| Compliance List |
5 CSR 25-400.025 Organization and Administration
Not Observed
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5 CSR 25-400.045 Licensing Process
Violation
| | Provider Comments |
Violation The number of children was/were exceeded as evidenced by 11 children present. Licensing Rule Reference 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required The provider shall maintain compliance with the specifications on the license.
Correction Verification Return Inspection
Compliance Date 4/19/2022
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5 CSR 25-400.055 Annual Requirements
Violation
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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 Submit Documentation
Compliance Date 4/14/2022
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Violation The Family Care Safety Registry check was not conducted for Raphael Stivers 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
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Violation The premises were not safe and suitable as evidenced by the snow blower in back the back yard. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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 4/14/2022
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Violation The premises were not safe and suitable as evidenced by the concrete pad under the air conditioner is broken and there are large pieces of concrete. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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 4/14/2022
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Violation The premises were not safe and suitable as evidenced by 3 large black bags of trash located in the play room. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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 4/14/2022
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Violation The premises were not safe and suitable as evidenced by battery pack tool, instant power battery jump tool and battery pack tool located in play room. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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 4/14/2022
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Violation The facility has not met the requirements for fire and safety as evidenced by they do not have an approved fire inspection on file. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee. Correction Required The facility shall comply with fire and safety requirements.
Correction Verification Submit Documentation
Compliance Date 2/23/2022
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Violation Hazardous items as follows were accessible to children: two Swiffer wet mop spray bottles filled with cleaner located in Swiffer. The item(s) was/were located in the play 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 Submit Documentation
Compliance Date 4/19/2022
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Violation Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. C. states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily. Correction Required The facility shall provide required supplies accessible for children's use.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4 - 7 " gap on south side of fence with loose and broken board leaning against it. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5" opening beside the gate. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a food grill located in the back yard. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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 4/14/2022
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by Sprite soda bottle and juice bottle located in back yard. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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 4/14/2022
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by snow blower located in back yard. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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 4/14/2022
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Violation The provider did not provide resilient material necessary for the protection of children as evidenced by no resilient material located under swings and slide. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 7. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children. Correction Required Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation Hazardous items as follows were accessible to children: 5.4 oz tube of Crest toothpaste. The item(s) was/were located in the bathroom. 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 4/19/2022
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5 CSR 25-400.086 Fire Safety
Violation
| | Provider Comments |
Violation The requirements for protective outlet covers were not met as evidenced by no outlet cover on plug in living room. 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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Violation The facility was observed using an extension cord in play room. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 11 (C) states: Electrical extension cords shall not be used unless approved in writing by the fire inspector. Correction Required Unapproved extension cords shall not be used.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation An infant was observed sleeping in a/an baby swing. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time. Correction Required Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification Return Inspection
Compliance Date 4/19/2022
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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 7. 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 4/19/2022
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Violation Outdoor equipment, playhouse, in the back yard was not free of loose parts as evidenced by loose piece on the roof and door broken off of front. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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 Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date
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Violation Outdoor equipment, climbing wall, in back yard was unsafe as evidenced by the wall being broken off from the playset and laying on the ground. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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 Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation Outdoor equipment, teeter totter, in back yard was not in good condition as evidenced by a broken seat on the end. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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 Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation Outdoor equipment, four wheeler with exposed battery, in the back yard was unsafe as evidenced by exposed wires and battery. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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 Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date 4/14/2022
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Violation The seats of swings in the outdoor play area did not have lightweight seats of rubber, plastic, canvas or nylon as evidenced by tire swing tied to tree outside. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (G) states: Swings shall have lightweight seats of rubber, plastic, canvas or nylon. Correction Required Swing seats shall be constructed of an approved material.
Correction Verification Submit Documentation
Compliance Date 4/19/2022
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation Safe sleep training was not completed within the past 3 years for the assistant(s), Raphael Stivers. 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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Violation Safe sleep training was not completed within the past 3 years for the provider, Destiny James. 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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Violation Staff/child ratio requirements were not met as evidenced by 3 children under age two and 8 children over age two were cared for by 1 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 4/19/2022
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5 CSR 25-400.115 Day Care Family and Household
Not Observed
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5 CSR 25-400.125 Medical Examination Reports
Not Observed
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5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
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5 CSR 25-400.145 Nighttime Care
Not Observed
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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
Not Observed
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5 CSR 25-400.185 Health Care
Not Observed
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5 CSR 25-400.190 Nutrition and Food Service
Not Observed
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5 CSR 25-400.200 Transportation and Field Trips
Not Observed
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5 CSR 25-400.210 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Not Observed
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5 CSR 25-600.040 Background Screening Findings
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 - report made to another state, when.
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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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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