| Compliance List |
5 CSR 25-500.032 Organization and Administration
Not Observed
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5 CSR 25-500.042 Licensing Process
Not Observed
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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
Not Observed
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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
Not Observed
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5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by staff member Shannon Unger making untruthful statements to CI Fyfe during an investigation.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (A) states: Child care personnel shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Corrected on Site
Compliance Date
7/13/2023
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5 CSR 25-500.112 Staff/Child Ratios
Not Observed
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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 various staff members are leaving their classrooms and either leaving children alone or leaving their co-teacher out of ratio. Staff member Sabrina Lett stated that she also leaves her classroom on multiple occasions, leaving her classroom out of ratio.
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
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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 staff member Shannon Unger and various other infant caregivers are leaving the classroom and leaving unnamed children by themselves.
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
7/13/2023
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5 CSR 25-500.192 Health Care
Violation
| | Provider Comments |
Violation
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when Child A (2-years-old) tripped on a book in the classroom and busted their lip open on July 11, 2023.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification
Corrected on Site
Compliance Date
7/13/2023
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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. —
Violation
| | Provider Comments |
Violation
Child care staff member(s), Shannon Unger, stated that they suspected child abuse or neglect and did not report the suspected abuse or neglect to the Children's Division.
Licensing Rule Reference
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. — 1. states: When any physician, medical examiner, coroner, dentist, chiropractor, optometrist, podiatrist, resident, intern, nurse, hospital or clinic personnel that are engaged in the examination, care, treatment or research of persons, and any other health practitioner, psychologist, mental health professional, social worker, day care center worker or other child-care worker, juvenile officer, probation or parole officer, jail or detention center personnel, teacher, principal or other school official, minister as provided by section 352.400, peace officer or law enforcement official, volunteer or personnel of a community service program that offers support services for families in crisis to assist in the delegation of any powers regarding the care and custody of a child by a properly executed power of attorney pursuant to sections 475.600 to 475.604, or other person with responsibility for the care of children has reasonable cause to suspect that a child has been or may be subjected to abuse or neglect or observes a child being subjected to conditions or circumstances which would reasonably result in abuse or neglect, that person shall immediately report to the division in accordance with the provisions of sections 210.109 to 210.183. No internal investigation shall be initiated until such a report has been made. As used in this section, the term "abuse" is not limited to abuse inflicted by a person responsible for the child's care, custody and control as specified in section 210.110, but shall also include abuse inflicted by any other person.
Correction Required
All child care staff members shall report suspected child abuse or neglect.
Correction Verification
Submit Documentation
Compliance Date
7/13/2023
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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