DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE MIRACLES LEARNING CENTER

002481872

(573) 846-5028

17 SYCAMORE RD
PERRYVILLE
MO  63775-1210

PAISLEY, CHRISTINA



 


littlemiracles17@gmail.com


JESSICA SPENCER

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

08/14/2023

9:28 AM

11:29 AM

UNANNOUNCED

REINSPECTION

2452559009


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 06/25/2014
POLICIES 08/13/2014
LOCAL ZONING APPROVAL 08/13/2014
DISCIPLINE POLICIES 08/12/2014
SAMPLE WEEKLY MENU 08/12/2014
DIAGRAM/OUTDOOR 08/12/2014
DIAGRAM/INDOOR 08/12/2014
DAILY SCHEDULE 08/12/2014
OWNER/PROVIDER REFERENCES 08/15/2014
DIRECTOR'S QUALIFICATIONS 08/15/2014
CHILD CARE PRACTICES 08/15/2014
JOB RESPONSIBILITIES 01/04/2016
LOCAL FIRE DEPARTMENT NOTIFICATION 01/04/2016
LINES OF ADMINISTRATIVE AUTHORITY 08/13/2014
STAFF SHEET 06/04/2018
APPLICATION 06/25/2018
FIRE/SAFETY INSPECTION 04/19/2022
SANITATION INSPECTION 07/26/2022
ANNUAL DECLARATION 07/07/2023
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/07/2023
EQUIPMENT LIST 12/07/2022




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 34
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 11
Total Children 49
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Caregivers: Debbie Talarski and Marah Schmidt with eight children ages three months to eighteen months of age.
2 8 INFANTS AND TODDLERS Caregivers: Ashley Martina nd Lacey Strubberg with eight children ages eighteen months to twenty-three months.
1 8 MIXED Caregiver, Sara Whittaker with five children two years of age, two children three years of age and one child four years of age.
4 0 NO CHILDREN IN ATTENDANCE Danielle Bergmann-Caregiver Rachel Boatman- Assistant Director Christina Paisley-Director Myah Paisley-Caregiver
1 9 PRESCHOOL Caregiver, Rachael Niermann with nine children ages three years of age to five years of age.
1 16 SCHOOL AGE Caregiver, Caitlyn Atchley with sixteen children ages five years of age to eleven years of age.

Compliance List
5 CSR 25-500.032 Organization and Administration
Not Observed
5 CSR 25-500.042 Licensing Process
Not Observed
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
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
Return Inspection

Compliance Date

Violation
The annual fire safety inspection was not approved.
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
Return Inspection

Compliance Date

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
Return Inspection

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no soap.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by the trash can lid located in I/T Unit 3 was cracked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by the exit door located in the I/T Unit used to access the outdoor play area was not latching properly.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The ceilings located in the I/T Unit was/were not in good condition as evidenced by one tile located above the refrigerator had water damage and mold.
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
Return Inspection

Compliance Date

Violation
The ceilings located in the I/T Unit was/were not in good condition as evidenced by four tiles located in I/T 1 had water damage and two tiles located in the closet of I/T 2 had water damage.
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
Return Inspection

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by on the pre-k play area, the air conditioning unit is fenced in. The gate to this area was unlocked allowing children access to an unrolled water hose, 3 wading pools, one blue bucket that was cracked, a push broom and other items. Two of the wading pools contained water and one was cracked.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The premises were not safe and suitable as evidenced by one water hose was hanging over the fence posing a risk for strangulation.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there is a chip in the glass that is approximately the size of a half dollar .
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date

Violation
The premises were not safe and suitable as evidenced by trashcan located in the staff bathroom was so full that there were paper towels and debris all the way to the top and had overflowed onto the floor of the bathroom.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by contact paper on the orange shelving unit in the school age room was peeling off the cabinet. There was dirt/debris and hair on the contact paper.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by the double sink in the I/T unit is leaking and there is water pooling in the cabinet and in the plastic storage container below the sink.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there is an absorbent towel under the dish drainers in the I/T unit. The towel is dirty and has a strong mildew smell. When picked up the towel was stiff and stuck to the counter.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there is a strong urine smell in the middle I/T unit closet when opened. This is the same closet where multiple mouse droppings were located.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there is a large, plastic storage tub sitting on the table in the 3-year-old classroom that contains about 1/2" of brown water. The water also has debris floating in it. The tub appears to have been used to catch water from the ceiling leak located directly about it.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by the brown shelving unit with 3 shelves located in the 3-year-old classroom is not secure and is easily tippable.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date

