| |
5 CSR 25-400.025 Organization and Administration
Compliance
|
5 CSR 25-400.045 Licensing Process
Compliance
|
5 CSR 25-400.055 Annual Requirements
Compliance
|
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by Closet in play pen room and hallway office closet was accessible to children .
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
|
|
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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 inches at the bottom of the gate to fence post .
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
|
|
Violation
The provider did not provide resilient material necessary for the protection of children as evidenced by bare ground under the fall zones for the slide units .
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 7. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-400.086 Fire Safety
Compliance
|
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 assistant(s), Theresa Walker .
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
|
|
|
5 CSR 25-400.115 Day Care Family and Household
Compliance
|
5 CSR 25-400.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination report was older than 12 months prior to admission - the admission date(s) and date(s) of medical was/were 9-18-21.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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
|
|
|
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
Compliance
|
5 CSR 25-400.185 Health Care
Compliance
|
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
Compliance
|
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
|