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5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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5 CSR 25-300.040 Staffing Requirements
Compliance
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5 CSR 25-300.050 Health Requirements
Violation
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Violation
Medical examination reports, including TB testing, were not on file for Denise Dellripa and Bailey Rathbert 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 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/28/2022
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Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the TB test did not include a screening date. .
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/28/2022
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Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 1. states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment.
Correction Required
Medical/TB reports shall be on file as required
Correction Verification
Submit Documentation
Compliance Date
7/19/2022
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5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
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5 CSR 25-300.070 Fire Safety Requirements
Compliance
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5 CSR 25-300.080 Sanitation Requirements
Compliance
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of exposed material in bench area and lack of residual material under swings.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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
8/10/2022
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Violation
Equipment in the outdoor play area, the wooden climbing structure and connecting concrete openings, was not in good condition as evidenced by the wooden planks were splintered and the concrete openings had cracks and loose concrete .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.
Correction Verification
Submit Documentation
Compliance Date
8/10/2022
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
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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.
Compliance
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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