Violation
The premises were not safe and suitable as evidenced by there is a tri fold stand used to prevent children from accessing area with cots. The stand was not stable and could easily be pushed over. In addtion, during the inspection you could hear the caregiver redirecting children multiple times away from that area. The stand used was not preventing children from accessing the area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there were 2 sippy cups with lids in the 3-year-old room, one on the desk and one sitting in a cubby, that contained what appeared to be an old liquid, possible juice or milk.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by in the 3-year-old room there is an open ziplock bag of goldfish and a Hoeckle's Bakery bag on the desk containing 2 donut holes.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date
8/14/2023
Violation
The premises were not safe and suitable as evidenced by there are no car stops were located along the front part of the building.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date

Violation
The premises were not safe and suitable as evidenced by one window was cracked on the bottom-right corner. This window is for the pre-k room. Children have access to the crack, from the outdoor play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises 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
Return Inspection

Compliance Date

Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there was 1 outlet in the I/T unit, 1 in the school age classroom, 1 in the pre-k room, and 1 in the hallway that was not covered/plugged.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Hazardous items as follows were accessible to children: 2 cans of shaving cream. The item(s) was/were located located on the white shelf to the right of playground door.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 1 bottle of sunscreen. The item(s) was/were located on brown shelf to the left of playground door.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 7 bottle of sunscreen. The item(s) was/were located in bottom drawer of purple storage tote.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 5 containers of diaper cream, 8 containers of sunscreen, 1 bottle inspect repellent, 1 bottle of peroxide. The item(s) was/were located in and on top of cubby shelf by the door in the 2 year old room.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 1 can of shaving cream. The item(s) was/were located in the top drawer of a teal storage cart/tote.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: one can of glass cleaner, two containers of Boudreaux Butt Paste, one container of Desistin, 2 containers of A & D ointment, 1 container of baby powder, 13 containers of sunscreen, 1 bottle of peroxide, 1 bottle of bulk peppermint oil, 1 can of shaving cream, 6 bottle of baby oil and 2 bottles of bug repellent. The item(s) was/were located on the wire shelf in the girl's bathroom, within reach.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 4 packs of Immune Emergen-C, 1 bottle of sunscreen, multiple loose screws, empty plastic walmart bags. The item(s) was/were located in the compartments of the cubby shelves near the back door.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 2 containers of antibacterial wipes. The item(s) was/were located on two different shelves in the school age room.
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
Return Inspection

Compliance Date
8/14/2023
Violation
Hazardous items as follows were accessible to children: 4 containers of baby powder, 4 tubes of antibiotic cream, 1 tube of athletes' foot cream, 1 tube of hydrocortisone cream, 2 tubes of diaper cream, 1 tube of calmoseptine ointment, and 1 antimicrobial skin wipe packet. The item(s) was/were located the open storage cabinet under the diaper table in the school age boys bathroom.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The walls located in the 3 year old room, specifically the column was/were not in good condition as evidenced by paint was peeling in 2 spots, with 1 area containing exposed sheet rock and metal.
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
Return Inspection

Compliance Date

Violation
The floors located in the pre-k room was/were not in good condition as evidenced by the corner of the black rug was curled causing a trip hazard.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The floors located in the pre-k room was/were not in good condition as evidenced by the tan rugs on the floor were torn and frayed on the ends.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The walls located in the school age room by the water fountain was/were not clean as evidenced by dirt/debris and fuzzy material on the wall next to the water fountain. The dust build up was a thick line of debris/dust.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The walls located in the girls bathroom in the school age room was/were not clean as evidenced by a brown, sticky substance was located on the walls. In addition there was a building up of dust and debris on the pink tote in the bathroom.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The floors located 3-year-old room was/were not clean as evidenced by the oval rug had dirt and debris on it.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The floors located in the 3-year-old room was/were not in good condition as evidenced by the rectangle blue rug was curling in two corners causing a trip hazard.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The floors located in the 3-year-old room was/were not in good condition as evidenced by one tile next to the wall has a divot and is cracked.
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
Return Inspection

