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5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Violation
| Provider Comments |
Violation The name, address and telephone number of the board president was not prominently posted near the license. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (13) (C) states: Board president or chairperson; Correction Required The name, address, and board president or chairperson shall be posted near the license.
Correction Verification Submit Documentation
Compliance Date
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Violation The name, address and telephone number of the owner(s) was not prominently posted near the license. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (13) (B) states: Facility owner(s); Correction Required The name, address, and phone number of the owner shall be posted near the license.
Correction Verification Submit Documentation
Compliance Date
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Violation The name, address and telephone number of the child care provider(s) was not prominently posted near the license. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (13) (A) states: The child care provider(s); Correction Required The name, address, and phone number of the provider shall be posted near the license.
Correction Verification Submit Documentation
Compliance Date
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Violation Posting requirements were not met as evidenced by the license was not posted near the entrance. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.052 Annual Requirements
Violation
| Provider Comments |
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 Submit Documentation
Compliance Date
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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 Submit Documentation
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 Submit Documentation
Compliance Date
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Violation The Family Care Safety Registry check was not conducted for Reid Hoss, Lani Jaegers, Mary Creed and Ash Barton 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
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by disaster and emergency plan was not available at the facility. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
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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: Reid Hoss and Ash Barton on 9/28/21 and for Reid Hoss, Ash Barton, Mary Creed and Lani Jaegers on 2/8/22. 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
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Violation The director is not routinely on duty, as evidenced by there is no approved director. Licensing Rule Reference 5 CSR 25-500.102 Personnel (2) (A) 2. states: Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours. Correction Required The director/group home provider shall be routinely on duty, as required.
Correction Verification Submit Documentation
Compliance Date
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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 Submit Documentation
Compliance Date
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5 CSR 25-500.112 Staff/Child Ratios
Compliance
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report was not on file for Reid Hoss and Ash Barton on 9/28/21 and for Reid Hoss, Ash Barton and Lani Jaegers on 2/8/22 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
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Violation Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Reid Hoss and Ash Barton on 9/28/21 and Reid Hoss, Ash Barton and Lani Jaegers on 2/8/22. 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
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5 CSR 25-500.132 Admission Policies and Procedures
Compliance
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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
Compliance
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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 four immunization records were not on file from the 9/28/21 inspection and four 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
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5 CSR 25-500.202 Nutrition and Food Service
Compliance
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5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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5 CSR 25-500.222 Records and Reports
Violation
| Provider Comments |
Violation A written record of fire and disaster drills was not maintained. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (8) states: The provider shall maintain a written record at the facility for fire and disaster drills. Correction Required Fire & disaster drills shall be recorded and kept on file.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Reid Hoss and Ash Barton on 9/28/21 and for Reid Hoss, Ash Barton, Mary Creed and Lani Jaegers on 2/8/22. 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 Submit Documentation
Compliance Date
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5 CSR 25-600.040 Background Screening Findings
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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