| Compliance List |
5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Violation
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Violation Conditions of a variance were not met as evidenced by there was one child in the toddler room who was not 12 months old; there were 1 crib and 1 pack n play in the toddler room. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (19) states: All child care provided on the premises of a licensed group child care home or child care center shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee. Correction Required The facility shall maintain compliance with the specifications on the license and conditions of any variance granted.
Correction Verification Return Inspection
Compliance Date
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5 CSR 25-500.052 Annual Requirements
Violation
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Violation The annual sanitation inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
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Violation The premises were not safe and suitable as evidenced by the stairway to the outdoor play area for the preschool children had boards nailed to the railing which had multiple nails sticking out toward the stairway. 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 Return Inspection
Compliance Date
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Violation Children were not restricted to approved space as evidenced by the bathroom in the infant/toddler room is being used for storage and it was not made inaccessible to children. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Submit Documentation
Compliance Date
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Violation The floors located in the infant room was/were not in good condition as evidenced by the flooring was broken at the exit door. 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
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Violation The facility's outdoor space was not safe for children's activities as evidenced by broken lattice on the outdoor play area. 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
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Violation Children were not restricted to approved space as evidenced by an office space was created in the back portion of the daycare and it is not inaccessible to children. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Submit Documentation
Compliance Date
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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 Infant sleeping requirements were not met as evidenced by mattress cover was not tight fitting. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. F. states: Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tightly fitting and thin. Correction Required Infant sleeping requirements shall be met.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used. Correction Required Safe and secure feeding equipment shall be provided as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Outdoor equipment, a tricycle, in the outdoor play area was not in good condition as evidenced by there was no seat and the screws for the seat were still attached. 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
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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
Compliance
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5 CSR 25-500.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation A child three years of age was in the I/T room with 10 children in attendance. Licensing Rule Reference 5 CSR 25-500.132 Admission Policies and Procedures (5) (B) states: The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer. Correction Required A child older than 2 years shall not be in the I/T unless the total number of children in attendance is four or fewer.
Correction Verification Return Inspection
Compliance Date
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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
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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
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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
Violation
| | Provider Comments |
Violation Records were not available for inspection by the department upon request as evidenced by the record for Shakala Beatty, Caregiver, was not available for review. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request. Correction Required Records shall be available at the facility for inspection.
Correction Verification Submit Documentation
Compliance Date
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Violation Records were not available for inspection by the department upon request as evidenced by the updated Family Care Safety Registry results were not available for review for Julie Deninno, Shakala Beatty, Ravonda Sanon and Steven Sanon. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request. Correction Required Records shall be available at the facility for inspection.
Correction Verification Submit Documentation
Compliance Date
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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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