| |
5 CSR 25-500.032 Organization and Administration
Compliance
|
5 CSR 25-500.042 Licensing Process
Compliance
|
5 CSR 25-500.052 Annual Requirements
Violation
| | Provider Comments |
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The equipment list was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The Family Care Safety Registry check was not conducted for Guadalupe Rojas, Danielle Summers within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 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
|
|
|
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The floors located in the orange room was/were not in good condition as evidenced by a hole in the floor.
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
11/29/2021
|
|
Violation
The walls located in the main room, the multipurpose room and the gym was/were not in good condition as evidenced by peeling/chipping paint.
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
7/28/2021
|
|
|
5 CSR 25-500.087 Fire Safety
Compliance
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
|
5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Faith Irvine, Payton Walter, Stefanie Vargas and Glenda Hightower.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.
Correction Verification
Submit Documentation
Compliance Date
7/27/2021
|
|
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Angela Burns and Jovonna Lopez.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.
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: Angela Burns is missing one hour. Jovonna Lopez is missing 0.5 hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. 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
|
|
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Karla Soto-Renteria.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-500.112 Staff/Child Ratios
Compliance
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for Karla Soto-Renteria 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
|
|
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Karla Soto-Renteria.
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
|
|
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by Child E's file did not contain a health report.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/27/2021
|
|
|
5 CSR 25-500.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/27/2021
|
|
|
5 CSR 25-500.142 Nighttime Care
Compliance
|
5 CSR 25-500.152 Hourly Care Facilities
Compliance
|
5 CSR 25-500.162 Overlap Care of Children
Compliance
|
5 CSR 25-500.172 Emergency School Closings
Compliance
|
5 CSR 25-500.182 Child Care Program
Compliance
|
5 CSR 25-500.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by Child B and Child C's immunization record(s) was/were not on file.
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
7/27/2021
|
|
Violation
Requirements for immunization reports on file were not met as evidenced by Child K immunization record(s) was/were not on file.
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
Corrected on Site
Compliance Date
11/29/2021
|
|
|
5 CSR 25-500.202 Nutrition and Food Service
Compliance
|
5 CSR 25-500.212 Transportation and Field Trips
Compliance
|
5 CSR 25-500.222 Records and Reports
Violation
| | Provider Comments |
Violation
Child D's 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
Submit Documentation
Compliance Date
7/27/2021
|
|
Violation
Child D, Child H, Child I, Child J and Child L's 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
Submit Documentation
Compliance Date
7/27/2021
|
|
Violation
Child D, Child H, Child I and Child J's child(ren) records did not include work 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
Submit Documentation
Compliance Date
7/27/2021
|
|
Violation
Child A and Child C's child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/27/2021
|
|
|
5 CSR 25-600.020 General Requirements
Compliance
|
5 CSR 25-600.040 Background Screening Findings
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
|