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5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Violation
| | Provider Comments |
Violation
The schedule of daily activities did not contain information as required in 5 CSR 25-500.182, as evidenced by hand-washing is missing before snack and lunch; missing full day school age schedule; unable to determine 1 hour outside time.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (D) states: A schedule of daily activities for each age group in care (infant/toddler, preschool, and school-age);
Correction Required
The facility shall submit a daily schedule for all ages of children in care.
Correction Verification
Submit Documentation
Compliance Date
10/26/2022
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Violation
The name, address and telephone number of the owner(s) was not prominently posted near the license.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (13) (B) states: Facility owner(s);
Correction Required
The name, address, and phone number of the owner shall be posted near the license.
Correction Verification
Submit Documentation
Compliance Date
8/26/2022
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Violation
The equipment list did not contain information as required in 5 CSR 25-500.092, as evidenced by missing equipment list for the 1105 Humes building.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (F) states: An itemized list of available materials and equipment to be used by children;
Correction Required
The facility shall submit an equipment list that ensures the home has the required amount of equipment.
Correction Verification
Submit Documentation
Compliance Date
9/8/2022
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Violation
A written disaster and emergency plan was not submitted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (H) states: A written disaster and emergency plan;
Correction Required
The facility shall submit a written disaster and emergency plan.
Correction Verification
Submit Documentation
Compliance Date
11/16/2022
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Violation
The lines of administrative authority were not submitted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (I) states: Lines of administrative authority;
Correction Required
The facility shall submit lines of administrative authority.
Correction Verification
Submit Documentation
Compliance Date
11/16/2022
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Violation
The sample forms were not submitted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (J) states: Sample forms used, other than those supplied by the department;
Correction Required
The facility shall submit all sample forms to be used.
Correction Verification
Submit Documentation
Compliance Date
10/26/2022
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Violation
The sanitation inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (K) states: Evidence of compliance with local or state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
10/27/2022
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Violation
The facility had no evidence of compliance with local building and zoning requirements.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (4) (L) states: Evidence of compliance, if applicable, with local building and zoning requirements;
Correction Required
The facility shall submit evidence of compliance with local building and zoning.
Correction Verification
Submit Documentation
Compliance Date
8/29/2022
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Violation
The fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (5) states: Prior to the granting of a license, the provider shall meet the requirements of 5 CSR 25-500.087 Fire Safety.
Correction Required
The facility shall submit evidence of compliance with fire safety requirements.
Correction Verification
Submit Documentation
Compliance Date
8/23/2022
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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
Hazardous items as follows were accessible to children: cans of paint, wood stain, spray paint, power tools. The item(s) was/were located on the floor, in unlocked closets and on low shelves.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Submit Documentation
Compliance Date
8/24/2022
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Violation
The walls located in the main building and the school age building was/were not in good condition as evidenced by the wall with the new door-way has exposed plaster near the electrical outlet in the main building; missing wall vents in the main building and there is a missing wall vent in the front art/foyer area in the school age building.
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
9/12/2022
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Violation
The walls located in the main building was/were not clean as evidenced by visible black smudge marks on the doors.
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
9/12/2022
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Violation
The floors located in the main building was/were not in good condition as evidenced by wood floors surface is showing signs of excessive wear and the top varnish is wearing out exposing bare wood.
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
9/12/2022
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Violation
There was evidence of spiders/webs in the child care space in corners and along ceiling and floors.
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
Submit Documentation
Compliance Date
9/12/2022
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Violation
Individual storage space requirements were not met as evidenced by there was no space for each child's belongings.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. F. states: Each child shall be provided individual space, accessible to the child, for storage of each childs' clothing and other personal belongings.
Correction Required
The facility shall provide accessible, individual space for each child's belongings.
Correction Verification
Submit Documentation
Compliance Date
9/8/2022
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Violation
There was no diapering table in the preschool unit and a two year old child was present.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (C) states: Facilities initially licensed after the effective date of these rules and accepting two (2)-year olds for care in the preschool unit shall have a diapering table available in the preschool unit.
Correction Required
The facility shall provide a diapering table in the preschool unit as required. (GF)
Correction Verification
Submit Documentation
Compliance Date
11/15/2022
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by branches, brush, debris, and limbs on the school age playground. The wood barriers are splintering with exposed barrier posts.
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
9/12/2022
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5 CSR 25-500.087 Fire Safety
Violation
| | Provider Comments |
Violation
The hangings/draperies in both buildings were not treated with a flame retardant material.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (B) states: Hangings or draperies shall not be placed over exit doors or located to conceal or obscure any exit. All hangings and draperies shall be treated with a flame retardant material with verification of the treatment on file at the facility and available for review by the fire inspector.
Correction Required
Draperies and wall hanging must be flame retardant and not placed over exit doors.
Correction Verification
Submit Documentation
Compliance Date
8/25/2022
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Violation
The facility’s evacuation/emergency plan was not posted.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (E) states: The evacuation/emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for infants and nonambulatory children.
Correction Required
Evacuation/emergency plan must be posted/complete.
Correction Verification
Submit Documentation
Compliance Date
8/31/2022
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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 there are no plans in the school age building and in the rooms in the main building.
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
Submit Documentation
Compliance Date
8/31/2022
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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
Submit Documentation
Compliance Date
8/31/2022
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Violation
The facility's list of emergency numbers are not posted in each room used for child care, specifically in the school age building and the rooms in the main building.
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
Submit Documentation
Compliance Date
8/31/2022
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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
Submit Documentation
Compliance Date
8/31/2022
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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
Submit Documentation
Compliance Date
11/16/2022
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Furniture/equipment, chairs and tables, in the main building and school age building was not in good condition as evidenced by multiple chairs are rusted on the legs and the wood is splintering on seats and back of the chairs and the base/legs of the tables have chipping wood and paint.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Submit Documentation
Compliance Date
9/8/2022
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Violation
The requirements for sleeping materials were not met as evidenced by the sheets were not laundered at least once a week.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. B. states: All bedding shall be clean with sheets laundered at least once a week. Once bedding has been used by a child, it shall not be used by another child until it has been laundered.
Correction Required
Each child who naps shall be assigned a clean sheet and blanket as required.
Correction Verification
Submit Documentation
Compliance Date
9/12/2022
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Violation
Outdoor equipment, fire truck and wooden jungle gym, in school aged play ground was not free of pointed parts as evidenced by the wood on the jungle gym is splintering and the fire truck has chipping paint, .
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
8/31/2022
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5 CSR 25-500.102 Personnel
Compliance
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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 Barbara Pellikaan and Tammy Gergen as evidenced by a medical examination was not on file at the facility at the time of initial licensure.
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
8/31/2022
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Violation
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Barbara Pellikaan and Tammy Gergen.
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
8/31/2022
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Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were unknown for five children and one child enrollment date is 8/22/2022.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
8/31/2022
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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
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
8/31/2022
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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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