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5 CSR 25-500.032 Organization and Administration
Not Observed
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5 CSR 25-500.042 Licensing Process
Violation
| Provider Comments |
Violation The number of children was/were exceeded as evidenced by 9 children under 24 months in care/license limit is 8. Licensing Rule Reference 5 CSR 25-500.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required The facility shall maintain compliance with the specifications on the license.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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5 CSR 25-500.052 Annual Requirements
Not Observed
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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 ceilings located infant room/kitchen was/were not in good condition as evidenced by dirty/broken tiles, and evidence of leak in kitchen. 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 4/19/2023
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Violation The space for infants and toddlers is not separated by floor-to-ceiling walls. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Required group size was exceeded as follows: the correct group size for children under 2 years was not met as evidenced by 9 children under 24 months in group children were in the group. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (IV) states: No more than eight (8) infant/toddlers or sixteen (16) two (2)-year olds shall be in a group; Correction Required Infants/Toddlers-1:4 ratio required with no more than 8 in a group. Two-year olds - 1:8 ratio required with no more than 16 in a group.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation The infant/toddler space had 11 infants, toddlers, and 2-year-olds that were in the room. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room; Correction Required The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation The infant/toddler space had 13 infants, toddlers, and 2-year-olds that were in the room. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room; Correction Required The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room; Correction Required The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.
Correction Verification Submit Documentation
Compliance Date 4/19/2023
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5 CSR 25-500.087 Fire Safety
Not Observed
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, cribs, in infant room was not in good condition as evidenced by wood exposed . 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 4/19/2023
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Violation The requirements for sleeping materials were not met as evidenced by 12 children 12 months or older, who nap or sleep, did not have a sheet. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used. Correction Required The facility shall provide sleeping equipment and bedding as required.
Correction Verification Submit Documentation
Compliance Date 4/19/2023
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
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: LaRaesha Cobbs (12 hours), Patricia Dickerson (6.5 hours), Jeanette Jones (5.5 hours), Rhonda Veal (12 hours), Kyla Veal (12 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
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5 CSR 25-500.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Staff/child ratio requirements were not met as evidenced by 5 children, ages under 24 months, were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group; Correction Required Correct staff/child ratios and group size shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Staff/child ratio requirements were not met as evidenced by 5 children, ages under 24 months, were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group; Correction Required Correct staff/child ratios and group size shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Staff/child ratio requirements were not met as evidenced by 9 children, ages under 24 months, were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group; Correction Required Correct staff/child ratios and group size shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Staff/child ratio requirements were not met as evidenced by 11 children, ages 2-years-school-age, were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Staff/child ratio requirements were not met as evidenced by 10 children, ages 2-years old-3-years old (eight 2-years old), were cared for by 1 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Staff/child ratio requirements were not met as evidenced by 12 children, ages 2-to-3-years old, were cared for by 0 caregiver(s). Licensing Rule Reference 5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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5 CSR 25-500.122 Medical Examination Reports
Not Observed
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5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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5 CSR 25-500.142 Nighttime Care
Not Observed
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5 CSR 25-500.162 Overlap Care of Children
Not Observed
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5 CSR 25-500.172 Emergency School Closings
Not Observed
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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 no caregiver present while children were napping. 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 Return Inspection
Compliance Date 4/19/2023
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Violation Caregiver did not provide frequent, direct contact as evidenced by no caregiver present while children were napping. Licensing Rule Reference 5 CSR 25-500.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises. Correction Required The facility shall provide competent adult supervision for each child as required.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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Violation Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping. Licensing Rule Reference 5 CSR 25-500.182 Child Care Program (1) (A) 5. states: A caregiver shall remain in the room with preschool and school-age children while they are napping or sleeping and shall be able to see and hear them if they have difficulty during napping or when they awaken. Correction Required A caregiver shall be in the room with napping children, and shall be able to see and hear them.
Correction Verification Return Inspection
Compliance Date 4/19/2023
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5 CSR 25-500.192 Health Care
Not Observed
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5 CSR 25-500.202 Nutrition and Food Service
Not Observed
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5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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5 CSR 25-500.222 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Not Observed
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5 CSR 25-600.040 Background Screening Findings
Not Observed
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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. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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