| |
5 CSR 25-400.025 Organization and Administration
Compliance
|
5 CSR 25-400.045 Licensing Process
Compliance
|
5 CSR 25-400.055 Annual Requirements
Violation
| | Provider Comments |
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules.
Correction Required
The child care provider shall submit the Annual Declaration as required.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
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
Submit Documentation
Compliance Date
10/4/2021
|
|
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
Submit Documentation
Compliance Date
|
|
Violation
The Family Care Safety Registry check was not conducted for Allison Belben, Ashton Brayfiled and David Belben within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.
Correction Verification
Submit Documentation
Compliance Date
10/29/2021
|
|
|
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Hazardous items as follows were accessible to children: alcoholic beverage in a glass bottle. The item(s) was/were located in unlocked refrigerator in the paly yard.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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
10/4/2021
|
|
Violation
Hazardous items as follows were accessible to children: shaving razor and perfume spray. The item(s) was/were located in the bathroom.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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
10/4/2021
|
|
Violation
Hazardous items as follows were accessible to children: gasoline container, bug spray, cigarette butts and cigarette lighter. The item(s) was/were located play yard.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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
10/4/2021
|
|
Violation
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 was not in good condition in that a large section of the fence is missing.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification
Submit Documentation
Compliance Date
10/29/2021
|
|
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there is an ax and broken fence boards on the ground.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
10/4/2021
|
|
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by garage door is open; the garage has power tools and hazardous items such as bug spray .
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
10/4/2021
|
|
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there are two large holes in the ground (approximately two feet wide).
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
10/4/2021
|
|
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the deck has a wooden board that is broken creating a hole on the deck.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
10/4/2021
|
|
Violation
The walls located in the bathroom was/were not in good condition as evidenced by a presence of a hole (a quarter) in the wall.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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
10/29/2021
|
|
Violation
There was evidence of dirt/debris in the living room.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 9. states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
Violation
Animal excrement was observed in an outdoor area used by children; the location of the excrement was play yard.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (D) states: Areas used by children shall be free of animal excrement.
Correction Required
No animal excrement shall be in areas used by children.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
|
5 CSR 25-400.086 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
|
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
|
5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
|
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
Safe sleep training was not completed within the past 3 years for the provider, Allison Belben.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Submit Documentation
Compliance Date
|
|
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: Allison Belben needs 12 clock hours.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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
|
|
|
5 CSR 25-400.115 Day Care Family and Household
Compliance
|
5 CSR 25-400.125 Medical Examination Reports
Compliance
|
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
|
5 CSR 25-400.145 Nighttime Care
Compliance
|
5 CSR 25-400.155 Overlap Care of Children
Compliance
|
5 CSR 25-400.165 Emergency School Closings
Compliance
|
5 CSR 25-400.175 Child Care Program
Violation
| | Provider Comments |
Violation
The diapering table or other approved area was not safe as evidenced by the diaper table was being used for storage.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use.
Correction Required
The facility shall provide a safe and clean diapering table as required.
Correction Verification
Submit Documentation
Compliance Date
10/4/2021
|
|
|
5 CSR 25-400.185 Health Care
Violation
| | Provider Comments |
Violation
Medication was not stored out of children's reach.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (E) states: All medication shall be stored out of reach of children or in a locked container.
Correction Required
Medication shall be inaccessible to children and handled as required.
Correction Verification
Submit Documentation
Compliance Date
10/29/2021
|
|
|
5 CSR 25-400.190 Nutrition and Food Service
Compliance
|
5 CSR 25-400.200 Transportation and Field Trips
Compliance
|
5 CSR 25-400.210 Records and Reports
Violation
| | Provider Comments |
Violation
Enrollment, medical and attendance records were not accessible at all times as evidenced by provide was not able to locate the children's files.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (7) states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.
Correction Verification
Submit Documentation
Compliance Date
10/29/2021
|
|
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by children's records were not available for review.
Licensing Rule Reference
5 CSR 25-400.210 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
10/29/2021
|
|
|
5 CSR 25-600.020 Background Screening Findings
Compliance
|
5 CSR 25-600.040 General Requirements
Compliance
|
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
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|