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5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Compliance
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5 CSR 25-500.052 Annual Requirements
Violation
| Provider Comments |
Violation The annual sanitation inspection was not conducted. 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 Submit Documentation
Compliance Date 12/20/2021
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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 premises were not safe and suitable as evidenced by one flat screen tv in the three year old room was not anchored. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children. Correction Required The premises shall be safe and suitable for the care of children.
Correction Verification Return Inspection
Compliance Date
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Violation Children were not restricted to approved space as evidenced by one storage closet in Ms. Ann's room was not locked. 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 2/10/2022
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that one electrical plate in the three year old room was cracked. This outlet was located near the window. 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 Submit Documentation
Compliance Date 2/10/2022
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Violation Hazardous items as follows were accessible to children: bleach, paint and Johnson body wash. The item(s) was/were located under the sink in the I/T unit. 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 2/10/2022
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Violation Children were not restricted to approved space as evidenced by the kitchen door was unlocked allowing children access. 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 Return Inspection
Compliance Date
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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 was missing a plate cover. This was located near the office. 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
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Violation The walls located in pre-k room was/were not finished with material which can be cleaned easily as evidenced by one baseboard was not attached. 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 The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use. Correction Required Bathroom fixtures shall be functional and convenient.
Correction Verification Return Inspection
Compliance Date
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Violation There was evidence of dirt/debris in hallway, school age room, girls restroom and boys restroom. This was located along the baseboards. As of 2/10/22, dirt/debris was not located in the girls restroom or boys restroom. Evidence of dirt/debris was located along the baseboards in the I/T Unit and hallway. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility 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
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Violation The walls located in the Two Year Old Room was/were not finished with material which can be cleaned easily as evidenced by paint was chipping off the column exposing the sheetrock. 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 2/10/2022
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Violation The walls located in the boys restroom was/were not finished with material which can be cleaned easily as evidenced by paint was chipping off the wall exposing the sheetrock. This was located behind the door. 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 2/10/2022
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Violation The walls located in the School Age Room was/were not finished with material which can be cleaned easily as evidenced by paint was chipping exposing the sheetrock. This was located around the window. 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 2/10/2022
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Violation The walls located in I/T Unit 3 was/were not in good condition as evidenced by the half door was not closing properly. 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 2/10/2022
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Violation The walls located in I/T Unit 3 was/were not finished with material which can be cleaned easily as evidenced by the wood trim located around the half door was not finished. 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 12/1/2021
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Violation The walls located between I/T Unit 1 and 2 and between I/T Unit 2 and 3 was/were not finished with material which can be cleaned easily as evidenced by untreated/unfinished wood was exposed near the top of the half door. 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 12/1/2021
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Violation The walls located in the three year old classroom was/were not in good condition as evidenced by there was a small hole in the wall near the door. 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 2/10/2022
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Violation Required group size was exceeded as follows: the correct group size for children under 2 years was not met as evidenced by 15 children were in the group. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (IV) states: No more than eight (8) infant/toddlers or sixteen (16) two (2)-year olds shall be in a group; Correction Required Infants/Toddlers-1:4 ratio required with no more than 8 in a group. Two-year olds - 1:8 ratio required with no more than 16 in a group.
Correction Verification Corrected on Site
Compliance Date 2/10/2022
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Violation The space for infants and toddlers is not separated by floor-to-ceiling walls. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)
Correction Verification Corrected on Site
Compliance Date 2/10/2022
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Violation The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by previously approved required space was not being used. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care. Correction Required The facility shall provide thirty-five square feet of usable space per child.
Correction Verification Corrected on Site
Compliance Date 2/10/2022
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Violation The walls located in the two year old room was/were not finished with material which can be cleaned easily as evidenced by a hole was located in the wall. This was located under the diaper changing 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 The walls located in the three year old room was/were not finished with material which can be cleaned easily as evidenced by eight areas were patched. These sections were not painted. 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 The walls located in the school age area was/were not finished with material which can be cleaned easily as evidenced by the wall near the boys restroom was patched. This section of the wall was not painted. 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 The walls located in I/T unit 2 was/were not finished with material which can be cleaned easily as evidenced by paint was peeling off the wall. This was located near the half door. 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 The walls located in I/T unit 3 was/were not finished with material which can be cleaned easily as evidenced by the wall near the window was patched. This section of the wall was not painted. 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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5 CSR 25-500.087 Fire Safety
Violation
| Provider Comments |
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 Submit Documentation
Compliance Date 11/19/2021
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Violation The hangings/draperies in I/T Unit 2, School Age Room and Pre-K Room were hanging over an exit door. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (2) (B) states: Hangings or draperies shall not be placed over exit doors or located to conceal or obscure any exit. All hangings and draperies shall be treated with a flame retardant material with verification of the treatment on file at the facility and available for review by the fire inspector. Correction Required Draperies and wall hanging must be flame retardant and not placed over exit doors.
