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5 CSR 25-400.025 Organization and Administration
Not Observed
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5 CSR 25-400.045 Licensing Process
Violation
| | Provider Comments |
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home 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
3/28/2022
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5 CSR 25-400.055 Annual Requirements
Not Observed
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The bathroom was not clean and odor free as evidenced by toilet bowel stained or dirty.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. E. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
3/28/2022
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5 CSR 25-400.086 Fire Safety
Not Observed
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-400.095 Furniture, Equipment and Materials
Not Observed
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
Background screening information was not available for review for Sarah Carr and Gregory Carr.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Submit Documentation
Compliance Date
3/28/2022
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Violation
Staff/child ratio requirements were not met as evidenced by on March 15, 2022, 4 children under age two and 10 children over age two were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
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Violation
Staff/child ratio requirements were not met as evidenced by on March 1, 2022, 4 children under age two and 8 children over age two were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
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Violation
Staff/child ratio requirements were not met as evidenced by on March 28, 2022, 4 children under age two and 6 children over age two were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.115 Day Care Family and Household
Not Observed
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5 CSR 25-400.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 3-1-2017.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by provider did not have permission to obtain emergency medical care.
Licensing Rule Reference
5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/28/2022
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5 CSR 25-400.145 Nighttime Care
Not Observed
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5 CSR 25-400.155 Overlap Care of Children
Not Observed
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5 CSR 25-400.165 Emergency School Closings
Not Observed
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5 CSR 25-400.175 Child Care Program
Not Observed
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5 CSR 25-400.185 Health Care
Not Observed
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5 CSR 25-400.190 Nutrition and Food Service
Not Observed
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5 CSR 25-400.200 Transportation and Field Trips
Not Observed
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5 CSR 25-400.210 Records and Reports
Violation
| | Provider Comments |
Violation
1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-400.210 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
3/28/2022
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5 CSR 25-600.020 Background Screening Findings
Not Observed
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5 CSR 25-600.040 General Requirements
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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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