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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 equipment list did not contain a list of equipment as required in 5 CSR 25-500.092.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.
Correction Verification
Return Inspection
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 facility's outdoor space was not safe for children's activities as evidenced by one shovel was located 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
Corrected on Site
Compliance Date
4/11/2023
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Violation
Hazardous items as follows were accessible to children: Off. The item(s) was/were located in a tote, located in a child's cubby and within children's reach.
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
Corrected on Site
Compliance Date
4/11/2023
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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 one surge protector with six outlets were missing protective outlet covers.
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
4/11/2023
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Violation
The premises were not safe and suitable as evidenced by one surge protector cord and one projector cord were not secure.
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
Corrected on Site
Compliance Date
4/11/2023
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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
Compliance
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5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
Courtney Hutson, Peyton Clendenin and Kara Hackworth 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
Return Inspection
Compliance Date
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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: Courtney Hutson needs two clock hours for 2022.
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
Return Inspection
Compliance Date
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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: Haylie Clover
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
Return Inspection
Compliance Date
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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 Summer Medley and Kara Hackworth 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
Return Inspection
Compliance Date
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Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Courtney Hutson, Kara Hackworth and Summer Medley.
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 tuberculin skin test (TST) as required.
Correction Verification
Return Inspection
Compliance Date
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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
Violation
| | Provider Comments |
Violation
Child(ren) was left without competent adult supervision as evidenced by a group of seven children and one staff member were outside playing. The children and staff member briefly returned to their classroom. The staff and children went back outside to play. One child, three years of age was observed in the room. The child was in the room alone for roughly 30 seconds or less. The teacher was asked if she had a child missing. She said yes and stated that the child must have just came inside. The teacher stated she conducted name to face before going outside and accounted for the child. The child is Autistic and doesn't like to go outside. Staff have had difficulties with this child trying to go inside while they are outside playing; therefore, she constantly conducts name to face checks while the children are outside. The staff member was unable to produce a name to face document. The facility has an attendance sheet that is located in each room. The child was mark present for the day.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent adult supervision.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Corrected on Site
Compliance Date
4/11/2023
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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 two 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
Return Inspection
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
Compliance
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Hailey Warren, Kara Hackworth and Hallie McCain.
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
Return Inspection
Compliance Date
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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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