| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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5 CSR 25-300.040 Staffing Requirements
Compliance
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5 CSR 25-300.050 Health Requirements
Compliance
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5 CSR 25-300.060 Responsibilities of Caregivers
Violation
| | Provider Comments |
Violation The facility did not meet the requirements for diapering surfaces. There was an insufficient number of diapering surfaces as evidenced by 2 diapering surfaces diapering surfaces(s) for 20 I/T. Licensing Rule Reference 5 CSR 25-300.060 Responsibilities of Caregivers 1 (F) 2 states: One (1) diapering surface shall be provided for every group of eight (8) infants/toddlers and one (1) diapering surface shall be provided for every group of sixteen (16) two (2)-year-old children in the infant/toddler unit. Correction Required The facility shall provide diapering surfaces as required.
Correction Verification Submit Documentation
Compliance Date 5/1/2023
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5 CSR 25-300.070 Fire Safety Requirements
Compliance
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5 CSR 25-300.080 Sanitation Requirements
Compliance
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation Children were not restricted to approved space as evidenced by the basement door did not lock and children had access to the basement. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) 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 4/28/2023
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Violation Hazardous items as follows were accessible to children: Thompson's Water Seal. The item(s) was/were located in the infant room. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials. Correction Required Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification Submit Documentation
Compliance Date 4/28/2023
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Violation The floors located in the school age room was/were not in good condition as evidenced by there was a cracked tile and one missing tile located by the exit door. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date 4/27/2023
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Violation The premises were not safe and suitable as evidenced by the storage shelf was not anchored to the floor or wall and could easily fall on a child. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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 4/28/2023
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Violation Doors to the bathroom or stalls did not meet requirements as evidenced by there was a latch on the bathroom stall. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (C) states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade. Correction Required Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.
Correction Verification Submit Documentation
Compliance Date 5/1/2023
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Violation The facility had inadequate equipment for children being toilet trained as evidenced by no bathroom for every twenty-four children as evidence by there was no bathroom located in the I/T rooms. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (F) states: For infants, toddlers and children not toilet trained, one (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit. One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for ever four (4) children being toilet trained. Correction Required Bathrooms for infants and toddlers shall be equipped as required.
Correction Verification Submit Documentation
Compliance Date 5/1/2023
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Violation Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 4 inches between each rod on the wrought iron fence. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2"). Correction Required The outdoor play area shall be on or adjoining the property and fenced as required.
Correction Verification Submit Documentation
Compliance Date 4/27/2023
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the presence of the white liner was creating a tripping hazard for children where the foam was exposed. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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 4/27/2023
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash located behind and on the side of the shed. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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 4/27/2023
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Violation Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by the bottom shelf on the wooden desk was broken and had cracked wood accessible to children. Licensing Rule Reference 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used. Correction Required The facility shall provide play equipment and materials as required.
Correction Verification Submit Documentation
Compliance Date 4/28/2023
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
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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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
| | Provider Comments |
Violation A copy of the notice of parental responsibility was not was not signed by the individual primarily responsible for the religious organization conducting the child-care facility. Licensing Rule Reference RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 3. states: A copy of notice of parental responsibility, signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services. Correction Required A copy of notice of parental responsibility shall be signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Verification Submit Documentation
Compliance Date 4/27/2023
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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