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5 CSR 25-500.032 Organization and Administration
Not Observed
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5 CSR 25-500.042 Licensing Process
Violation
| Provider Comments |
Violation The ages of children was/were exceeded as evidenced by 20 month was present and being cared for while the facility is licensed for ages 36 months to 16 years. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required The facility shall maintain compliance with the specifications on the license.
Correction Verification Return Inspection
Compliance Date 6/8/2021
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Violation Posting requirements were not met as evidenced by the posted license was outdated. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date 6/23/2021
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Violation Posting requirements were not met as evidenced by the license was not posted near the entrance. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date 6/30/2021
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5 CSR 25-500.052 Annual Requirements
Not Observed
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation The facility's outdoor space was not safe for children's activities as evidenced by children have access to the air conditioning unit's blades . Licensing Rule Reference 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. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Submit Documentation
Compliance Date 8/12/2021
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Violation The facility's outdoor space was not safe for children's activities as evidenced by on the rear of the shed near the white gate the siding is damaged and creates a sharp jagged edge. Licensing Rule Reference 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. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Submit Documentation
Compliance Date 8/12/2021
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Violation The floors located throughout the childcare space including the bathroom was/were not clean as evidenced by dirt, debris, and crumbs. Licensing Rule Reference 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. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date 9/14/2021
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Violation The walls located though out the facility was/were not clean as evidenced by drip stains, handprints and dirt smudges on the walls and on the door. Licensing Rule Reference 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. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date 9/21/2021
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Violation Hazardous items as follows were accessible to children: hand sanitizer, resolve carpet cleaner, laundry detergent and vacuum with loose cord. The item(s) was/were located in the unlocked laundry closet and child's desk. Licensing Rule Reference 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. Correction Required Hazardous items shall be inaccessible to children.
Correction Verification Submit Documentation
Compliance Date 8/17/2021
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Violation The facility has not met the requirements for fire and safety as evidenced by verification of Fire and Safety approval was not available . Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required The facility shall comply with fire and safety/zoning/sanitation requirements.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.087 Fire Safety
Not Observed
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan observed in the daycare space. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date 9/9/2021
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Violation The facility's list of emergency numbers that are posted do not include the numbers for fire department, police department, ambulance service and local radio station. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required The facility must post all emergency numbers as required.
Correction Verification Submit Documentation
Compliance Date 6/23/2021
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, blue student chair and blue plastic lego tub, in the childcare space was not in good condition as evidenced by corner of the plastic chair is broken off and the plastic tub was cracked on the side. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Submit Documentation
Compliance Date 9/8/2021
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
Violation Clock hour training records were not recorded in the Missouri Professional Development Registry (MOPD Registry). Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (F) 2. states: All clock hour training records shall be recorded in the Missouri Professional Development Registry (MOPD Registry) at www.OPENInitiative.org. A summary of training from the MOPD System will serve as documentation of training hours completed. Correction Required Required training hours shall be documented for each employee on the MOPD Registry.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Latosha Hayes and Nicelle Jackson needs 12 clock hours. Alexis Jones needs 5.. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required Required training hours shall be documented for each caregiver.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.112 Staff/Child Ratios
Not Observed
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Alexis Jones as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a day 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. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 10/5/2021
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Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Alexis Jones. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required TB reports shall be on file as required
Correction Verification Submit Documentation
Compliance Date 10/5/2021
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Violation Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 1 child. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 10/5/2021
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Violation A school-age child's health report was not on file at the time of enrollment as evidenced by 1 child did not include a health report. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 6/23/2021
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5 CSR 25-500.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information as evidenced by 2 children's files did not give AAA Extended Education permission for emergency medical care. Licensing Rule Reference 5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 6/23/2021
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5 CSR 25-500.142 Nighttime Care
Not Observed
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5 CSR 25-500.152 Hourly Care Facilities
Not Observed
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5 CSR 25-500.162 Overlap Care of Children
Not Observed
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5 CSR 25-500.172 Emergency School Closings
Not Observed
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5 CSR 25-500.182 Child Care Program
Violation
| Provider Comments |
Violation The requirements for admitting and dismissing children were not met as evidenced by the caregiver did not personally dismiss each child upon departure. Licensing Rule Reference 5 CSR 25-500.182 Child Care Program (1) (A) 2. states: A caregiver personally shall admit each child upon arrival and personally shall dismiss each child upon departure. Children shall be dismissed only to the parent(s), guardian, legal custodian, or to individuals approved by the parent(s), guardian, or legal custodian. Correction Required Each child shall be admitted and dismissed by a caregiver as required.
Correction Verification Submit Documentation
Compliance Date 6/25/2021
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5 CSR 25-500.192 Health Care
Not Observed
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5 CSR 25-500.202 Nutrition and Food Service
Not Observed
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5 CSR 25-500.212 Transportation and Field Trips
Violation
| Provider Comments |
Violation Identifying information in the vehicle was not available. Licensing Rule Reference 5 CSR 25-500.212 Transportation and Field Trips (3) (B) states: Identifying information regarding the name of the provider, the names of the children and the names, addresses and telephone numbers of each child's parent(s) shall be carried in the vehicle. Correction Required During transport, the facility shall carry identifying information for provider and children as required.
Correction Verification Return Inspection
Compliance Date 7/13/2021
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5 CSR 25-500.222 Records and Reports
Violation
| Provider Comments |
Violation Daily attendance records were not maintained on file as evidenced by child attendance records were not maintained for a minimum of one year. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Child attendance records shall be maintained and retained as required.
Correction Verification Submit Documentation
Compliance Date 7/20/2021
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Violation Daily attendance records were not maintained on file as evidenced by there were no staff/volunteer attendance records. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Staff/volunteer attendance records shall be maintained and retained as required.
Correction Verification Submit Documentation
Compliance Date 7/20/2021
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Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by 8 children were signed in under the Kinderconnect System and 13 children were present upon arrival. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families. Correction Required Accurate records shall be maintained.
Correction Verification Submit Documentation
Compliance Date 8/12/2021
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Violation 2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 6/23/2021
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Violation A written record of fire and disaster drills not available at the facility. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (8) states: The provider shall maintain a written record at the facility for fire and disaster drills. Correction Required Fire and disaster drills shall be recorded and kept on file.
Correction Verification Submit Documentation
Compliance Date 8/5/2021
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5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Alexis Jones, Nichelle Jackson, and Latosha Hayes. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt 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. Correction Required Required results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date 9/16/2021
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5 CSR 25-600.040 Background Screening Findings
Not Observed
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RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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