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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
Violation
| Provider Comments |
Violation The Annual Declaration was not completed as evidenced by incorrect Board President information was listed. Licensing Rule Reference 5 CSR 25-500.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required The facility shall submit the Annual Declaration as required.
Correction Verification Submit Documentation
Compliance Date 2/1/2022
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Violation The staff sheet was not submitted. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required The facility shall submit a current staff sheet as required.
Correction Verification Submit Documentation
Compliance Date 3/15/2022
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Violation The Family Care Safety Registry check was not conducted for Lanee Morgan, Patrice Knopp, Marnie McCloud, Madison Swank, Alisha Foster, Katlyn Constable, Amanda Gibbs, Jamie Todd, Summer Page, Cearia Wardlow, Kayla Tiller, Alexis Lee, Addie Ford, and James Youse. (Reinspection on 2-1-2022, per Summer Page (director) , Alicia Foster and Sierra Wardlow are no longer employed.) (Compliance Monitoring inspection 5-16-2022, Patricie Knopp, Madison Swank, Alexis Lee are no longer employed per Summer Page, director) within thirty (30) days prior to the anniversary date. Licensing Rule Reference 5 CSR 25-500.052 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 5/16/2022
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation Hazardous items as follows were accessible to children: sunscreen and A & D ointment. The item(s) was/were located in reach of the children in the cubbies. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 5/16/2022
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Violation The premises were not safe and suitable as evidenced by a staff's personal purse for which the staff member stated it contained medication was left in reach of the children. Staff member moved the purse out of reach of the 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 Corrected on Site
Compliance Date 5/16/2022
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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 Background screening information was not available for review for James Youse (Letter and FCSR) and Addie Ford (FCSR). During re-inspection on 2-1-2022, new staff Brittaney Powell, Layla Horn, Katie Huskey and Olivia Brown did not have FCSR on file and have started employment on 1-31-2022. During inspection on 5-16-2022, FCSR was available for James Rouse and Olivia Brown. Licensing Rule Reference 5 CSR 25-500.102 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 5/16/2022
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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: Tawni Ivers. 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 Corrected on Site
Compliance Date 5/16/2022
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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 A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kelli Pafford (first page for staff). During inspection on 5-16-2022, Kelli Pafford's TB Risk Assessment was viewed to be corrected violation. During inspection on 5-16-2022, Olivia Brown did not have a TB Risk Assessment on file for review. 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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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 Spencer Koch. During re-inspection on 2-1-2022, new staff Brittaney Powell, Layla Horn, Katie Huskey, and Olivia Brown did not have criminal background check results on file and started employment on 1-31-2022. During inspection on 5-16-2022, Summer Page, director, stated, Layla Horn, Katie Huskey no longer work at Bright Beginnings. Spencer Koch Background Screening information corrected on 5-16-2022. Criminal Background Screening is still needed for Olivia Brown. 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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