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5 CSR 25-500.032 Organization and Administration
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5 CSR 25-500.042 Licensing Process
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5 CSR 25-500.052 Annual Requirements
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
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5 CSR 25-500.087 Fire Safety
Compliance
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5 CSR 25-500.090 Disaster and Emergency Preparedness
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5 CSR 25-500.092 Furniture, Equipment and Materials
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5 CSR 25-500.102 Personnel
Violation
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Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Crystal Nanez 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
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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: Kayla Wilson -0.50 h. 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
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Violation Josie Adamson 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 Submit Documentation
Compliance Date
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5 CSR 25-500.112 Staff/Child Ratios
Compliance
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5 CSR 25-500.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Savannah Hunter, Katelyn Rommelfanger and Crystal Nanez 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
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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: Johanna Rawlings, Katelyn Rommelfanger and Crystal Nanez. 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 tuberculin skin test (TST) as required.
Correction Verification Submit Documentation
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5 CSR 25-500.132 Admission Policies and Procedures
Compliance
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5 CSR 25-500.142 Nighttime Care
Compliance
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5 CSR 25-500.162 Overlap Care of Children
Compliance
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5 CSR 25-500.172 Emergency School Closings
Compliance
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5 CSR 25-500.182 Child Care Program
Compliance
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5 CSR 25-500.192 Health Care
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5 CSR 25-500.202 Nutrition and Food Service
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5 CSR 25-500.212 Transportation and Field Trips
Violation
| Provider Comments |
Violation Written parental consent was not on file for field trips and transportation. Licensing Rule Reference 5 CSR 25-500.212 Transportation and Field Trips (1) (B) states: Written parental consent shall be on file at the facility for field trips and transportation. Correction Required Written parental consent shall be on file at the facility for field trips and transportation.
Correction Verification Submit Documentation
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5 CSR 25-500.222 Records and Reports
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5 CSR 25-600.020 General Requirements
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5 CSR 25-600.040 Background Screening Findings
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RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
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