| |
5 CSR 25-500.032 Organization and Administration
Compliance
|
5 CSR 25-500.042 Licensing Process
Compliance
|
5 CSR 25-500.052 Annual Requirements
Violation
| | Provider Comments |
Violation
The Family Care Safety Registry check was not conducted for all staff within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
The annual sanitation inspection was not conducted.
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
|
|
Violation
The annual fire safety inspection was not conducted.
Licensing Rule Reference
5 CSR 25-500.052 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
7/17/2023
|
|
Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.
Correction Verification
Submit Documentation
Compliance Date
5/11/2023
|
|
Violation
The staff sheet was not submitted.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.
Correction Verification
Submit Documentation
Compliance Date
5/12/2023
|
|
Violation
The equipment list was not submitted.
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
Submit Documentation
Compliance Date
7/13/2023
|
|
|
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by utility closet door was not locked.
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
7/24/2023
|
|
Violation
The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
7/12/2023
|
|
Violation
The provider did not provide resilient material necessary for the protection of children as evidenced by the resilient material on the 1 year old playground and the 3-5 year old playground was worn and needs to be replaced.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located facing away from the majority of the classroom in the infant room, toddler A, toddler B and the 2 year old classroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.
Correction Verification
Submit Documentation
Compliance Date
7/12/2023
|
|
Violation
The walls located throughout the facility was/were not in good condition as evidenced by chipped and peeling paint.
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
7/12/2023
|
|
Violation
Hazardous items as follows were accessible to children: Clean Force Daily Neutral Floor Cleaner in 1 gallon jug with cap on (three containers), Bleach in 1 gallon jug with cap on and empty in trash, Kay Glass and Multi-surface cleaner in 1 gallon jug with cap on (eight containers) and three mop buckets with contaminated water. The item(s) was/were located in the utility closet on the floor.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
Hazardous items as follows were accessible to children: A+D Diaper Rash Ointment (4 large tubes), Desitin Diaper Rash Cream (2 large tube), Aquaphor Diaper Rash Cream (1 large tube), jar of Vaseline (2 containers) and Boudreaux's Buttpaste (2 large tubes and 1 small tube). The item(s) was/were located in unsecured cabinets under the diaper changing tables in all three infant/toddler classrooms.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
Hazardous items as follows were accessible to children: 1 container of Clorox Disinfectant Spray. The item(s) was/were located in an unlocked cabinet in the preK classroom.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
Hazardous items as follows were accessible to children: 1 spray bottle of Disinfectant Sanitizer, 1 spray bottle of Restroom Cleaner, 2 spray bottles of Glass and Multi-surface cleaner, 1 Sure Scents room mist air freshener and 1 can of aerosol Pledge. The item(s) was/were located in an unlocked cabinet in the prek classroom.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
Children were not restricted to approved space as evidenced by both of the doors to the utility closet were not locked.
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
Submit Documentation
Compliance Date
5/19/2023
|
|
|
5 CSR 25-500.087 Fire Safety
Compliance
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by play equipment in the prek classroom had visible dirt and tape residue.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Submit Documentation
Compliance Date
5/19/2023
|
|
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by play equipment in the 2 year old classroom had visible dirt and tape residue.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Submit Documentation
Compliance Date
5/19/2023
|
|
|
5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
A caregiver was not sensitive to the capabilities, interests and problems of children in care as evidenced by the staff member instructed another staff member to ignore a coughing child.
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
Submit Documentation
Compliance Date
5/8/2023
|
|
Violation
A caregiver was not sensitive to the capabilities, interests and problems of children in care as evidenced by a prek staff member was observed interacting aggressively toward an upset child. The staff member was observed using a hard, "growling" tone and failing to listen as the child attempted to communicate their needs.
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
Submit Documentation
Compliance Date
5/8/2023
|
|
Violation
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Nikaylah Gadson, Keah Collins, Courtney Nelson, Morgann Fitzwater, Pagan Kinsey, Lisa Florino, Kiersten Clark, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department.
Correction Required
Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.
Correction Verification
Submit Documentation
Compliance Date
6/30/2023
|
|
Violation
The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Nikaylah Gadson, Keah Collins, Courtney Nelson, Morgann Fitzwater, Pagan Kinsey, Lisa Florino, Kiersten Clark, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro
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 employed on or after August 30, 2019, 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
Submit Documentation
Compliance Date
6/30/2023
|
|
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: Taylor Baldwin (1 hour), Lisa Fiorino (12 hours), Timothy Fuggitt (1 hour), Debra Hendricks (5 hours), Shavonne Hull (1 hour), Lauren Jones (8 hours), Mariana Massey (1 hour), Sheria Parrish (1 hour), .
