug 23, 2024SupplementalNo findingsCleanDetailsHide
This supplemental inspection recorded no violations or advisories.
Aug 16, 2024Supplemental7 violationsCitedDetailsHide
5 CSR 25-500.102 Personnel (2) (A) 6. states: The center owner(s), or the board president or chairperson, shall notify the department immediately when there is a change of directors and shall have a qualifying criminal background check on file as required by 5 CSR 25-600.020 General Requirements.
The department did not receive notification of a director change.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
The facility does not have an approved director on staff.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.
5 CSR 25-500.092 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
May 7, 2024Compliance monitoring6 violationsCitedDetailsHide
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the school age classroom was/were not in good condition as evidenced by a broken tile was observed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet;
Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large carpeted rugs that were not observed to be washable by the facility if soiled.
5 CSR 25-500.082 · Not corrected
Mar 12, 2024Compliance verificationNo findingsCleanDetailsHide
This compliance verification inspection recorded no violations or advisories.
Feb 27, 2024Close supervision1 violationCitedDetailsHide
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
Dec 12, 2023Close supervision12 violationsCitedDetailsHide
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Medical examination report(s) was/were not on file for Symiah Bradley, Melissa Britt, Chasity Elhrich, Samara Loux, Clarissa Molina, Samantha Shelton, Sarah Starks, Najaina Talbert, Bethani Thompson as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by the infant/toddler, prek and school age playgrounds had fallen debris and leaves from the trees along the fence line and around the equipment.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Nov 22, 2023Complaint investigationNo findingsCleanDetailsHide
This complaint investigation inspection recorded no violations or advisories.
Nov 6, 2023Close supervision21 violationsCitedDetailsHide
5 CSR 25-500.052 Annual Requirements (2) (D) states: Documentation as required by the Missouri Secretary of State and state law to verify the legal entity is in good standing, if a group child care home or child care center is owned by a legal entity.
The facility is owned by a legal entity and evidence of good standing was not available.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
The Annual Declaration was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
The staff sheet was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Oct 24, 2023Close supervisionNo findingsCleanDetailsHide
This close supervision inspection recorded no violations or advisories.
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Hazardous items as follows were accessible to children: Coppertone babies sunscreen tube (partially used), Equate sunscreen SPF 50 sunscreen tube (partially used), Walgreens SPF 70 Hydrating sunscreen tube (partially used) OFF spray can (1 large spray can mostly used), OFF spray can (1 small spray can partially used). The item(s) was/were located in the school age classroom on sink counter and cubbies.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the younger 2's classroom was/were not in good condition as evidenced by 3 broken tiles were observed near the new cubbies where the old cubbies were removed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Aug 23, 2023Compliance verificationNo findingsCleanDetailsHide
This compliance verification inspection recorded no violations or advisories.
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Maddelyn Hile
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed 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 there was an inadequate amount of approved sleeping equipment - the number short was 12 of 118 cots and cribs.
5 CSR 25-500.092 · Not corrected
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed 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 there was an inadequate amount of approved sleeping equipment - the number short was 41 of 118 sheets with no blankets reported.
5 CSR 25-500.092 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Medical examination report(s) was/were not on file for Justin Burmeister, Layla Dixon, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Ashton Morrow and Shanay Smith within thirty (30) days prior to the anniversary date.
Medical examination report(s) was/were not on file for Justin Burmeister, Layla Dixon, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Maddelyn Hile
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.182 Child Care Program (1) (C) 3. states: Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.
Constructive, age-appropriate methods of discipline were not used as evidenced by a child was swatted with a slipper as discipline.
5 CSR 25-500.182 · Not corrected
5 CSR 25-500.182 Child Care Program (1) (C) 7. states: Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.
Physical punishment was used as evidenced by a child was swatted with a slipper as discipline.
5 CSR 25-500.182 · Not corrected
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Criminal background check results were not on file for Maddelyn Hile.
