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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 walls located in Katy and Edie's room was/were not finished with material which can be cleaned easily as evidenced by paint was chipping off the wall. This was located near the dramatic play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
4/1/2022
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Violation
The premises were not safe and suitable as evidenced by the mechanical/storage 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) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Submit Documentation
Compliance Date
4/1/2022
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5 CSR 25-500.087 Fire Safety
Compliance
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
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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: Lauren Bell needs 4 clock hours for 2021, Mya Chapman needs .5 hours for 2021, Leanne Collier needs 7 clock hours for 2021, Carlie Estes needs 2 clock hours for 2021, Kamryn Flowers needs 2 hours for 2021, Breonna Gillam needs .5 hour for 2021, Skyler Hornbeak needs 2.5 hours for 2021, Morgan Johnson needs 2 hours for 2021, Emilee Judy needs 5 hours for 2021, Alyssa Mahathath needs 2.5 hours for 2021, Chloe McAlister needs 3.5 hours for 2021, Blake Miller needs 1 hour for 2021, Shakyra Poke needs .5 hour for 2021, Taylor Wallace needs 2 hours for 2021 and Briana Watts needs 2 hours for 2021.
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
4/5/2022
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Violation
Safe sleep training was not completed within the past 3 years for the following staff Rosaline Bailey, Emily Dorsam, Shelby Halter, Blake Miller, Ralynn Moro, Lauren Potthast, Rachel Rolfing, Kathryn Stricker, Taylor Wallace and Briana Watts.
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
4/4/2022
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Violation
The facility orientation did not include a review of the licensing rules for the following staff: Carlie Estes, Breonna Gillam, Kamryn Flowers and Bridgette Berner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. A. states: Licensing rules;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the licensing rules.
Correction Verification
Submit Documentation
Compliance Date
4/4/2022
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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: Briana Watts, Taylor Wallace, Shakyra Poke, Morgan Johnson, Cassandra Flores, Mya Chapman, Rosaline Bailey, Lauren Bell, Sydney Berthlett and Blake Miller.
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
4/4/2022
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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: Kylie Bell needs 5 hours, Sarah Blume needs 12 hours, Luna Boggs needs 5 hours, Dailey Bond needs 5 hours, Samantha Coffee needs 5 hours, Carly Coleman needs 11 hours, Rebecca Dean needs 12 hours, Ayanna Depree needs 12 hours, Emily Dorsam needs 12 hours, Megan Green needs 2 hours, Brooke Hale needs 11 hours, Gracey Kamer needs 12 hours, Amanda Kistler needs 12 hours, Bailey Misuraca needs 5 hours, Tammy Moore needs 5 hours, Raylnn Moro need 5 hours, Haley Rahn needs 5 hours, Alexis Webb needs 12 hours, Lyndsey Weber needs 4 hours and Olivia Wills needs 12 hours .
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
4/5/2022
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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 Judy, Taylor Wallace, Kamryn Flowers, Rosaline Bailey and Sydney Berthlett 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
4/4/2022
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Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Emily Judy, Carlie Estes, Kamryn Flowers and Sydney Berthlett.
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
4/12/2022
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Violation
Medical examination report form did not contain all required information as evidenced by the correct form was on file; however, the medical provider failed to complete the limitation and restriction sections for Shakyra Poke and Lauren Bell.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
4/4/2022
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5 CSR 25-500.132 Admission Policies and Procedures
Compliance
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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
Compliance
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Rosaline Bailey.
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
4/4/2022
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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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