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
|
|
Violation
The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Background screening information was not retained in the file for MT, KC and BS.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Background screening information was not available for review for Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Megan Thomas, Nikaylah Gadson, Hayden Ditty, Keah Collins, Courtney Nelson, Morgan Fitzwater, Pagan Kinsey, Lisa Florino, Mckenzie Roeder, Kiersten Clark, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Background screening information was not retained in the file for Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Megan Thomas, Nikaylah Gadson, Hayden Ditty, Keah Collins, Courtney Nelson, Morgan Fitzwater, Pagan Kinsey, Lisa Florino, Mckenzie Roeder, Kiersten Clark, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
The facility did not conduct a Family Care Safety Registry screening for Traci Westling, Natalie Brockman, Jessica Smith, Lisa Fiorino, who was hired on various dates.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
|
5 CSR 25-500.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
More than 50 children were observed in care and the director/individual in charge was included in the staff/child ratios; this occurred outside of naptime and there was no emergency.
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (2) states: If a center has an attendance of more than fifty (50) children, the center director or individual in charge shall not be included in staff/child ratios except during naptime or on an emergency substitute basis.
Correction Required
The director/individual in charge shall not be included in the ratio except as allowed.
Correction Verification
Submit Documentation
Compliance Date
5/12/2023
|
|
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Nikaylah Gadson, Keah Collins, Courtney Nelson, Morgan Fitzwater, Pagan Kinsey, Lisa Florino, Mckenzie Roeder, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro 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
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Medical examination report(s) was/were not on file for MT, OP, KC, HD and BS 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
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Medical examination report(s) was/were not on file for Dakota Love, Taylor Baldwin, Jessica Smith, Lisa Fiorino 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
Submit Documentation
Compliance Date
7/17/2023
|
|
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: MT, OP, KC, HD and BS.
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 tuberulin skin test (TST) as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
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: Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Megan Thomas, Nikaylah Gadson, Keah Collins, Courtney Nelson, Morgan Fitzwater, Pagan Kinsey, Lisa Florino, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro.
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 tuberulin skin test (TST) as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
|
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
|
5 CSR 25-500.142 Nighttime Care
Compliance
|
5 CSR 25-500.162 Overlap Care of Children
Not Observed
|
5 CSR 25-500.172 Emergency School Closings
Not Observed
|
5 CSR 25-500.182 Child Care Program
Violation
| | Provider Comments |
Violation
Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 6. states: Preschool children who do not sleep shall rest on cots or beds at least thirty (30) minutes, but shall not be forced to remain on cots or beds for longer than one (1) hour. They shall then be permitted to leave the napping area to engage in quiet play.
Correction Required
Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.
Correction Verification
Submit Documentation
Compliance Date
5/12/2023
|
|
|
5 CSR 25-500.192 Health Care
Violation
| | Provider Comments |
Violation
There was no certification by a licensed physician for a medical exemption on file for 1 child(ren).
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (B) 2. A. states: A medical exemption (see form at 19 CSR 40-61.185), by which the child shall be exempted from immunization requirements upon certification by a licensed physician that the immunization would seriously endanger the child's health or life;
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
5/12/2023
|
|
|
5 CSR 25-500.202 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
The mealtime atmosphere was not enjoyable and relaxed as evidenced by a caregiver required a child to eat.
Licensing Rule Reference
5 CSR 25-500.202 Nutrition and Food Service (1) (J) states: Mealtime atmosphere shall be enjoyable and relaxed. No child shall be forced to eat, but shall be encouraged to set his/her own pace according to personal preferences.
Correction Required
Meals shall be enjoyable and relaxed; children shall not be forced to eat.
Correction Verification
Submit Documentation
Compliance Date
5/8/2023
|
|
Violation
Requirements for food sanitation were not maintained as evidenced by cots and bedding were placed throughout the room during lunch including in the immediate area of the tables where food was being served. Children were observed moving back and forth between their cots and the served food.
Licensing Rule Reference
5 CSR 25-500.202 Nutrition and Food Service (1) (I) states: State or local rules, or both, governing food service sanitation shall be maintained in the storage, preparation and service of foods.
Correction Required
The facility shall follow state and local rules regarding food service sanitation.
Correction Verification
Submit Documentation
Compliance Date
5/8/2023
|
|
|
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
|
5 CSR 25-500.222 Records and Reports
Violation
| | Provider Comments |
Violation
2 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
2 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
1 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
2 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
A copy of qualifying background screening results was/were not kept on file for: Debra Hendricks, Shavonne Hull, Kennedy Cleaver, Ashley Matthews, Kaitlin Andrews, Baleigh Stowell, Olivia Pendleton, Paige Sailors, Marissa Tierney, Jayla Powell, Sheria Parrish, Megan Thomas, Nikaylah Gadson, Hayden Ditty, Keah Collins, Courtney Nelson, Morgan Fitzwater, Pagan Kinsey, Lisa Florino, Mckenzie Roeder, Kiersten Clark, Taylor Baldwin, Tim Fugitt, Marlana Massey and Tiffany Renfro.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (8) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 5 CSR 25-600.020 General Requirements.
Correction Required
The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).
Correction Verification
Submit Documentation
Compliance Date
7/17/2023
|
|
Violation
Records were not available for inspection by the department upon request as evidenced by OPEN training report was not available for review.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for OP and HD.
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
7/17/2023
|
|
|
5 CSR 25-600.040 Background Screening Findings
Compliance
|
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
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|