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5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
| | Provider Comments |
Violation
An approved Notice of Parental Responsibility was not on file for 6 child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
An approved Notice of Parental Responsibility was not on file for 2 child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-300.040 Staffing Requirements
Violation
| | Provider Comments |
Violation
Supervision and basic care were not provided as evidenced by 3 children ages 6, 8, & 10 years old were unattended in the Clubhouse Room. Upon arriving the 8 & 10 year old were mixed in with other classrooms but at some point during the inspection they joined the 6 year old in the Clubhouse Room.
Licensing Rule Reference
5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities.
Correction Required
Caregivers shall provide basic care and supervision.
Correction Verification
Corrected on Site
Compliance Date
7/14/2022
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5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
TB reports on file were older than 24 months for Cheryl Khoury.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-300.060 Responsibilities of Caregivers
Not Observed
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5 CSR 25-300.070 Fire Safety Requirements
Not Observed
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5 CSR 25-300.080 Sanitation Requirements
Not Observed
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by the facility has opened Classroom 320 & 218/219 which was not approved for use by children.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) 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
7/14/2022
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Violation
Hazardous items as follows were accessible to children: various brands & colors of paint for interior/exterior. The item(s) was/were located on a cart in the hallway by the bathroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
7/14/2022
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Violation
The walls located in the Infant Room was/were not in good condition as evidenced by the paint was chipped off of the wall under the outlet near the play mats exposing bare drywall.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
The walls located in the 2 Year Old Room was/were not in good condition as evidenced by the paint was chipped off above the baseboard exposing bare drywall.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
The walls located in the Toddler 2 Room was/were not in good condition as evidenced by the paint was chipped off of the half wall in the Play Area & under the hooks exposing bare drywall.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
The walls located in the 4 Year Old Classroom was/were not in good condition as evidenced by the paint was chipped off on the wall near the cabinet & above the toilet exposing bare drywall.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
The premises were not safe and suitable as evidenced by there was no outlet/switch plate/cover on the switches right inside the door in the Infant Room.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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
7/14/2022
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Violation
The facility had inadequate equipment for children being toilet trained as evidenced by no bathroom for every twenty-four children as evidence by 2 of the Infant/Toddler Units do not have bathrooms within the classroom space. According to the Facility Diagram these would be Classrooms 109 & 218/219.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (F) states: For infants, toddlers and children not toilet trained, one (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit. One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for ever four (4) children being toilet trained.
Correction Required
The facility shall provide one potty chair, junior commode or toilet adapter for every 4 children being toilet trained.
Correction Verification
Return Inspection
Compliance Date
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Violation
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not safe as evidenced by the TV in the 4 Year Old Room was not anchored to the wall or shelf.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not in good condition as evidenced by the finish on the train table in the 2 Year Old Room was peeling off exposing bare particle board.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
7/14/2022
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Violation
Children were not restricted to approved space as evidenced by 1 child who is 5 years old was Room 218/219 which is being painted & is not approved childcare space.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Corrected on Site
Compliance Date
7/14/2022
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Violation
Hazardous items as follows were accessible to children: Clorox Wipes & Odoban Spray. The item(s) was/were located in a storage cart in the hall bathroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
7/14/2022
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Violation
Hazardous items as follows were accessible to children: paint for interior/exterior. The item(s) was/were located in Room 218/219.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
7/14/2022
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name of the individual(s) authorized to take the child.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (E) states: The name of the individual(s) authorized to take the child from the premises.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 children did not have enrollment paperwork on file regarding this acknowledgement.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 children did not have enrollment paperwork on file regarding this acknowledgement.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Return Inspection
Compliance Date
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Violation
Enrollment, medical and attendance records were not accessible as evidenced by records were not on file at the facility - specifically for 2 children.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 6 states: All enrollment records, physical assessment reports and attendance records shall be filed in a place known to caregivers and shall be accessible during normal visiting hours for inspection by the department. Records shall not be in a locked area or removed from the premises during operating hours.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.
Correction Verification
Return Inspection
Compliance Date
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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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Not Observed
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Not Observed
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed
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