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5 CSR 25-400.025 Organization and Administration
Compliance
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5 CSR 25-400.045 Licensing Process
Compliance
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5 CSR 25-400.055 Annual Requirements
Compliance
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Hazardous items as follows were accessible to children: joint juice and supplements. The item(s) was/were located in a dresser drawer in the infant room.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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
4/11/2022
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Violation
Hazardous items as follows were accessible to children: open plastic diaper packaging. The item(s) was/were located children's bathroom underneath the changing table.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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
4/11/2022
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Violation
Stairways in the facility did not meet requirements as evidenced by there was no safety gate.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (H) states: Approved safety gates at stairways and doors shall be provided and used as needed.
Correction Required
Stairways shall meet safety standards as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by no gate on the stairs going upstairs to bedrooms.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) 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
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5 CSR 25-400.086 Fire Safety
Compliance
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's disaster and emergency plan was not available in each room used for child care as evidenced by it was not posted upstairs where children eat in the kitchen.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.
Correction Required
The facilities disaster and emergency plan must be available in required locations.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's name, address and telephone number was not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility.
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically not present in the kitchen.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.
Correction Verification
Corrected on Site
Compliance Date
4/11/2022
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Violation
Requirements of facility's 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 25-400.090 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, or other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
1/12/2022
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not provided for each infant in that the provider only had one pack-n-play available. The provider stated that the second pack-n-play was damaged and thrown away. One additional crib or pack-n-play will need to be provided.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment as required.
Correction Verification
Submit Documentation
Compliance Date
10/28/2021
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Violation
The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 4 sleeping cots. The provider has a variance for cots and is allowed to provide evidence of 4 sleeping mats.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.
Correction Verification
Submit Documentation
Compliance Date
10/28/2021
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Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a non-fitted sheet was used.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Corrected on Site
Compliance Date
4/11/2022
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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 Karla Cordova and Daniel Cordova need a copy their FCSR in their file.
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
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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: Karla Cordova needs 3 hours.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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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Violation
A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Daniel Cordova.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number at www.OPENInitiative.org.
Correction Required
All caregivers shall obtain a MOPD ID.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Safe sleep training was not completed within the past 3 years for the assistant(s), Daniel Cordova.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home 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 child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.115 Day Care Family and Household
Compliance
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5 CSR 25-400.125 Medical Examination Reports
Compliance
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5 CSR 25-400.135 Admission Policies and Procedures
Compliance
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5 CSR 25-400.145 Nighttime Care
Compliance
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5 CSR 25-400.155 Overlap Care of Children
Compliance
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5 CSR 25-400.165 Emergency School Closings
Compliance
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5 CSR 25-400.175 Child Care Program
Compliance
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5 CSR 25-400.185 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
Licensing Rule Reference
5 CSR 25-400.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
1/7/2022
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5 CSR 25-400.190 Nutrition and Food Service
Compliance
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5 CSR 25-400.200 Transportation and Field Trips
Compliance
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5 CSR 25-400.210 Records and Reports
Compliance
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5 CSR 25-600.020 Background Screening Findings
Compliance
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5 CSR 25-600.040 General Requirements
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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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