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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
Children were not restricted to approved space as evidenced by the furnace room was unlocked and accessible to children.
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
4/6/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the latch located on the gate between the two playground areas was broken and had sharp edges.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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
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Violation
Children were not restricted to approved space as evidenced by the break room/laundry room were unlocked and accessible to children.
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
4/6/2022
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5 CSR 25-500.087 Fire Safety
Violation
| | Provider Comments |
Violation
The means of egress in the Seedling Room was obstructed in that a swing and jumper were located in front of the exit door.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (1) (M) states: Means of egress is a continuous and unobstructed way of travel from any point in a building or structure to a public way. A means of egress consists of three (3) distinct parts: the exit access, the exit, and the exit discharge;
Correction Required
Means of egress must be unobstructed.
Correction Verification
Corrected on Site
Compliance Date
4/6/2022
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Violation
The hangings/draperies in the Sapling 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
Corrected on Site
Compliance Date
4/6/2022
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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
3/23/2022
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Violation
The hangings/draperies in the Sprouts 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
Corrected on Site
Compliance Date
4/6/2022
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
3/23/2022
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Furniture/equipment, diaper changing table, in Seedling Room was not in good condition as evidenced by the banded trim was missing. This was located towards the bottom part of the table.
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
Submit Documentation
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: Emily Fitzgerald needs 3 hours for 2021, Kaitlyn Kearns needs 3 clock hours for 2021, Lily Pirtle needs 1 clock hour for 2021, Mary Smith needs 3 clock hours for 2021, Miranda Post needs 2 clock hours for 2021, Tabatha Thurman needs 2 clock hours for 2021, Courtney Webber needs 2 clock hours for 2021, Lynsey Gulley needs 3 clock hours for 2021 and Zoe Weekley needs .5 hour for 2021. As of 4/6/2022, the following staff are no longer present: Emily Fitzgerald, Kaitlyn Kearns, Lily Pirtle and Courtney Webber.
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
Submit Documentation
Compliance Date
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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: Kelsey Mitchell.
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
3/23/2022
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Violation
Safe sleep training was not completed within the past 3 years for the following staff Aubrey Jarvis.
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
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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: Katelynne Dane and Kelsey Weinland.
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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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(s) was/were not on file for Emily Fitzgerlad, Kaitlyn Kearns, Kelsey Mitchell, Lily Pirtle, Miranda Post, Courtney Webber, Zoe Weekley, Katelynne Dane, Kristin Duncan, Rachel Fenwick, Aubrey Jarvis and Madison Jennings 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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Emily Fitzgerald, Kelsey Mitchell, Lily Pirtle, Miranda Post, Courtney Webber, Zoe Weekley, Katelynne Dane, Kristin Duncan, Rachel Fenwick, Aubrey Jarvis and Madison Jennings..
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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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 9/13/2021.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a 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
3/23/2022
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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
Submit Documentation
Compliance Date
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Violation
The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.
Licensing Rule Reference
5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 8. C. states: They and the provider have agreed on a plan for continuing communication regarding the child's development, behavior and individual needs;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/23/2022
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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
Compliance
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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
Violation
| | Provider Comments |
Violation
One child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/23/2022
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Violation
One child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/23/2022
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Violation
One child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
3/23/2022
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Kaitlyn Kearns, Lily Pirtle, Paula Henson and Mary Smith. As of 4/6/22, background checks are needed for Mary Smith, Lila Mast and Kelsey Weinland.
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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