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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
Compliance
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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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one outlet uncovered in the 2-year-old room. 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 Corrected on Site
Compliance Date 4/1/2022
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Violation Hazardous items as follows were accessible to children: clorox bleach, lysol toilet cleaner, soft scrub, windex and a bucket full of red water with what appeared to be a bottle of paint and a mop. The item(s) was/were located in the unlocked hall closet marked "Keep Locked". 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 4/1/2022
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Violation There was no pad or mat under indoor equipment, a slide is 60 inches high and is located in the two-year old room, pad at base of slide is not as wide as the slide, and there was a 4 inch gap between the base of the slide and the start of the floor mat. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 8. states: Floor surfaces under indoor equipment over twenty-four inches (24") in height, from which children might fall and be injured, shall be protected with pads or mats which will effectively cushion the fall of a child. Carpeting alone is not an acceptable resilient surface under indoor equipment. Correction Required Pads or mats shall be in place as required.
Correction Verification Submit Documentation
Compliance Date 3/28/2022
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5 CSR 25-500.087 Fire Safety
Not Observed
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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 An infant was observed sleeping in a/an swing. Two infants ages 11 days and 3 months observed asleep in swings upon CI Cox entering this infant room. Both children were moved into play pens. This rule was previously cited during a close supervision inspection on 3-21-22. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time. Correction Required Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification Return Inspection
Compliance Date
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
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: Bailey Fanning needs 6 clock hours, Kloey Hardesty needs 2 clock hours, Stephanie Hester needs 9 clock hours, Taylor Hicks needs 5.5 clock hours, Victoria Jennings needs 1.5 clock hours, Stephanie Long needs 1 clock hour, Katelynn Maples needs 3 clock hours, Kylie Shields needs 1.5 clock hours, and Kendall Tackitt needs 6 clock hours. No changes in number of hours needed for each listed employee as of 2-16-22. 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
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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
Not Observed
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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
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
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
Compliance
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5 CSR 25-500.192 Health Care
Not Observed
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5 CSR 25-500.202 Nutrition and Food Service
Violation
| Provider Comments |
Violation Requirements for feeding infants unable to hold their own bottle were not met as evidenced by CI observed an infant laying in a crib with a blanket near the child's head holding the bottle in the child's mouth. Director Neena Gill removed the blanket and held the bottle for the child. Licensing Rule Reference 5 CSR 25-500.202 Nutrition and Food Service (2) (D) states: Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped. Correction Required Caregivers shall hold infants during bottle feeding as required.
Correction Verification Corrected on Site
Compliance Date 4/1/2022
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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
Not Observed
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5 CSR 25-600.020 General Requirements
Compliance
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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. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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