Correction Verification Submit Documentation
Compliance Date 2/10/2022
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Outdoor equipment, large climber, in the Preschool/School Age play area was not in good condition as evidenced by one purple pole on the climber had a small crack. Paint was chipping off the pole and the pole is beginning to rust. 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 Submit Documentation
Compliance Date 2/10/2022
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Violation Furniture/equipment, diaper changing table, in I/T Unit 2 was not in good condition as evidenced by the trim located on the bottom of the diaper table was cracked with sharp edges. 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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Violation The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional thirteen items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. D. states: Cloth or plastic coated books. Correction Required The facility shall provide approved equipment as required.
Correction Verification Submit Documentation
Compliance Date 2/10/2022
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Violation Furniture/equipment, rocking chair, in I/T unit 1 was not in good condition as evidenced by the fabric located on the seat cushion was torn. 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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Violation Furniture/equipment, bouncer, in I/T unit 1 was not in good condition as evidenced by the fabric located on the bouncer was torn. 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 A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Sara Whittaker needs 7 clock hours for 2021, Jocelynn Flentge needs 2 clock hours for 2021, Maecy Boxdorfer needs 2 clock hours for 2021, Danielle Agne needs 3 clock hours for 2021 and Abbigale Schmidt needs 2 clock hours for 2021. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required Required training hours shall be documented for each employee.
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: Rachel Boatman needs 9 hours, Lilli Boskovitch needs 12, Amber Scheman needs 11, Skyler Jokerst needs 3, Rachael Niermann needs 12, Christina Paisley needs 12, Katlynn Parker needs 8, Marsha Parker needs 9, Shianne Parker needs 9, Lea Runge needs 12, Anna Schmidt needs 12, Amber Taylor needs 11, Hailey Thomas needs 11, Anna Wengert needs 6 and Makayla Schaff needs 4. 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 12/28/2021
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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: Rachel Boatman needs 9 clock hours, Rachael Niermann needs 12 clock hours, Christina Paisley needs 7 clock hours, Katlynn Parker needs 8 clock hours, Marsha Parker needs 10 clock hours, Anna Schmidt needs 1 clock hour and Ann Wengert needs 5 clock 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
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Violation Safe sleep training was not completed within the past 3 years for the following staff Jocelynn Flentge, Maecy Boxdorfer, Danielle Agne and Abbigale Schmidt. Licensing Rule Reference 5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center 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 director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.
Correction Verification Return Inspection
Compliance Date
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Violation Safe sleep training was not completed within the past 3 years for the following staff Jasmine Lane, Hayley Nickles, Skylar Skuart and Hailey Thomas. Licensing Rule Reference 5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center 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 director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date 11/16/2021
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Violation A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Maecy Boxdorfer . 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 Return Inspection
Compliance Date
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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 two to three years of age, were cared for by one 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 Corrected on Site
Compliance Date 2/10/2022
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Skylar Skurat and Hayley Nickles 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 11/16/2021
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Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Hailey Thomas and Skylar Skurat. 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 11/16/2021
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Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jocelynn Flentge, Maecy Boxdorfer, Danielle Agne and Abbigale Schmidt. 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 Jocelynn Flentge, Maecy Boxdorfer and Abbigale Schmidt 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
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 Return Inspection
Compliance Date
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5 CSR 25-500.142 Nighttime Care
Compliance
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5 CSR 25-500.152 Hourly Care Facilities
Compliance
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5 CSR 25-500.162 Overlap Care of Children
Compliance
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5 CSR 25-500.172 Emergency School Closings
Compliance
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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 The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when an accident/injury occurred. The time, method and staff member was not filled out on the form. Licensing Rule Reference 5 CSR 25-500.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions. Correction Required The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification Corrected on Site
Compliance Date 2/10/2022
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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
Compliance
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5 CSR 25-500.222 Records and Reports
Compliance
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5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Jocelynn Flentge and Danielle Bergmann. 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
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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