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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
Not Observed
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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
Not Observed
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
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5 CSR 25-500.102 Personnel
Not Observed
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5 CSR 25-500.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Staff/child ratio requirements were not met as evidenced by 23 children, ages 1st greade, were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (D) states: Ages Five (5) and Up. Groups composed solely of five (5)-year olds and older shall have no less than one (1) adult to every sixteen (16) children;
Correction Required
Correct staff/child ratios shall be maintained.
Correction Verification
Return Inspection
Compliance Date
10/25/2021
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Violation
More than 50 children were observed in care and the director/individual in charge was included in the staff/child ratios; this occurred outside of naptime and there was no emergency.
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (2) states: If a center has an attendance of more than fifty (50) children, the center director or individual in charge shall not be included in staff/child ratios except during naptime or on an emergency substitute basis.
Correction Required
The director/individual in charge shall not be included in the ratio except as allowed.
Correction Verification
Return Inspection
Compliance Date
10/25/2021
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5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Stanley Clark 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
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Sakarah Love and Alex Ford.
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
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5 CSR 25-500.132 Admission Policies and Procedures
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
Not Observed
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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
Not Observed
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5 CSR 25-500.222 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Aceyeah Bates.
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
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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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