Compliance Date

Violation
The floors located in the pre-k room was/were not in good condition as evidenced by there are 21 tiles located in the back corner of the room that have come loose, are buckled up or broken. .
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
Return Inspection

Compliance Date
8/14/2023
Violation
The floors located pre-k room under the purple trimmed table was/were not in good condition as evidenced by a tile has a divot and is cracked.
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
Return Inspection

Compliance Date
8/14/2023
Violation
The ceilings located located in the 3-year-old room was/were not in good condition as evidenced by there are 6 ceiling tiles that are wet/damp and bowing. In addition there is one ceiling tile that has been removed due to a water leak.
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
Return Inspection

Compliance Date

Violation
The ceilings located in the 3-year-old classroom back window was/were not in good condition as evidenced by the water has leaked causing the sheetrock at top of window/ceiling to peel and break. The broken section is approximately 2-3 feet long and 12-14" wide. Upwards of 30 pieces/chunks of broken sheetrock are laying in the window sill.
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
Return Inspection

Compliance Date

Violation
The floors located in the school age room was/were not clean as evidenced by there was food debris, what appeared to be cookies or crackers, broken and smashed laying on the small carpet by the table.
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
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in /on the floor along the baseboards in every room, including the hallways and bathrooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in in both the pre-k and 3-year-old bathroom, the return vents had dust/debris. In addition, there is a gap at the bottom right of the vent.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date

Violation
There was evidence of dirt/debris in on the walls in the 2-year-old room by the light switch.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in /on the paper towel dispensers (2 of them) located in the school age room by the water fountains.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in on the 1/2 doors in the I/T unit.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of spiders/webs in in the middle infant/toddler unit closet. There were 2 brown spiders in the corner of the closet as well as cobwebs.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of rodents/droppings in on the floor throughout the staff breakroom and bathrooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of spiders/webs in in every classroom in the windows sills, behind doors, and in the corners of rooms. There was also evidence of cobwebs in the lower corners of the staff break area and bathrooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in on the walls and floors in the boys bathroom in the school age room. The walls had a brown substance smeared on the walls, the floors had a sticky substance, and along the baseboards and behind the diaper table was dirt and debris.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in /on the trashcan located in the 3-year-old room. The trashcan had dried debris and sticky substance on the top lid and along the front of the container.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of dirt/debris in /on the trashcan in the infant/toddler unit. The trashcan had dried debris and sticky substance on the top lid and along the front. In addition, there was a sticky substance on the front of the fridge and on the cabinet door next to the fridge in that unit.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was evidence of rodents/droppings in in the middle infant/toddler unit closet. The dropping were observed in the front of the closet on 2 tubs.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by previously approved required space was not being used.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 1/2 inches. The opening was located at the bottom of the gate, on the school-age play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by trash and debris were located on both the infant/toddler playground and the preschool school age playground. Empty water bottle, food wrappers, empty baby bottle, and debris from small broken toys and foam pieces by the climber.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The facility's outdoor space was not safe for children's activities as evidenced by a small hole was located in the fiberglass door frame. This was located near the exit door, on the preschool/school-age play area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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

Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, plastic tote with books, in the two year old room was not in good condition as evidenced by the plastic tote was cracked.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Furniture/equipment, teal storage tote, in the two year old room was not in good condition as evidenced by the top of the tote was cracked.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Furniture/equipment, brown shelf, in the two year old room was not in good condition as evidenced by the back of the shelf was accessible to children and contained torn black felt.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Furniture/equipment, brown shelving, in the school-age room was not in good condition as evidenced by the shelves contained splintered wood. This was located along the bottom of the shelf.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Furniture/equipment, gray shelf, in the three year old room was not in good condition as evidenced by the finish was peeling off the shelf in two areas resulting in exposed pressed wood.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
Furniture/equipment, white and clear storage tote, in the boys restroom was not in good condition as evidenced by a crack was located along the top-front area of the tote.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The requirements for sleeping materials were not met as evidenced by two children 12 months or older was/were sleeping/napping on the floor.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by 2 tables in the 3-year-old room were dirty and had a sticky substance on them.
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
Return Inspection

