| |
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 facility's outdoor space was not safe for children's activities as evidenced by the orange slide on the gray play structure is cracked.
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
12/16/2022
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the weeds on the right side of the playground needs to be cut..
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
12/16/2022
|
|
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
Submit Documentation
Compliance Date
12/16/2022
|
|
Violation
The premises were not safe and suitable as evidenced by there is a surge protector with four items plugged in hanging from the wall under a white table on the infant/toddler side that is accessible to children. During the inspection one toddler child crawled under the table and began playing with the cords.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Submit Documentation
Compliance Date
12/16/2022
|
|
|
5 CSR 25-500.087 Fire Safety
Compliance
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the white, green, and blue infant stand up bouncer was dirty with visible dirt around the white part of the bouncer.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Submit Documentation
Compliance Date
12/16/2022
|
|
|
5 CSR 25-500.102 Personnel
Compliance
|
5 CSR 25-500.112 Staff/Child Ratios
Compliance
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
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 1/24/22 for both children.
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
1/26/2023
|
|
|
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
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for two child(ren).
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
12/16/2022
|
|
|
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 there was no information about what a toddler child eats. The plan had that the child drinks evaporated milk. No table food was listed.
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
12/16/2022
|
|
|
5 CSR 25-500.212 Transportation and Field Trips
Compliance
|
5 CSR 25-500.222 Records and Reports
Violation
| | Provider Comments |
Violation
Two 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
Submit Documentation
Compliance Date
12/16/2022
|
|
Violation
Daily attendance records were not maintained on file as evidenced by there was no staff/volunteer attendance record for the following staff: ZaKyra Barnes, Austi Johnson, or Crystal Crowder.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.
Correction Verification
Submit Documentation
Compliance Date
12/16/2022
|
|
|
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
|