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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 Annah Dierks, Deanna Gegg, Richard Greminger, Suzanne Greminger, Allyissa Grissom, Meghan Grissom, Shelby Noll, Rachel Reeder, Kristen (Krissy) Ringwald, Rena (Dawn) Rogers, Taylor Schilly, Candy Terrell, Regan Wengert & Teresa Wipfler 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 2/2/2023
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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 premises were not safe and suitable as evidenced by exhaust fan in the Front Preschool Room Bathroom on the left does not work. 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
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Violation The observed surface area under the climber on the School Age Playground, from which a child might fall consists of grass. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured. Correction Required The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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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 8 inches where the fence had come unattached from the main posts (fence that separates the I/T & Preschool Playgrounds. 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 Return Inspection
Compliance Date 2/2/2023
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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 was not in good condition in that it had come attached from the top rail in 1 place on all 4 panels (fence that separates the I/T & Preschool Playgrounds). 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 Return Inspection
Compliance Date 2/2/2023
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Violation There was evidence of dirt/debris in the Front Preschool Room, specifically on the ceiling fan blades. 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
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Violation The walls located in the I/T Unit (2 Year Olds) was/were not finished with material which can be cleaned easily as evidenced by the paint is chipped off the wall exposing bare drywall. 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 2/2/2023
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Violation The walls located in the Pre-K Classroom was/were not finished with material which can be cleaned easily as evidenced by the paint is chipped off the wall exposing drywall paper. 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 2/2/2023
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Violation The walls located in the back bathroom, specifically the stall walls was/were not in good condition as evidenced by there is evidence of rust/corrosion on both sides of both stall walls. 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 2/2/2023
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4 outlets were not covered with outlet plugs on the Preschool (2) & School Age (2) Playgrounds. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Corrected on Site
Compliance Date 2/24/2023
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Violation The premises were not safe and suitable as evidenced by the siding is cracked in 3 places to the left of the door in the School Age Playground. 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
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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 the disaster and tornado drill was not held at least one time every three months. 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 2/2/2023
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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 Jumping equipment, an inflatable Water Slide was being used. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (J) states: Trampolines shall not be used. Mini-trampolines, aerobic bouncers or other similar small jumping equipment may be used with close supervision. Correction Required Caregivers shall provide close supervision when children use mini-trampolines or other jumping equipment.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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Violation Outdoor equipment, the large climber, in the Preschool Playground was not in good condition as evidenced by the finish was coming off of the sides & bottom 2 landings. 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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Violation Outdoor equipment, the Little Tykes swings, in the I/T Playground was unsafe as evidenced by both swings were missing the restraints and could not be properly latched. 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
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: Annah Dierks, Meghan Grissom, Shelby Noll, Rachel Reeder, Kristen (Krissy) Ringwald, Rena (Dawn) Rogers & Candy Terrell. 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 2/2/2023
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Violation A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Candy Terrell. 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 2/2/2023
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Violation The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Sharon Beach - 4 Clock Hours, Lisa Fleig - 8 Clock Hours, Deanna Gegg - 4 Clock Hours, Michelle Meyer - 2 Clock Hours, Shelby Noll - 7 Clock Hours, Rachel Reeder - 1 Clock Hour, Kristen Ringwald - 12 Clock Hours, Taylor Schilly - 2.75 Clock Hours, Madilynn Trollinger - 6 Clock Hours, Regan Wengert - 7.75 Clock Hours & Teresa Wipfler - 5 Clock Hours. As of 8/18/2022 the following is still needed: Rachel Reeder - 1 Clock Hour, Kristen (Krissy) Ringwald - 12 Clock Hours, Rena (Dawn) Rodgers - 4 Clock Hours & Taylor Schilly - 2.75 Clock Hours. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required Required training hours shall be documented for each caregiver.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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Violation Safe sleep training was not completed within the past 3 years for the following staff Suzanne Greminger, Regan Wengert & Teresa Wipfler. Licensing Rule Reference 5 CSR 25-500.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions. Correction Required The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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Violation Annah Dierks & Rena (Dawn) Rogers 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 2/2/2023
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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 Meghan Grissom & Kristen (Krissy) Ringwald 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 2/2/2023
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Violation The medical examination report on file was older than 12 months before the individual's begin date at the facility. Licensing Rule Reference 5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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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: Meghan Grissom, Rachel Reeder & Kristen (Krissy) Ringwald. 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 2/2/2023
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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 2/1/2022 for 2 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 2/2/2023
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5 CSR 25-500.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy. Licensing Rule Reference 5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 8. E. states: They have received a copy of the provider's safe sleep policy when enrolling children less than one (1) year of age. Correction Required Child enrollment information shall be completed and on file as requested.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility. Licensing Rule Reference 5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility Correction Required Child enrollment information shall be completed and on file as requested.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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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 The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file. Licensing Rule Reference 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required All medication shall be administered and recorded as required.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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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 2 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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Violation 2 child(ren) records did not include name of family physician or hospital. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Candy Terrell. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required Required results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date 2/2/2023
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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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