| Compliance List |
5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Violation
| | Provider Comments |
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit.
Correction Required
The official license shall be posted.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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5 CSR 25-500.052 Annual Requirements
Compliance
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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 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 large enough for a child to crawl or fall through - the openings measured over 4 inches along the bottom of the fence on the raised prek playground where the fence is not secured and can be pushed or pulled up away from the concrete retaining wall under the fence. Bottom of fence is approximately 1' off the ground. Directly on the other side of the fencing is a drop off point with varying distances between the bottom of the fence and the ground below.
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
Submit Documentation
Compliance Date
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by plant overgrowth present on the prek playground along the fence line.
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
10/30/2023
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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
Compliance
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5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by during an inspection interview Malaika Firdous was unaware of the ages, history or developmental needs of the children in her care. When asked Malaika Firdous did not know the names or ages of all the children in her care. CI observed a redness to the child's left hand and pointed it out to Malaika. Malaika did not know how that happened and went to touch the child's hand and the child pulled it away from the caregiver.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Malaika stated that it was her first day. During the encounter the director had to tell the staff member the name of the child she was holding and that the child was fearful of strangers. When the CI interviewed the director asking why the staff member did not know the names and ages of the children in her care, the director stated Malaika was new. CI observed personnel file for Malaika and the new hire orientation stated the start date as May 30th, 2023. CI asked the director if Malaika had been trained, the director responded and said they don't do that kind of training but they do the state training online. The director had provided a completed and signed new hire orientation for Malaika (signed by Director and Malaika). Later the director stated again they do not have that kind of training but assured CI that Malaika had taken safe sleep and health and safety training. Another staff member Howah Alhassan interjected saying that Malaika did receive in person facility training by her for approximately 9 days in May. Then the director agreed with Howah, that Malaika did receive training.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (A) states: Child care personnel shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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Violation
An individual was present on the premises that presented a threat to the health, safety or welfare of the children as evidenced by Malaika Firdous was heard using a raised voice saying, "why are you like this?" as the CI was opening the door to the infant room. Malaika was then observed holding a 1 year old child above her head with her hands around their rib cage and the child facing her. While holding the child in the air child Malaika was shaking the child. The CI observed the child's head moving back and forth and the child did not appear to be in control on their head. The child was observed to be upset with a flush face and making sounds like crying but with no visible tears.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (R) states: Any person present at the facility during the hours in which child care is provided shall not present a threat to the health, safety, or welfare of the children.
Correction Required
No person who presents a threat to children shall be on the premises during child care hours.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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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: Hauwa Al-Hassan needs .5 more 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
Submit Documentation
Compliance Date
10/30/2023
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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
Compliance
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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
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
Constructive, age-appropriate methods of discipline were not used as evidenced by caregiver Malaika Firdous was heard using a raised voice saying, "why are you like this?" as the CI was opening the door to the infant room. Malaika was then observed holding a 1 year old child above her head with her hands around their rib cage and the child facing her. While holding the child in the air child Malaika was shaking the child. The CI observed the child's head moving back and forth and the child did not appear to be in control on their head. The child was observed to be upset with a flush face and making sounds like crying but with no visible tears. When the CI spoke with the director regarding the incident the director Souad Bathami stated that this is how our culture does things. Souad also stated that they had no concerns with that staff member.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 3. states: Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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Violation
Physical punishment was used as evidenced by Malaika Firdous Malaika Firdous was heard using a raised voice saying, "why are you like this?" as the CI was opening the door to the infant room. Malaika was then observed holding a 1 year old child above her head with her hands around their rib cage and the child was facing her. While holding the child in the air child Malaika was shaking the child. The CI observed the child's head moving back and forth and the child did not appear to be in control on their head. The child was observed to be upset with a flush face and making sounds like crying but with no visible tears.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 7. states: Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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5 CSR 25-500.192 Health Care
Compliance
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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
Compliance
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5 CSR 25-500.222 Records and Reports
Violation
| | Provider Comments |
Violation
1 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
10/30/2023
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Violation
1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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Violation
1 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
10/30/2023
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5 CSR 25-600.020 General Requirements
Compliance
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5 CSR 25-600.040 Background Screening Findings
Compliance
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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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