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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
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for JC, TG, ES, CL, BC, SD, PD, GH, EJ, AK, AL, LP, CW 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 7/20/2022
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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5 CSR 25-500.087 Fire Safety
Compliance
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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 Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that an 11 1/2 month old infant/toddler was sleeping on a cot. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. A. states: An individually assigned crib, portable crib or playpen shall be provided and used for each infant and toddler. Stack cribs shall not be used. Correction Required The facility shall provide approved sleeping equipment as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
Violation A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: JC. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (F) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number at www.OPENInitiative.org. Correction Required All caregivers shall obtain a MOPD ID.
Correction Verification Submit Documentation
Compliance Date 7/20/2022
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Violation A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: ES needs 2 clock hours. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required Required training hours shall be documented for each employee.
Correction Verification Submit Documentation
Compliance Date 9/19/2022
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Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: HP and CB 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 requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity. Licensing Rule Reference 5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. Correction Required Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification Submit Documentation
Compliance Date 7/20/2022
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Violation The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity. Licensing Rule Reference 5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. Correction Required Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification Submit Documentation
Compliance Date 7/20/2022
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Violation JC and TG did not complete safe sleep training within 30 days of employment or volunteering at the facility. Licensing Rule Reference 5 CSR 25-500.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility. Correction Required The department approved safe sleep training must be completed within 30 days of employment or volunteering.
Correction Verification Submit Documentation
Compliance Date 8/2/2022
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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 Medical examination report(s) was/were not on file for TG 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 7/20/2022
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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
Violation
| Provider Comments |
Violation The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that the second page of the Infant Toddler feeding plan was missing. Licensing Rule Reference 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.
Correction Verification Submit Documentation
Compliance Date
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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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