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
The staff sheet was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Maddelyn Hile
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
The Annual Declaration was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Ashton Morrow and Shanay Smith within thirty (30) days prior to the anniversary date.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located prek classroom was/were not in good condition as evidenced by chipped and peeling paint was observed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Medical examination report(s) was/were not on file for Justin Burmeister, Layla Dixon, Paula Lewis, Ashton Morrow, Ashlynn Miller and Alexis Sage as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
5 CSR 25-500.122 · Not corrected
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Criminal background check results were not on file for Maddelyn Hile.
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
The facility does not have an approved director on staff.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the school age classroom was/were not in good condition as evidenced by a broken tile was observed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.
The floors located in the school age classroom was/were not in good condition as evidenced by a broken tile was observed.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the prek and toddler classrooms was/were not in good condition as evidenced by chipped and peeling paint was observed and discussed with the person in charge.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet;
Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is large carpeted rugs that were not observed to be washable by the facility if soiled.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.102 Personnel (2) (A) 1. . states: An approved certificated group child care home provider or center director shall be an adult who is responsible for planning, monitoring, and managing the facility’s daily program.
The director was not responsible for planning, monitoring, and managing the facility's daily program as evidenced by the facility has no approved director.
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.
5 CSR 25-500.092 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the infant, toddler and prek classrooms are were missing outlet covers.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff.
The facility does not have an approved director on staff.
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 fence on the prek playground was observed to have a broken board with sharp edges on the side closest to the front parking lot.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
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: Symiah Bradley, Chasity Elhrich, Samara Loux, Samantha Shelton, Sarah Starks, Najaina Talbert, Bethani Thompson.
5 CSR 25-500.122 · Not corrected
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Criminal background check results were not on file for Symiah Bradley, Melissa Britt, Brooke DeVaul, Chasity Elhrich, Emily Hill, Chelzie Lincoln, Samara Loux, Alexis Mitchell, Clarissa Molina, Shannon Ponzar, Margie Price, Shanay Smith, Najaina Talbert, Jeri Thomas, Bethani Thompson.
5 CSR 25-600.020 · Not corrected
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Safe sleep training was not completed within the past 3 years for the following staff Ashlyn Antonucci, Sylvia Gibson, Emily Hill, Samara Loux, Alexis Mitchell, Clarissa Molina and Margie Price.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Ashlyn Antonucci, Marsha Beck, Darci Couch, Markenya Dehart, Brooke DeVaul, Alexis Mitchell, Clarissa Molina, Shannon Ponzar, Najaina Talbert, Jeri Thomas, Bethani Thompson, Rebecca Wilson within thirty (30) days prior to the anniversary date.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
The equipment list was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
The facility did not conduct a Family Care Safety Registry screening for Ashlyn Antonucci, who was hired on 10/25/2023.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
The Annual Declaration was not submitted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by the school age playground was observed to have trash present including but not limited to water logged cardboard, a Sara Lee Classic White bread bag, used sandwich bags, and a Hyvee food wrapper .
The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the school age playground in the open grass areas.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
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: Symiah Bradley, Chasity Elhrich, Samara Loux, Samantha Shelton, Sarah Starks, Najaina Talbert, Bethani Thompson.
5 CSR 25-500.122 · Not corrected
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Criminal background check results were not on file for Symiah Bradley, Melissa Britt, Brooke DeVaul, Chasity Elhrich, Emily Hill, Chelzie Lincoln, Samara Loux, Alexis Mitchell, Clarissa Molina, Shannon Ponzar, Margie Price, Shanay Smith, Najaina Talbert, Jeri Thomas, Bethani Thompson.
5 CSR 25-600.020 · Not corrected
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Medical examination report(s) was/were not on file for Symiah Bradley, Melissa Britt, Chasity Elhrich, Samara Loux, Clarissa Molina, Samantha Shelton, Sarah Starks, Najaina Talbert, Bethani Thompson as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
5 CSR 25-500.122 · Not corrected
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.
