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5 CSR 25-400.025 Organization and Administration
Compliance
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5 CSR 25-400.045 Licensing Process
Violation
| | Provider Comments |
Violation
Conditions specified on the license were not met as evidenced by there were 2 caregivers present at the facility with a total of 10 children and out of the 10 children, 6 of them were under the age of 2 years. .
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home 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 provider 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 25-400.055 Annual Requirements
Violation
| | Provider Comments |
Violation
The annual fire safety inspection was not approved.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.
Correction Required
The facility shall submit evidence of compliance with annual fire safety requirements.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by 2 children were napping in 2 separate bedrooms on the top floor of the home, which is not approved childcare space.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.086 Fire Safety
Compliance
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: Victor A Familia.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 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
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Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: Tania Johnson needs 6 hours and Carolina Grullon needs 1 hour. .
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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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Violation
The assistant(s), Victor A Familia, did not complete safe sleep training within 30 days of employment or volunteering.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (C) states: The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in section (5) 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
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5 CSR 25-400.115 Child Care Family and Household
Compliance
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5 CSR 25-400.125 Medical Examination Reports
Violation
| | Provider Comments |
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: Tania Johnson and Carolina Grullon.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (E) . 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
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Violation
A medical examination report was not on file for assistant(s): Carolina Grullon.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
A medical examination report was not on file for the provider.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (1) (B) states: The provider shall have a medical examination report on file at the time of initial licensure.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.135 Admission Policies and Procedures
Compliance
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5 CSR 25-400.145 Nighttime Care
Compliance
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5 CSR 25-400.155 Overlap Care of Children
Compliance
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5 CSR 25-400.165 Emergency School Closings
Compliance
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5 CSR 25-400.175 Child Care Program
Violation
| | Provider Comments |
Violation
Requirements for supervision of napping children were not met as evidenced by all children were not napping on the same floor.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 7 states: All children shall nap on the same floor and a caregiver shall remain on the floor where children are napping at all times.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 6 states: If children are napped with no caregiver in the room, the door to the room cannot be closed.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Requirements for supervision of napping children were not met as evidenced by the caregiver was too far away to hear all children.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 5 states: Caregivers shall check on the children frequently during napping or sleeping and shall remain in close enough proximity to the children to be able to hear them if they have difficulty during napping or when they awaken. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping or sleeping.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Child(ren) was left without competent adult supervision as evidenced by 2 children were left sleeping on the 3rd floor of the house, while provider and assistant were in the basement with the other children.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 1 states: Child care providers 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
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5 CSR 25-400.185 Health Care
Compliance
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5 CSR 25-400.190 Nutrition and Food Service
Compliance
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5 CSR 25-400.200 Transportation and Field Trips
Compliance
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5 CSR 25-400.210 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 Tania Johnson, Carolina Grullon, Victor A Familia and Victor N Familia.
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
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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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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