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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
Violation
| Provider Comments |
Violation The Annual Declaration was not submitted. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules. Correction Required The child care provider shall submit the Annual Declaration as required.
Correction Verification Corrected on Site
Compliance Date 4/12/2022
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Violation The equipment list was not submitted. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (1) (B) states: A current list of available equipment. Correction Required The child care provider shall submit an equipment list as required.
Correction Verification Corrected on Site
Compliance Date 4/12/2022
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Violation The listing of household members and assistants was not submitted. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s). Correction Required The child care provider shall submit a listing of all household members and assistants.
Correction Verification Corrected on Site
Compliance Date 4/12/2022
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Violation The annual fire safety inspection was not approved. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements.
Correction Verification Submit Documentation
Compliance Date
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Violation The Family Care Safety Registry check was not conducted for Carolina Grullon, Victor N. Familia, Victor A. Familia and Tania Johnson within thirty (30) days prior to the anniversary date. Licensing Rule Reference 5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.
Correction Verification Submit Documentation
Compliance Date
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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: Windex, sanitizer, bug repellent and Aquaphor. The item(s) was/were located in the bathroom on the sink, under the sink and on the back of the toilet. 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 4/12/2022
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Violation The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 6. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Corrected on Site
Compliance Date 4/12/2022
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Violation Hazardous items as follows were accessible to children: Aquaphor and Desitin. The item(s) was/were located in the tubs under the diapering tables in the main 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 4/12/2022
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5 CSR 25-400.086 Fire Safety
Violation
| Provider Comments |
Violation Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the date of the drill was not recorded. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 2 (C) 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
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Violation The smoke detector in the small nap room was beeping. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 10 (B) states: Smoke detectors shall be in good operating condition with a functional battery installed. If the smoke detector is not operational, the provider shall install a smoke detector that is powered by the home's electrical system with a nine (9)-volt battery backup. Correction Required Smoke detectors shall be installed and in good operating condition.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for protective outlet covers were not met as evidenced by outlet covers behind the white crib, one in the small nap room behind the shelf and one in the main room by the orange chair were missing. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children. Correction Required The facility shall use protective outlet covers as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, pack-n-play, in the large nap room was not in good condition as evidenced by there was a large hole in the netting on the side. Licensing Rule Reference 5 CSR 25-400.095 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 25-400.105 The Child Care Provider and Other Child Care 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: Carolina Grullon, assistant, needs 12 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 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: Tania Johnson needs 11 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 Verification of safe sleep training was not documented and maintained for Tania Johnson as there is no safe sleep training listed in the OPEN database. Licensing Rule Reference 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (A) states: The training shall be documented and maintained as described in paragraph (4)(E)2. of this rule. Correction Required Safe sleep training shall be documented and maintained.
Correction Verification Submit Documentation
Compliance Date
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Violation Staff/child ratio requirements were not met as evidenced by , on 4/12/22, five children under age two and five children over age two were cared for by two, Carolina and Tania, 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
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
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
Compliance
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5 CSR 25-400.185 Health Care
Compliance
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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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