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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 facility's outdoor space was not safe for children's activities as evidenced by blue and clear plastic pieces with sharp edges, clear plastic bags, broken bike handle. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 6/28/2022
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Violation The facility's outdoor space was not safe for children's activities as evidenced by broken tricycle seat. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 6/28/2022
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Violation The diapering area requirements were not met as evidenced by warm running water was not adjacent to the diapering area. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (D) states: Diapering supplies and warm, running water shall be adjacent to the diapering area. Correction Required The facility shall supply the diapering area as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not have the required number of diapering tables. There was an insufficient number of diapering tables as evidenced by there were no diapering table(s) for eight two year olds. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (B) states: Facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space shall have one (1) diapering table for every group of eight (8) infant/toddlers and one (1) diapering table for every group of sixteen (16) two (2)-year olds. Correction Required The facility shall provide one diaper change table for every group of 8 I/Ts and one diaper change table for every 16 two-year olds. (GF)
Correction Verification Submit Documentation
Compliance Date
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Violation Diapering requirements were not met as evidenced by the diapering table was not safe in that countertops are being used and there are no lips or ledges preventing a child from falling in both infant and toddler rooms. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required The facility shall provide a safe and clean diapering table as required.
Correction Verification Submit Documentation
Compliance Date
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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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. Correction Required The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification Corrected on Site
Compliance Date 6/28/2022
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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
Violation
| Provider Comments |
Violation Outdoor equipment, three Radio Flyer tricycles , in outdoor play area was unsafe as evidenced by missing handle bar covers. Licensing Rule Reference 5 CSR 25-500.092 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 play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for infant and toddler equipment as evidenced by insufficient amount of equipment and materials. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. states: Infants and toddlers shall have safe toys which shall be washed when soiled. Toys, parts of toys or other materials shall not be small enough to be swallowed. Toys and materials shall include a minimum of one (1) approved item from each of the following categories for each infant and toddler in the licensed capacity of the facility: Correction Required The facility shall provide safe, clean toys.
Correction Verification Submit Documentation
Compliance Date 6/28/2022
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Violation Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used. Correction Required Safe and secure feeding equipment shall be provided as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.102 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: Houdoumati Aoussidine needs 5.25 hours and Khairto Sheikh needs 1 hour. 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
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5 CSR 25-500.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Staff/child ratio requirements were not met as evidenced by 18 children, ages preschool, were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report form did not contain all required information as evidenced by Maryan Mohamed's medical examination report indicated that she is not in good physical and emotional health and free of contagious disease. 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. The Medical Examination Report for Caregivers and Staff form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required Medical 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 25-500.162 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
Compliance
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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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