ADORABLE HEARTS DAYCARE

5 CSR 25-400.085 — Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as neede

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. Correction required: The facility shall maintain approved resilient material in all fall-zone areas. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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/well-maintained for children's activities as evidenced by a large table was propped up against the side of the house. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Stationary equipment, race car, was unsafe as evidenced by the equipment had exposed footings. Correction required: Stationary equipment shall be safely installed, stable and securely anchored. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — 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 th

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used. Correction required: Sleeping equipment shall meet safety and sanitation requirements. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, Log Playhouse, in the outdoor playground was unsafe as evidenced by cracks were located along the edges of both windows. Correction required: Outdoor equipment shall have no exposed hazards. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Stationary equipment, race car, was unsafe as evidenced by the equipment had exposed footings. Correction required: Stationary equipment shall be safely installed, stable and securely anchored. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, Log Playhouse, in the outdoor playground was unsafe as evidenced by cracks were located along the edges of both windows. Correction required: Outdoor equipment shall have no exposed hazards. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep posit

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a blanket was folded up and placed under a five month baby's head as a pillow. In addition, a second blanket was placed over the baby's body. Correction required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — 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 th

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used. Correction required: Sleeping equipment shall meet safety and sanitation requirements. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by two bifold doors for the closet were unsecure and propped up in the closet. Correction required: The premises shall be safe and suitable for the care of children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by the right side room was missing three protective outlet covers. Correction required: The premises shall be safe and suitable for the care of children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as neede

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. Correction required: The facility shall maintain approved resilient material in all fall-zone areas. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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/well-maintained for children's activities as evidenced by a large table was propped up against the side of the house. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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/well-maintained for children's activities as evidenced by a 10 foot black cord was not secured to the building and laying in the walkway to the playground. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, the pirate ship, in the playground was not in good condition as evidenced by a large crack inside the equipment causing a pinching hazard. Correction required: Outdoor equipment shall have no exposed hazards. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Cloc

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Annquaneisha Dennis needs 2.5 clock hours, Teresa Daniel needs 1 clock hour, Johneisha Daniel needs 1 hour. Correction required: Required training hours shall be documented for each caregiver. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for volunteer(s): Teresa Daniels. Correction required: Medical reports shall be on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — 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 be

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: Teresa Daniels. Correction required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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/well-maintained for children's activities as evidenced by a 10 foot black cord was not secured to the building and laying in the walkway to the playground. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — 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 be

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: Teresa Daniels. Correction required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for volunteer(s): Teresa Daniels. Correction required: Medical reports shall be on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Cloc

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Annquaneisha Dennis needs 2.5 clock hours, Teresa Daniel needs 1 clock hour, Johneisha Daniel needs 1 hour. Correction required: Required training hours shall be documented for each caregiver. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, the pirate ship, in the playground was not in good condition as evidenced by a large crack inside the equipment causing a pinching hazard. Correction required: Outdoor equipment shall have no exposed hazards. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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/well-maintained for children's activities as evidenced by there is a burn pile in the walkway that the children use to access the playground. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — 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 s

The walls located in the hallway by the back door was/were not in good condition as evidenced by a 5 inch hole at the bottom by the baseboard. Correction required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).