Compliance Date
8/14/2023
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
Safe sleep training was not completed within the past 3 years for the following staff Rachael Niermann and Danielle Bergmann. As of 8-14-2023, Danielle Bergmann needs safe sleep training.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Lacey Strubberg, Zhenfang Zhang and Ashley Martin did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) 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
Return Inspection

Compliance Date

Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Susan Nekula
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
Return Inspection

Compliance Date

Violation
The facility orientation did not include a review of the names, ages, special health needs, nutritional needs, or developmental needs of the children for the following staff: Sara Whittaker.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.

Correction Verification
Return Inspection

Compliance Date

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: Christina Paisley needs 12 hours, Rachel Boatman needs .75 hours, Rachael Niermann needs 12 hours, Myah Paisley needs 7 hours, Brooke Palmer needs 5 hours, Lacey Strubberg needs 8 hours, Deborah Telarski needs 12 hours, Sara Whittaker needs 8 hours and Danielle Bergmann needs 7 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
Return Inspection

Compliance Date

Violation
The director is not routinely on duty, as evidenced by the director is not on duty 40 hours a week.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (2) (A) 2. states: Center directors and group child care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group child care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group home provider shall be routinely on duty, as required.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Not Observed
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Brooke Palmer, Lacey Strubberg, Zhenfang Zhang and Danielle Bergmann 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
Return Inspection

Compliance Date

Violation
A medical examination report did not include either a completed Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) within 12 months of the individual's begin date at the facility for the following staff: Brooke Palmer, Lacey Strubberg, Zhenfang Zhang, and Danielle Bergmann.
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
Return Inspection

Compliance Date

Violation
Medical examination report form did not contain all required information as evidenced by the medical provider did not select whether or not Ashley Martin was in good physical and emotional health and free of contagious diseases.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The Medical Examination Report for Caregivers and Staff form, revised 2021, is 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. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
5 CSR 25-500.142 Nighttime Care
Not Observed
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
Child(ren) was left without competent adult supervision as evidenced by a staff in the I/T unit let her 4 children go outside and walked back in to get something leaving all 4 children outside alone for approximately 30 seconds.
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
8/14/2023
5 CSR 25-500.192 Health Care
Violation
 Provider Comments
Violation
The requirements for prescription medications were not met as evidenced by a medication was not labeled with the child's name.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (3) (C) states: Prescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages and the physician's name. This may include sample medication provided by a physician.
Correction Required
Medications shall be stored and labeled as required.

Correction Verification
Return Inspection

Compliance Date
8/14/2023
Violation
There was no parental written objection to immunizations on file for one child(ren).
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (B) 2. B. states: A parent or guardian exemption, by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department (see 19 CSR 40-61.185).
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when an accident/incident occurred. One incident occurred at 10:15 and the parent was notified at 1:50. Another accident/incident occurred at 9:15 and the parent was notified at 1:50.
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
Return Inspection

Compliance Date

5 CSR 25-500.202 Nutrition and Food Service
Not Observed
5 CSR 25-500.212 Transportation and Field Trips
Not Observed
5 CSR 25-500.222 Records and Reports
Violation
 Provider Comments
Violation
One 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
Return Inspection

Compliance Date

Violation
Four 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
Return Inspection

Compliance Date

Violation
Two 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
Return Inspection

Compliance Date

Violation
Daily attendance records were not maintained on file as evidenced by there was no staff/volunteer attendance record for the following staff: Christina Paisley, Director. Rachel Boatman, Designated person in charge stated that they do not keep attendance records on Christina.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Brooke Palmer, Lacey Strubberg, Zhenfang Zhang, Danielle Bergmann, Ashley Martin and Susan Nekula.
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
Return Inspection

Compliance Date

5 CSR 25-600.040 Background Screening Findings
Not Observed
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. —
Not Observed
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed