| Compliance List |
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 annual sanitation inspection was not approved.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
4/19/2023
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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 provider did not provide resilient material necessary for the protection of children as evidenced by not enough pea gravel under the two yellow swings, leaving bare ground beneath the swings.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.
Correction Verification
Corrected on Site
Compliance Date
5/23/2023
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Violation
Hazardous items as follows were accessible to children: a phone charging cord was unplugged. The item(s) was/were located on the table counter of the back room and presented a strangulation hazard.
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
5/23/2023
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Violation
Children were not restricted to approved space as evidenced by one boy age nine got to the kitchen two times because the kitchen gate was not locked. In the kitchen was a pan on the outside burner of the stove (not turned on) that was holding gravy they had just been served for breakfast. A pan of biscuits was also sitting on top of the stove.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Corrected on Site
Compliance Date
5/23/2023
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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
Violation
| | Provider Comments |
Violation
Infant sleeping requirements were not met as evidenced by mattress cover was not tight fitting.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. F. states: Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tightly fitting and thin.
Correction Required
Infant sleeping requirements shall be met.
Correction Verification
Corrected on Site
Compliance Date
5/23/2023
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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 2022, the staff listed need the following information: Fryer, Reba needs 10 hours, Joyce Fryer needs 2 hours, Jeffrey Kauffman needs 9 hours, Stogsdill (Cottle) Sheila needs 8 hours, Warren Jane Michelle needs 10 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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Violation
A caregiver was not knowledgeable of the needs of children as evidenced by the three caregivers present rarely interacted with children. They stood or sat in stationary positions for the majority of the inspection while four infants cried, a toddler climbed on an adult stuffed chair located near a window. The child was able to stand on the arm and tap the window with the book in her hand. The window did have a small air conditioner, so the child climbed up the chair further to reach the glass window .
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Return Inspection
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 11 children, ages 2-9, were cared for by one 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
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5 CSR 25-500.122 Medical Examination Reports
Compliance
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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
Provider was not alert to various needs of the child as evidenced by CI and CIS have not seen diaper changing or checking since they arrived at 8:40AM. At 10:50AM Joyce changed one baby's diaper after CIS asked her about a diaper changing routine. Joyce responded that they check diapers as needed.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (D) 3. states: Caregivers shall be alert to various needs of the child such as thirst, hunger, diaper change, fear of or aggression by other children, and the need for attention.
Correction Required
Caregivers shall be alert to various need of the child.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for supervision of napping children were not met as evidenced by infants and toddlers did not have constant care and supervision in that Joyce left the room to escort the older child to the playground door. She left two infants without supervision. One child was on the floor , another child was in a crib. .
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (D) 1. states: Infants and toddlers shall have constant care and supervision. 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
Caregivers shall provide constant care and supervision of infants/toddlers as required.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-500.192 Health Care
Compliance
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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
The provider failed to maintain accurate records to meet administrative requirements as evidenced by as CI and CIS arrived there were 15 children in a center and only 11 children were marked on attendance sheet. Later Joyce Fryer fixed the attendance sheet and marked all present children.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
5/23/2023
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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 210.115. 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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