| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Not Observed
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5 CSR 25-300.040 Staffing Requirements
Not Observed
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5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
Requirements for children's medical examination reports were not met as evidenced by the medical form did not contain all required information in that the form did not ask what the department requires.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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5 CSR 25-300.060 Responsibilities of Caregivers
Violation
| | Provider Comments |
Violation
Supervision and basic care were not provided as evidenced by there was no adult supervision in that during an unannounced inspection it was determined that a five year old was put in an area not approved for child care and without supervision, as the caregiver was in her classroom with the other children..
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (A) states: Children shall not be left without adult supervision.
Correction Required
Children shall not be left unsupervised.
Correction Verification
Submit Documentation
Compliance Date
5/12/2022
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Violation
Supervision and basic care were not provided as evidenced by there was no adult supervision in that a one year old child came into the front office area without a caregiver.
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (A) states: Children shall not be left without adult supervision.
Correction Required
Children shall not be left unsupervised.
Correction Verification
Return Inspection
Compliance Date
5/12/2022
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5 CSR 25-300.070 Fire Safety Requirements
Not Observed
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5 CSR 25-300.080 Sanitation Requirements
Not Observed
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by the infant/toddler unit had eight children and only has enough space for four.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler.
Correction Required
The facility shall provide adequate square feet of usable space per child.
Correction Verification
Return Inspection
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by a five year old child was put in time out in an area outside of the preschool classroom that is not approved for child care. This area is adjacent to the kitchen and used as a passageway to the preschool classroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
5/12/2022
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Violation
The floors located in the back room in the school age building was/were not in good condition as evidenced by there are at least 7 broken floor times that need to be replaced.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility did not provide 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by one room had a total of twelve children and the room only measures for five.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler.
Correction Required
The facility shall provide adequate square feet of usable space per child.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of of a set of steel steps that has a large bolt sticking out of the bottom of the wooden stump on the ground that needs to be removed.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of a broken window on the side of the house where broken glass is accessible to children.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of broken boards with nails sticking out on the school age playground play space.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of a wooden table that is peeling and not in good condition on the preschool/infant/toddler playground side that needs to be removed.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of a steel piece of the bottom of the fence that is sticking out from where the fence was opened up to both playground areas that needs to be fixed.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility's outdoor play space is used at the same time by children from the infant/toddler unit and preschool/school-age children as evidenced by three infant children were observed on the playground at the time of CI Spaulding's arrival at the facility prior to attendance being taken.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (E) states: Outdoor play space for infants and toddlers separate from that used for older children, or the same space used at different times. This does not apply to facilities caring for a maximum of twenty (20) children, including no more than four (4) infant/toddlers.
Correction Required
The facility shall provide separate play space or separate outdoor play times as required.
Correction Verification
Return Inspection
Compliance Date
5/12/2022
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Violation
The facility failed to meet requirements for 22 children, who nap or sleep, did not have a sheet.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Return Inspection
Compliance Date
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Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility failed to meet requirements for one children 12 months or older was/were sleeping/napping on the floor with two blankets.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-300.100 Transportation and Field Trip Requirements
Not Observed
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one file did not have the back of the enrollment form in the file with this acknowledgement.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
The facility is operated by a religious organization that recieves federal funds for providing child care and criminal background check results were not on file for Cydni Jones.
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
3/29/2022
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5 CSR 25-600.040 Background Screening Findings
Not Observed
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Not Observed
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
| | Provider Comments |
Violation
An approved Notice of Parental Responsibility was not on file for each child in care.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 1. states: Child-care facilities operated by religious organizations pursuant to the exempt status recognized in subdivision (4) of subsection 1 of section 210.211 shall upon enrollment of any child provide the parent or guardian enrolling the child two copies of a notice of parental responsibility, one copy of which shall be retained in the files of the facility after the enrolling parent acknowledges, by signature, having read and accepted the information contained therein.
Correction Required
The Notice of Parental Responsibility shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/29/2022
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Violation
Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of health and senior services regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.
Correction Required
The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.
Correction Verification
Return Inspection
Compliance Date
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Violation
| | Provider Comments |
Violation
Requirements for sanitation inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification
Submit Documentation
Compliance Date
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