5 CSR 25-500.087 · Not corrected
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Samantha Shelton and Shanay Smith.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by the infant/toddler, prek and school age playgrounds had fallen debris and leaves from the trees along the fence line and around the equipment.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
5 CSR 25-500.090 · Not corrected
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
The facility did not conduct a Family Care Safety Registry screening for Ashlyn Antonucci, who was hired on 10/25/2023.
5 CSR 25-500.102 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not conducted.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
The Family Care Safety Registry check was not conducted for Ashlyn Antonucci, Marsha Beck, Darci Couch, Markenya Dehart, Brooke DeVaul, Alexis Mitchell, Clarissa Molina, Shannon Ponzar, Najaina Talbert, Jeri Thomas, Bethani Thompson, Rebecca Wilson within thirty (30) days prior to the anniversary date.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
The annual fire safety inspection was not approved.
5 CSR 25-500.052 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
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 fence on the prek playground was observed to have a broken board with sharp edges on the side closest to the front parking lot.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by the school age playground was observed to have trash present including but not limited to water logged cardboard, a Sara Lee Classic White bread bag, used sandwich bags, and a Hyvee food wrapper .
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the infant/toddler playground along the fenceline.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.
5 CSR 25-500.087 · Not corrected
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Safe sleep training was not completed within the past 3 years for the following staff Ashlyn Antonucci, Sylvia Gibson, Emily Hill, Samara Loux, Alexis Mitchell, Clarissa Molina and Margie Price.
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 approximately 1 foot where the gate was not secured in the open yard.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the Caterpillar room was/were not in good condition as evidenced by chipped and peeling paint was present.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The walls located in the 4 year old classroom was/were not in good condition as evidenced by chipped and peeling paint was present on both the yellow and gray walls.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Hazardous items as follows were accessible to children: furnace/heating unit. The item(s) was/were located unlocked utility closet.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Hazardous items as follows were accessible to children: bleach spray bottle for 3 step sanitization (full), rapid multi surface disinfectant twist top bottle (partially used), Member's Mark disinfectant wipes (partially used), Boudreaux's Butt Paste tube (partially used), adult non-safety scissors and Purebaby SPF 30 sunscreen tube (partially used). The item(s) was/were located on children's shelves and in cubbies in the 3 year old classroom.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
5 CSR 25-500.092 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Hazardous items as follows were accessible to children: misc cooking knives and cooking scissors. The item(s) was/were located in the unlocked kitchen.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
There was evidence of dirt/debris in the Caterpillar room throughout the room.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
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 wooden gate to the infant/toddler playground showed visible damage near the locking mechanism in that a wooden beam was splintering and crumbling.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
The premises were not safe and suitable as evidenced by the back parking lot is being used for parking and vehicle passage. Children are needing to cross the parking lot to access the prek playground on the other side.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Children were not restricted to approved space as evidenced by kitchen door was open and unlocked.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that outlets in the school age classroom did not have outlet covers.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the older 2's classroom was/were not clean as evidenced by tape residue was present on the tile.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
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 facing the wall in the 1 year old classroom.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the infant/toddler playground along the fenceline.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth was observed on the prek playground in the open grass areas.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
The facility's outdoor space was not safe for children's activities as evidenced by trash including but not limited to food wrappers, empty chip bags, plastic bottle caps, Styrofoam cups, plastic cups and plastic cheese wrappers were observed in the grassy sections of the prek playground.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the younger 2's classroom was/were not clean as evidenced by tape residue was present on the tile.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
The floors located in the 4 year old classroom was/were not in good condition as evidenced by 3 broken tiles were observed in front of the door leading to the playground.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Hazardous items as follows were accessible to children: 1 jar of petroleum jelly (partially used), 1 tube Boudreaux's Butt Paste (partially used) and 1 jar Boudreaux's Butt Paste (partially used with paste on the outside of the jar). The item(s) was/were located in children's cubbies in the 2 year old classroom.
5 CSR 25-500.082 · Not corrected
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Children were not restricted to approved space as evidenced by utility closet door was unlocked with the key broken into the lock.