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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 miscellaneous trash was present on the playground.
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
Corrected on Site
Compliance Date
8/24/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by there are multiple black trash bags filled with unknown items as well as a empty trash bag box.
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
8/24/2022
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Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.
Correction Verification
Submit Documentation
Compliance Date
8/24/2022
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Violation
The walls located beside the kitchen entrance was/were not finished with material which can be cleaned easily as evidenced by paint was chipped resulting in exposed sheetrock.
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
8/24/2022
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5 CSR 25-500.087 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
8/24/2022
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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, the tall red slide, in the middle of the playground was not in good condition as evidenced by the duct table along the side is unraveling.
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
8/24/2022
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Violation
Outdoor equipment, the green slide, in the left side of the playground was not in good condition as evidenced by the duct tape is unraveling.
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
8/24/2022
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Violation
Outdoor equipment, the tall red slide, in the middle of the playground was not in good condition as evidenced by there are four cracks in the slide.
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
8/24/2022
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Violation
Outdoor equipment, the black tire border, in the middle of the playground was not in good condition as evidenced by there are rips in the tire.
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
8/24/2022
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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: Paige Skinner
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
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Violation
The facility orientation did not include a tour of the facility for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 1. states: A tour of the facility, indoors and outdoors.
Correction Required
Each caregiver shall have a facility orientation that shall include a tour of the facility, both indoors and outdoors.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the licensing rules for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. A. states: Licensing rules;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the licensing rules.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the facility’s license and its limitations for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. B. states: The facility’s license and its limitations, if any;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the license and its limitations.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the child care practices for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the daily schedule for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. D. states: The daily schedule;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the daily schedule.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of assigned duties and responsibilities for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. E. states: The assigned duties and responsibilities of staff;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the assigned duties and responsibilities.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the procedures for medication administration for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the procedures for medication administration for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the disaster emergency plan for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. I. states: The facility’s disaster emergency plan and the location of emergency information;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the emergency plan and location of emergency records.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the location of emergency information for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. I. states: The facility’s disaster emergency plan and the location of emergency information;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the emergency plan and location of emergency records.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the special health needs of the children for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the developmental needs of the children for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the procedures for discipline and guidance for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the child care practices or procedures for medication administration, child illness, or discipline and guidance for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Background screening information was not available for review for Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not conduct a Family Care Safety Registry screening for Paige Skinner, who was hired on 7/7/22.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of their responsibility as a mandated reporter for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. J. states: The mandated responsibility to report any suspected child abuse or neglect to the Children’s Division at the toll-free number 1-800-392-3738 or online at https://apps.dss.mo.gov/OnlineCanReporting/default.aspx.
Correction Required
Each caregiver shall have a facility orientation that shall include a review of their responsibility as a mandated reporter.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the disaster plan or location of emergency information for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. I. states: The facility’s disaster emergency plan and the location of emergency information;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the emergency plan and location of emergency records.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the safe sleep policy for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. H. states: The facility’s safe sleep policy, if applicable;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the safe sleep policy.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the location of children’s records for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. G. states: The location of children’s records;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the location of children's records.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility orientation did not include a review of the names, ages, special health needs, nutritional needs, or developmental needs of the children for the following staff: Paige Skinner.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-500.112 Staff/Child Ratios
Compliance
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5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST for the following staff: Paige Skinner.
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
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Violation
Medical examination report(s) was/were not on file for Paige Skinner 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
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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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