Independence · Licensed center
Hand in Hand Children's Center, Inc.
- Medium center, licensed for 99 children.
- Shortlist has found no website for it yet.
What the state has found
The state cited rules at 4 of its 8 licensing inspections since November 2023.
Fewer than 20 Kansas City-area centers have had 8 licensing inspections, so there is no comparison yet.
Licensing inspections
Jun 1, 20262 citations
“The ceilings located in the 2 year old room was/were not in good condition as evidenced by 3 ceiling tiles had water stains on them.”
5 CSR 25-500.082 (2) (A) 6.
“Medical examination report(s) was/were not on file for N.R. 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 (1) (A)
May 20, 20262 citations
“The ceilings located in the 2 year old room was/were not in good condition as evidenced by 3 ceiling tiles had water stains on them.”
5 CSR 25-500.082 (2) (A) 6.
“Medical examination report(s) was/were not on file for N.R. 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 (1) (A)
Nov 24, 20253 citations
“Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is in the toddler room observed 4 area rugs and in the infant room 1 small rug.”
5 CSR 25-500.082 (VI)
“The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches.”
5 CSR 25-500.082 (6) (A) 1.
“Outdoor play equipment, two swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing.”
5 CSR 25-500.092 (3) (F)
Nov 12, 20254 citations
“Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is in the toddler room observed 4 area rugs and in the infant room 1 small rug.”
5 CSR 25-500.082 (VI)
“The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches.”
5 CSR 25-500.082 (6) (A) 1.
“The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the individual classrooms did not have a copy of the emergency plan.”
5 CSR 25-500.090 (2) (A)
“Outdoor play equipment, two swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing.”
5 CSR 25-500.092 (3) (F)
Read every record and the state’s reports
State record — Missouri DESE Office of Childhood
- Last visit
- June 1, 2026
- On file
- 8 visits since November 2023 — 4 cited nothing
- Fixed?
- The latest correction deadline was June 1, 2026. Missouri DESE Office of Childhood does not publish whether it was made.
- Most serious
- Missouri DESE Office of Childhood does not publish a severity level for a citation, so there is no most-serious to name.
Missouri DESE marks every rule section of an inspection Compliance, Violation or Not Observed, and for each violation publishes the inspector’s observation, the rule quoted in full, the correction required and a deadline. A complaint investigation is published where the state substantiated a rule violation, with its disposition.
Jun 2026 Compliance verification visit 2 findings
Compliance verification visit · June 1, 2026
5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 1, 2026
The ceilings located in the 2 year old room was/were not in good condition as evidenced by 3 ceiling tiles had water stains on them.
Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due June 1, 2026
Medical examination report(s) was/were not on file for N.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Required correction: Medical reports shall be on file as required.
May 2026 Compliance monitoring visit 2 findings
Compliance monitoring visit · May 20, 2026
5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers
The ceilings located in the 2 year old room was/were not in good condition as evidenced by 3 ceiling tiles had water stains on them.
Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
5 CSR 25-500.122 (1) (A) · Medical Examination Reports
Medical examination report(s) was/were not on file for N.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Required correction: Medical reports shall be on file as required.
Nov 2025 Compliance verification visit 3 findings
Compliance verification visit · November 24, 2025
5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due November 13, 2025
Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is in the toddler room observed 4 area rugs and in the infant room 1 small rug.
Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.
5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 24, 2025
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches.
Required correction: The outdoor play area shall be accessible without hazard.
5 CSR 25-500.092 (3) (F) · Furniture, Equipment and Materials · Correction due November 24, 2025
Outdoor play equipment, two swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing.
Required correction: Outdoor equipment shall have no exposed hazards.
Nov 2025 Compliance monitoring visit 4 findings
Compliance monitoring visit · November 12, 2025
5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B.
Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is in the toddler room observed 4 area rugs and in the infant room 1 small rug.
Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.
5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 6 inches.
Required correction: The outdoor play area shall be accessible without hazard.
5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due November 12, 2025
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by the individual classrooms did not have a copy of the emergency plan.
Required correction: The facilities disaster and emergency plan must be available in required locations.
5 CSR 25-500.092 (3) (F) · Furniture, Equipment and Materials
Outdoor play equipment, two swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing.
Required correction: Outdoor equipment shall have no exposed hazards.
Shortlist replaces people’s names in the state’s text with initials. This is done by rule, not by hand, so it can miss a name or shorten a word that isn’t one. The state’s report, linked on each row, has the original.
Openings, child care subsidies, cost, hours and late pickup, teaching approach, ratios and staff, a typical day, and sick and biting policies aren’t on this page.
Details
- Address
- 2901 M 291 Frontage Rd
- License
- 001518978, active
Run Hand in Hand Children's Center, Inc.? Correct or add anything here, free.
Add what is missingSources and dates
Where every fact on this page came from, and when Shortlist last checked it against that source. Anything Shortlist could not source is named here rather than left blank.
All checked July 2026.
State record
From Missouri DESE Office of Childhood’s published reports, last checked October 10, 2026.
Details
- Phone, Address, License healthapps.dhss.mo.gov/…/Facility.aspx
Medium means the middle half of Kansas City-area’s 187 licensed centers by state-licensed capacity: 56 to 134 children. Small is 8 to 55; large is 135 to 729.