DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BUTTONS AND BOWS PRESCHOOL DEVELOPMENT CENTER, INC.

000186347

(314) 381-5544

2819 UNION BLVD
ST LOUIS
MO  63115-1002

BUTTONS AND BOWS PRESCHOOL DEVELOPMENT CENTER, INC.

2819 UNION BLVD
ST LOUIS
MO  63115

SMITH-INGRAM, LATASHIA ODESSA

LATASHIAS@YAHOO.COM

Incorporated

PATRICK OMALLEY

6 WEEKS - 12 YEARS

196

GROUP HOME AND CENTER

23 CHILDREN IN THE INFANT/TODDLER UNIT; 16 CHILDREN UNDER 12 MONTHS; 2819 UNION BLVD: CAPACITY 196 CHILDREN, 6 WEEKS THRU 12 YEARS
 
Inspection Information

08/23/2022

7:55 AM

10:45 AM

UNANNOUNCED

COMPLIANCE MONITORING

2429520907


DocumentDocument-Date
POLICIES 06/12/2008
DIRECTOR'S QUALIFICATIONS 10/31/1991
DIAGRAM/OUTDOOR 05/31/1985
DIAGRAM/INDOOR 05/31/1985
LINES OF ADMINISTRATIVE AUTHORITY 11/01/1985
JOB RESPONSIBILITIES 11/01/1985
SAMPLE FORMS 11/01/1985
SAMPLE WEEKLY MENU 11/01/1985
CHILD CARE PRACTICES 06/12/2008
CERTIFICATE OF GOOD STANDING 06/08/2016
ARTICLES OF INCORPORATION 07/05/2016
DISCIPLINE POLICIES 06/12/2008
DAILY SCHEDULE 05/02/2014
SAFE SLEEP POLICY 06/08/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN 02/01/2012
LOCAL ZONING APPROVAL 06/19/2018
LOCAL BUILDING APPROVAL 06/19/2018
STAFF SHEET 06/20/2022
APPLICATION 06/18/2018
SANITATION INSPECTION 06/16/2022
FIRE/SAFETY INSPECTION 05/26/2022
EQUIPMENT LIST 07/12/2022
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/13/2021
ANNUAL DECLARATION 08/02/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 6
Total Children 19
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Teachers Nicole Torry and Codiedra Burns were in attendance with six children present ages 4-months-old to 18-months-old.
2 13 MIXED Teachers Mareay Chillers and Kiara Adams were in attendance with thirteen children present ages 2-years-old to 8-years-old.
2 0 NO CHILDREN IN ATTENDANCE Director Latashia Smith and receptionist April Hamm were present with no children in attendance.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that meal area and muppet babies 2.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
There was evidence of roaches in muppet babies 1 as evidenced by a dead roach on the floor.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
Emergency numbers for the police, fire department, and ambulance were not posted.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 11. states: Telephone numbers for the police, fire department, ambulance and other emergency telephone numbers shall be posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
Staff or older children used the infant/toddler areas as passageway to other parts of the building as evidenced by a preschooler passing through the infant/toddler space at drop-off.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VIII) states: Infant/toddler areas may not be used by staff or older children as passageways to other areas of the building.
Correction Required
Infant/toddler areas shall not be used as a passageway by other staff or children.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
Diapering requirements were not met as evidenced by the diapering table was not safe in that the lip was not sufficient to prevent an infant from rolling off.
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
Corrected on Site

Compliance Date
8/23/2022
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plans in the panda bears room and downstairs.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The facility’s name, address and telephone number was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically the downstairs.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
The facility must post all emergency numbers as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
3 child(ren) records did not include employers' name of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
2 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
3 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
3 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
Violation
3 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2022
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance