| 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
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 Submit Documentation
Compliance Date
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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 10/26/2023
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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
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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 Submit Documentation
Compliance Date 10/6/2023
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Violation The annual sanitation inspection was not approved. Licensing Rule Reference 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification Submit Documentation
Compliance Date
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Violation The Family Care Safety Registry check was not conducted for Betsy King, and Jessica Brown 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 Return Inspection
Compliance Date 10/26/2023
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Violation The staff sheet was not fully completed as evidenced by the submitted staff sheet is missing the designees, and a board chair. 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
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation The premises were not safe and suitable as evidenced by there are no parking bollards around the fence on the backside of the playground where cars are actively parked . 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 Submit Documentation
Compliance Date
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Violation Stairways in the child care space did not meet requirements as evidenced by there was no safety gate. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (F) states: Approved safety gates at stairways and doors shall be provided and used as needed. Correction Required Stairways shall meet safety standards as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that every room of care, hallways, gym has multiple outlet covers missing . 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 Submit Documentation
Compliance Date
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Violation Hazardous items as follows were accessible to children: Commercial Adhesive, Paint and Primer, and Caulking Material. The item(s) was/were located in the unsecured closet, in between the bottom of the stairwell, on the basement level. 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 10/26/2023
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Violation Hazardous items as follows were accessible to children: Clean By Proxy, Clorox Urine Cleaner, Disinfectant Spray, Biocide 100, Chemically Resistant Sprayer, Wasp Hornet Cleaner, and Concentrated Window Cleaner. The item(s) was/were located in the unsecured closet (labeled staff only) on the basement level, to the left of the hallway. 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 10/26/2023
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Violation Hazardous items as follows were accessible to children: Floor Prep Patch, Damp Mop Solution, Clean by Proxy solution, Odor Ban, Disinfectant Spray, and Multi-surface Cleaner . The item(s) was/were located in the unsecured storage room on the basement level. The door was propped open during the inspection. 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 10/26/2023
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Violation The walls located behind the men's restroom door, on the basement level was/were not in good condition as evidenced by there is a hole in the wall. 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
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Violation The ceilings located on the main level by the exit doors was/were not in good condition as evidenced by there are missing ceiling tiles and there are 5 ceiling tiles that are stained with a brown like substance. 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
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Violation The walls located in the hallway in the basement was/were not clean as evidenced by the walls in the hallway by the exit door are stained with dried food particles. 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
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Violation The walls located in the cafeteria and the chess club room was/were not in good condition as evidenced by there is peeling paint on the gray/bluish walls. 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
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Violation The walls located in the stairwell going down to the lower level was/were not in good condition as evidenced by there was 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
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Violation The ceilings located on the third floor in the hallway and in the gym was/were not in good condition as evidenced by there is a brown like substance on the ceiling in the hallway outside of the gym and the ceiling is also cracking. During the inspection conducted 10/26/23 it was observed that it is a water damage on the ceiling that resulted in broken tiles . 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
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Violation The walls located in the classroom behind the gym on the third floor and in the gym was/were not in good condition as evidenced by there is a white like substance that is not smooth and washable on the door and the blue walls and there is also writing on the wall. There is metal piping detached from the lower wall in the gym . 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
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Violation Individual storage space requirements were not met as evidenced by there was no space for each child's belongings. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. F. states: Each child shall be provided individual space, accessible to the child, for storage of each childs' clothing and other personal belongings. Correction Required The facility shall provide accessible, individual space for each child's belongings.
Correction Verification Submit Documentation
Compliance Date
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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 was not in good condition in that the section of the chain link fence has a detached horizontal pole at the top. 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
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Violation The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was not working. 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 Corrected on Site
Compliance Date 10/26/2023
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Violation Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper. 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
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Violation Children were not monitored while in the bathroom as evidenced by one child used the bathroom and left to go outside to join the group of children . Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 6. states: Children shall be monitored while in the bathroom. Correction Required Caregivers shall monitor children while in the bathroom.
Correction Verification Return Inspection
Compliance Date
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Violation The ceilings located in the girl's bathroom was/were not in good condition as evidenced by there is a missing ceiling tile above the middle stall. 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
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Violation Hazardous items as follows were accessible to children: the bottle of Lysol, Clorox spray, and glass cleaner, and the hot glue gun. The item(s) was/were located in the bathroom on the main level, and in the art 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 Corrected on Site
Compliance Date 10/26/2023
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Violation The floors located in the cafeteria and the steps going towards the bathroom was/were not in good condition as evidenced by there is a piece of flooring missing with exposed concrete and unsealed piece of flooring that is not smooth and easily cleanable. The steps have detached carpet and missing floor tile pieces . 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
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Violation The floors located on the main level in the art room was/were not clean as evidenced by multiple stains, and smears of paint are present throughout the art classroom. 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
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Violation The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was stopped up. 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 Corrected on Site
Compliance Date 10/26/2023
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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 Submit Documentation
Compliance Date
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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
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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
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Violation The walls located in the library was/were not in good condition as evidenced by there was a phone connector box detached from the wall. 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
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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
Violation
| | Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by there is no plan available in each room of care specifically the art room, the lower level, and the gym. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's list of emergency numbers are not posted in each room used for child care, specifically in the cafeteria, in the gym. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required The facility must post all emergency numbers as required.
Correction Verification Return Inspection
Compliance Date
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Violation The facility's evacuation route diagram was not posted in each room. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room. Licensing Rule Reference 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation Furniture/equipment, the cubicle wall, in the television room was not in good condition as evidenced by the cubicle wall is broken and is laying by the second exit door. 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 Submit Documentation
Compliance Date 10/26/2023
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Violation The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the air hockey table is dismantled and a piece is laying on the floor. 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 10/26/2023
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Violation The facility did not meet requirements for manipulatives. The facility needed an additional 24 items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives; Correction Required The facility shall provide appropriate equipment for children as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for music and rhythm activities. The facility needed an additional 40 items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities; Correction Required The facility shall provide appropriate equipment for children as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 16 items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and Correction Required The facility shall provide appropriate equipment for children as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 24 items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences. Correction Required The facility shall provide appropriate equipment for children as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Erica Dunlap, Claire Gilbert, Darrell Green, Betsy King, Jessica Brown, Antoinette McGee and Louis Poss 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 10/26/2023
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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: Phyllis Hope -4, Raegene Hope -8 and Andrea Wissman -6. 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 10/26/2023
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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: Phyllis Hope -3, Raegene Hope -7.50. Licensing Rule Reference 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required Required training hours shall be documented for each caregiver.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.112 Staff/Child Ratios
Not Observed
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5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
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: Sarah Pursell. 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
Compliance Date 7/24/2023
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Violation Medical examination report form did not contain all required information as evidenced by the medical examination reports did not contain if the employee is 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 Submit Documentation
Compliance Date 7/25/2023
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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 the child left the approved playground space by opening the gate and walking on the parking lot to retrieve a ball without an adult being aware . 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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5 CSR 25-500.192 Health Care
Not Observed
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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
Violation
| | Provider Comments |
Violation 1 child(ren) records did not include employers' name 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 10/26/2023
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Violation 3 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 10/26/2023
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Violation Daily attendance records were not maintained on file as evidenced by there were no child attendance records. Licensing Rule Reference 5 CSR 25-500.222 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Child attendance records shall be maintained and retained as required.
Correction Verification Return Inspection
Compliance Date
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Violation Records were not available for inspection by the department upon request as evidenced by Aysha Harriel does not have a record on file. 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 10/26/2023
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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. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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