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5 CSR 25-400.025 Organization and Administration
Compliance
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5 CSR 25-400.045 Licensing Process
Compliance
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5 CSR 25-400.055 Annual Requirements
Violation
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Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (B) states: A current list of available equipment.
Correction Required
The child care provider shall submit an equipment list as required.
Correction Verification
Corrected on Site
Compliance Date
10/26/2021
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Violation
The listing of household members and assistants was not submitted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.
Correction Verification
Corrected on Site
Compliance Date
10/26/2021
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Compliance
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5 CSR 25-400.086 Fire Safety
Compliance
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
An infant was observed sleeping in a/an a bouncy seat.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
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5 CSR 25-400.115 Day Care Family and Household
Compliance
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5 CSR 25-400.125 Medical Examination Reports
Compliance
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5 CSR 25-400.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The policy did not include expectations regarding how and when caregivers are to be trained on safe sleep.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 1. states: The policy shall list the licensee’s expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Required
The policy shall include expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Required
The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include a requirement that the facility receive a written statement from the infant’s licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 3. states: A requirement that the facility shall receive a written statement from the infant’s licensed health care provider stating that the infant requires alternative sleep positions or special sleeping arrangements that differ from those set forth in 19 CSR 30-61.175(2)(C) prior to allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Required
The policy shall include a requirement that the facility receive a written statement from the infant's licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 4. a. states: Positioning of staff.
Correction Required
The policy shall include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include information about lighting in the nap room to ensure supervision of infants during nap/sleep times.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 4. b. states: Lighting in the nap room.
Correction Required
The policy shall include information about lighting in the nap room to ensure supervision of infants during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 4. c. states: Physical checks of the child to ensure he or she is not overheated or in distress.
Correction Required
The policy shall include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) A. 4. d. states: Prohibitions against the use of any equipment such as a sound machine that may interfere with the caregiver’s ability to see or hear a child who may be distressed.
Correction Required
The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys in that no policy was on file.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) B. 1. states: The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys.
Correction Required
The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not state that infants’ heads shall be uncovered during nap/sleep times.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) B. 2. states: Shall require infants’ heads be uncovered during nap/sleep times.
Correction Required
The policy shall require infants' heads be uncovered during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not prohibit covering cribs or playpens with blankets or bedding.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding.
Correction Required
The policy shall prohibit covering cribs or playpens with blankets or bedding.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not prohibit smoking in the child care home during the hours children are in care.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) B. 4. states: Shall prohibit smoking in the child care home during the hours children are in care.
Correction Required
The policy shall prohibit smoking in the child care home during the hours children are in care.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The policy did not state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider’s safe sleep policy upon the child’s enrollment.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (2) B. 5. states: Shall require giving the parent(s) or guardian(s) of each infant in care a copy of the provider’s safe sleep policy upon the child’s enrollment.
Correction Required
The policy shall state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider's safe sleep policy upon the child's enrollment.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.145 Nighttime Care
Compliance
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5 CSR 25-400.155 Overlap Care of Children
Compliance
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5 CSR 25-400.165 Emergency School Closings
Compliance
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5 CSR 25-400.175 Child Care Program
Compliance
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5 CSR 25-400.185 Health Care
Compliance
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5 CSR 25-400.190 Nutrition and Food Service
Compliance
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5 CSR 25-400.200 Transportation and Field Trips
Compliance
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5 CSR 25-400.210 Records and Reports
Compliance
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5 CSR 25-600.020 Background Screening Findings
Compliance
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5 CSR 25-600.040 General Requirements
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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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