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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
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Jessica Swinford, Kelsie Cook, Sydney Walker, Emily Gosling, Caylee Schultz, Taylor Lowes and Mallory Lowes 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 Return Inspection
Compliance Date 1/18/2022
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Violation The annual sanitation inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification Return Inspection
Compliance Date 8/19/2021
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Violation The annual fire safety inspection was not approved. 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 Return Inspection
Compliance Date
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Violation The staff sheet was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required The facility shall submit a current staff sheet as required.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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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 Return Inspection
Compliance Date 1/18/2022
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Violation The Annual Declaration was not submitted. Licensing Rule Reference 5 CSR 25-500.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required The facility shall submit the Annual Declaration as required.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
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 fence board is missing causing a 5 inch gap. The temporary construction fencing had been placed over the gap; however, the netting on the temporary fence is open leaving the gap accessible. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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.
Correction Verification Return Inspection
Compliance Date
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Violation The walls located the two year old classroom was/were not finished with material which can be cleaned easily as evidenced by blue paint is chipping under the "dive in" bulletin board. 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 Return Inspection
Compliance Date 1/18/2022
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Violation The walls located the 3/4 year old classroom was/were not finished with material which can be cleaned easily as evidenced by paint is chipping under the light switch and under the ac unit. 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 Return Inspection
Compliance Date 1/18/2022
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Violation The floors located in the bathroom with the diaper table was/were not finished with material which can be cleaned easily as evidenced by three tiles are broken or missing in front of the diaper table. 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 Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: two gallons of paint and a container of primer. The item(s) was/were located in the unlocked storage closet on the left side of the upstairs hallway. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Return Inspection
Compliance Date 1/18/2022
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Violation Hazardous items as follows were accessible to children: two bottles of pinesol and three bottles of Germ X. The item(s) was/were located in the unlocked storage closet beside the upstairs bathroom. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Return Inspection
Compliance Date 1/18/2022
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Violation Hazardous items as follows were accessible to children: tub of diaper cream. The item(s) was/were located in an unlocked closet in the bathroom with two toilets. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Corrected on Site
Compliance Date 1/18/2022
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Violation Hazardous items as follows were accessible to children: two containers of toilet bowl cleaner. The item(s) was/were located sitting on the floor of the shower unlocked. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Corrected on Site
Compliance Date 1/18/2022
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that two outlets in the 3/4 year old room were uncovered. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet in the two year old classroom was not covered. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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Violation Children were not restricted to approved space as evidenced by the door leading to the shed on the playground was unlocked. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Corrected on Site
Compliance Date 1/18/2022
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5 CSR 25-500.087 Fire Safety
Violation
| Provider Comments |
Violation The door, located in the tan room, used as an exit from the facility was locked. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Corrected on Site
Compliance Date 1/18/2022
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Violation The door, located between the 2-year-old room and the supply room, used as an exit from the facility was locked. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Return Inspection
Compliance Date
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Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (2) (F) 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 Return Inspection
Compliance Date 1/18/2022
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Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (2) (F) 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 Return Inspection
Compliance Date 1/18/2022
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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
Violation
| Provider Comments |
Violation Stationary equipment, red climber, was unsafe as evidenced by the equipment was not securely anchored. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions. Correction Required Stationary equipment shall be safely installed, stable and securely anchored.
Correction Verification Return Inspection
Compliance Date
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Violation Outdoor equipment, the white board, in the front part of the KA Clubhouse shed was not free of sharp parts as evidenced by a board is broken along the bottom resulting in sharp edges that are accessible to children. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required Outdoor play equipment shall be safe and in good repair.
Correction Verification Return Inspection
Compliance Date
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Violation Outdoor equipment, the fence, in the corner of the playground beside the red climber was not free of sharp parts as evidenced by a board is broken along the bottom resulting in sharp edges that are accessible to children. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required Outdoor play equipment shall be safe and in good repair.
Correction Verification Return Inspection
Compliance Date
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Violation Furniture/equipment, the white dresser, in the downstairs bathroom was not in good condition as evidenced by the handles are broken on both sides of the top and bottom drawers. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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Violation Furniture/equipment, the white dresser, in the downstairs bathroom with two toilets was not in good condition as evidenced by paint peeling on the top with exposed particle board that is not easily cleanable. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Return Inspection
Compliance Date
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
Violation The department did not receive notification of a director change. Licensing Rule Reference 5 CSR 25-500.102 Personnel (2) (A) 6. states: The center owner(s), or the board president or chairperson, shall notify the department immediately when there is a change of directors and shall have a qualifying criminal background check on file as required by 19 CSR 30-63.020 General Requirements. Correction Required The facility shall notify SCCR immediately when there is a change of directors and submit required background check request.
Correction Verification Return Inspection
Compliance Date
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Violation The facility does not have an approved director on staff. Licensing Rule Reference 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required The facility shall have an approved director/group home provider.
Correction Verification Return Inspection
Compliance Date
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Violation The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Nelda Eichhorn needs 12 hours, Dena Milz needs 12 hours, Brittany Sallee needs 4 hours, Bailey Swinford needs 12 hours, Bridgette Swinford needs 12 hours, Jessica Swinford needs 12 hours, Sydney Walker needs 12 hours, Taylor Lowes needs 2 hours, Mallory Lowes needs 6 hours and Caylee Schultz needs 1 hour. During an inspection on 1/18/22 we were told that Sydney Walker and Bailee Swinford no longer work here. All other hours are needed. 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 Return Inspection
Compliance Date
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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: Nelda Eichhorn needs 9.25 hours and Sydney Walker needs four 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 Return Inspection
Compliance Date 1/18/2022
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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 nine children, ages 2 through 4 years , were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 1/18/2022
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Taylor Lowes and Mallory Lowes. 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 Return Inspection
Compliance Date
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Violation Medical examination report(s) was/were not on file for Taylor Lowes and Mallory Lowes 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 Return Inspection
Compliance Date
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5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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5 CSR 25-500.142 Nighttime Care
Not Observed
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5 CSR 25-500.152 Hourly Care Facilities
Not Observed
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5 CSR 25-500.162 Overlap Care of Children
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
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by 3 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 Return Inspection
Compliance Date 1/18/2022
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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
Violation
| Provider Comments |
Violation Written parental consent was not on file for field trips and transportation. Licensing Rule Reference 5 CSR 25-500.212 Transportation and Field Trips (1) (B) states: Written parental consent shall be on file at the facility for field trips and transportation. Correction Required Written parental consent shall be on file at the facility for field trips and transportation.
Correction Verification Return Inspection
Compliance Date
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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 Sarah Seabaugh, Caylee Schultz, Taylor Lowes and Mallory Lowes. 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 Return Inspection
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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