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5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Violation
| Provider Comments |
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 Corrected on Site
Compliance Date 10/20/2021
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5 CSR 25-500.052 Annual Requirements
Compliance
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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 the black lining was coming up from under the fall zone creating a tripping hazard. 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
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that the electrical plate was pulling away from the wall in the preschool classroom downstairs. Licensing Rule Reference 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. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Submit Documentation
Compliance Date
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Violation 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. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: 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 needed. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the concrete area by the wood fence had gaps greater than 3inches that a child could get stuck in. 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
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Violation 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 in a separate room where the staff member couldn't have full visibility of children. Licensing Rule Reference 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. Correction Required The facility shall provide a safe and clean diapering table as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The walls located in the prek room, preschool room was/were not in good condition as evidenced by the paneling was coming off the wall by the sink in the PreK room, holes on the wall in the prek room and chipped/dirty wall in the preschool room downstairs. 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
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Violation Hazardous items as follows were accessible to children: sunscreen, Motrin, bug spray, adult scissors and charcoal briquets . The item(s) was/were located on low shelves in the classrooms, tops of cubbies in the classrooms and in the kitchen/cafeteria on the floor and counter. 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 Corrected on Site
Compliance Date 10/20/2021
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 5 outlets were uncovered in the Prek room and the hallway outside the preschool rooms downstairs. Licensing Rule Reference 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. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Corrected on Site
Compliance Date 10/20/2021
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Violation Children were not restricted to approved space as evidenced by the storage closet was unlocked and the attic sting from the ceiling was hanging low enough that a child could pull the string to access the stairs to the attic. Licensing Rule Reference 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. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Corrected on Site
Compliance Date 10/20/2021
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5 CSR 25-500.087 Fire Safety
Compliance
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by there was a pillow in the preschool classroom that had a stained/soiled slip cover on it and it was in the library area. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification Corrected on Site
Compliance Date 10/20/2021
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Violation Outdoor equipment, the basket ball goal, in the outside play space was not in good condition as evidenced by the goal pole was broken and laying on the ground. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: 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. Correction Required Outdoor play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date
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Violation Outdoor play equipment, the 3 swings, was not safe as evidenced by "S" hooks were not pinched together to avoid catching children’s skin or clothing. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (F) states: Equipment with moving parts which might pinch or crush children's hands or fingers shall not be used unless the moving parts which pose a threat to children have guards or covers. 'S' hooks shall be pinched together to avoid catching children's skin or clothing. Correction Required Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date
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Violation Outdoor equipment, climber, in the outside play space was not free of sharp parts as evidenced by the hard plastic part of the climber was cracked in multiple places. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: 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. Correction Required Outdoor play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.102 Personnel
Compliance
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5 CSR 25-500.112 Staff/Child Ratios
Compliance
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5 CSR 25-500.122 Medical Examination Reports
Compliance
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5 CSR 25-500.132 Admission Policies and Procedures
Compliance
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5 CSR 25-500.142 Nighttime Care
Compliance
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5 CSR 25-500.152 Hourly Care Facilities
Compliance
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5 CSR 25-500.162 Overlap Care of Children
Compliance
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5 CSR 25-500.172 Emergency School Closings
Compliance
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5 CSR 25-500.182 Child Care Program
Compliance
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5 CSR 25-500.192 Health Care
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one (1) child(ren). Licensing Rule Reference 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required Child immunization requirements shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.202 Nutrition and Food Service
Compliance
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5 CSR 25-500.212 Transportation and Field Trips
Compliance
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5 CSR 25-500.222 Records and Reports
Violation
| Provider Comments |
Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by the name of the facility was not listed as the emergency authorization. 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 Corrected on Site
Compliance Date 10/20/2021
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Violation Five (5) child(ren) records did not include employers' address of 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 Corrected on Site
Compliance Date 10/20/2021
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Violation One (1) child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 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; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Corrected on Site
Compliance Date 10/20/2021
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Violation Three (3) child(ren) records did not include work schedule of 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 Corrected on Site
Compliance Date 10/20/2021
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Violation Twelve (12) child(ren) records did not include home telephone number of 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 Corrected on Site
Compliance Date 10/20/2021
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5 CSR 25-600.020 General Requirements
Compliance
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5 CSR 25-600.040 Background Screening Findings
Compliance
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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. —
Compliance
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
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