|
5 CSR 25-500.032 Organization and Administration
Not Observed
|
5 CSR 25-500.042 Licensing Process
Not Observed
|
5 CSR 25-500.052 Annual Requirements
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Angela Ayers, Presley Borgman, and Brenna Killip 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
|
|
Violation The annual sanitation inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification Submit Documentation
Compliance Date 6/30/2022
|
|
|
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation The walls located in pre-k room was/were not in good condition as evidenced by chipping and peeling paint. 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 6/30/2022
|
|
Violation The walls located in toddler 3 room was/were not in good condition as evidenced by chipping and peeling paint. 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 6/30/2022
|
|
Violation The walls located in toddler 1 room was/were not in good condition as evidenced by chipping and peeling paint. 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 6/30/2022
|
|
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 Submit Documentation
Compliance Date 6/30/2022
|
|
Violation Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in a kitchenette area located next to the infant/toddler classroom. . 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 6/30/2022
|
|
Violation The space for infants and toddlers is not separated by floor-to-ceiling walls. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation The walls located in the infant rooms was/were not finished with material which can be cleaned easily as evidenced by wooden gate between infant/toddler rooms were not painted and were not made of a material that could easily be painted . 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 6/30/2022
|
|
Violation Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that Infant Nursery has 0.0 foot candles, Infant/Toddler has 0.2 foot candles, Infant/Toddler has 1.9 foot candles, and four year old classroom has 0.0 foot candles. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 4. states: Artificial or natural lighting shall supply at least ten (10) footcandles of light throughout each room used for child care. Correction Required Rooms used by children shall be equipped with required lighting.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation Hazardous items as follows were accessible to children: Kitchen Knife, 3 gallons of Great Value Bleach, 8 ounce Gorilla Wood Glue, 1 gallon Krud Kutter Degreaser, 28 ounce bottle of Ajax, two 2 liter bottles of Windex, 32 ounce bottle of Murphy's Oil, 2 quart bottle of Liquid Draino, 1 package of glue traps, 1 box of Borax, 1 gallon of Clorox Urine Remover, two pizza cutters, 1 gallon of bleach water in a vitamin D gallon milk carton, 4 bottles of Windex, two 19 ounce cans of Lysol . The item(s) was/were located in an unlocked kitchen area near preschool and school age classrooms. . 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 Return Inspection
Compliance Date 6/30/2022
|
|
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 6/30/2022
|
|
Violation Children were not restricted to approved space as evidenced by The kitchen door was unlocked and accessible to the children. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation The premises were not safe and suitable as evidenced by Infant/Toddler Classrooms lights were off and sound equipment was being used. Staff could not see or hear the children they were supervising. . 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 Return Inspection
Compliance Date 6/30/2022
|
|
|
5 CSR 25-500.087 Fire Safety
Violation
| Provider Comments |
Violation The means of egress in the infant/toddler room was obstructed in that a large fence and baby beds were blocking the fire exit. . Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (1) (M) states: Means of egress is a continuous and unobstructed way of travel from any point in a building or structure to a public way. A means of egress consists of three (3) distinct parts: the exit access, the exit, and the exit discharge; Correction Required Means of egress must be unobstructed.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation The door, located infant toddler room, used as an exit from the facility was locked/latched and the lock/latch was higher than 50 inches above the finished floor. Licensing Rule Reference 5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, green turf on grass gate, in in the nursery 2 room was not in good condition as evidenced by turf peeling and falling off. Licensing Rule Reference 5 CSR 25-500.092 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 6/30/2022
|
|
Violation An exit located in Infant/Toddler Classroom was blocked by a picket fence on wheels.. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits. Correction Required Caregivers shall keep passageways to all exits clear.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation Furniture/equipment, plastic storage drawers, in the 3-year-old room was not in good condition as evidenced by cracked and broken plastic on the right of the unit. Licensing Rule Reference 5 CSR 25-500.092 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 6/30/2022
|
|
|
5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Presley Borgman, Brenna Killip, Teela Pendergrast, Leisa Wolfe, Alice McGuire, and Kimberly Woodring 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 facility orientation shall include: Correction Required The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.
Correction Verification Submit Documentation
Compliance Date
|
|
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: Angela Ayer-12, Abigail Wolfe- 2, Paul Wolfe- 12. 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
|
|
Violation Safe sleep training was not completed within the past 3 years for the following staff Angela Ayers, Presley Borgman, Brenna Killip, Teela Pendergrast, Samantha Resner, and Leisa Wolfe. 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
|
|
|
5 CSR 25-500.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Staff/child ratio requirements were not met as evidenced by six children, ages six months to one year old , were cared for by Shanyna Lamb caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group; Correction Required Correct staff/child ratios and group size shall be maintained.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation Staff/child ratio requirements were not met as evidenced by 1 children, ages four year old, were cared for by no caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children; Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
Violation Staff/child ratio requirements were not met as evidenced by twenty-two children, ages three and four-years old, were cared for by Destiny Stevens and Shannon Roberts caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children; Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 6/30/2022
|
|
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Presley Borgman, Brenna Killip, Samantha Resner, Leisa Wolfe, Alice McGuire, Aubrey Taylor, Destiny Taylor, and Kimberly Woodring 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 child 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
|
|
Violation A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Presley Borgman, Brenna Killip, Leisa Wolfe, Alice McGuire, Aubrey Taylor, Destiny Stevens, and Kimberly Woodring. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
|
5 CSR 25-500.142 Nighttime Care
Not Observed
|
5 CSR 25-500.162 Overlap Care of Children
Not Observed
|
5 CSR 25-500.172 Emergency School Closings
Not Observed
|
5 CSR 25-500.182 Child Care Program
Violation
| Provider Comments |
Violation Caregiver did not provide frequent, direct contact as evidenced by large wooden fences in the classroom that blocked the view of children from the teachers. Licensing Rule Reference 5 CSR 25-500.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises. Correction Required The facility shall provide competent adult supervision for each child as required.
Correction Verification Submit Documentation
Compliance Date 6/30/2022
|
|
|
5 CSR 25-500.192 Health Care
Not Observed
|
5 CSR 25-500.202 Nutrition and Food Service
Not Observed
|
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
|
5 CSR 25-500.222 Records and Reports
Violation
| Provider Comments |
Violation Child A child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation A copy of qualifying background screening results was/were not kept on file for: Presley Borgman, Brenna Killip, Teela Pendergrast, Leisa Wolfe, Abigail Wolfe, Alice McGuire, and Kimberly Woodring. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (8) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 5 CSR 25-600.020 General Requirements. Correction Required The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).
Correction Verification Submit Documentation
Compliance Date
|
|
Violation Child A child(ren) records did not include name of family physician or hospital. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
5 CSR 25-600.020 General Requirements
Not Observed
|
5 CSR 25-600.040 Background Screening Findings
Not Observed
|
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
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
|