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5 CSR 25-400.025 Organization and Administration
Not Observed
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5 CSR 25-400.045 Licensing Process
Not Observed
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5 CSR 25-400.055 Annual Requirements
Not Observed
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by three gates on the playground were wide open , not securely locked , allowing the children to potentially leave the playground and get to the streets on both sides of the playground. During the 12/18/2023 inspection CI observed carabines used to keep the gates closed. .
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
12/18/2023
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Violation
Children were not restricted to approved space as evidenced by a door to a storage room was open. There is a furnace room, paint , electrical cords. During the 12/18/2023 inspection CI witnessed that the lock was installed on the storage room and the door was locked.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
12/18/2023
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by two electrical cords were found on the ground by the tree, presenting possible chocking, suffocating and tripping hazards to the children.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
12/18/2023
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by an open plastic rectangular container without the lid was found on the playground. Inside the container were : used empty can , plastic bag and other trash. CI and director talked about having a trash container with a lid , so the trash is not accessible by the children.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
12/18/2023
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by several large tree sticks were found in a different places of the playground, presenting poking and scratching hazards to a children.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
12/18/2023
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Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 8. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.086 Fire Safety
Not Observed
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a blanket was observed in a crib, where a 7 month old baby was trying to take a nap. During the 12/18/23 return inspection the baby was in a pack and play getting ready for nap. No soft blankets were in the pack and play.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.
Correction Verification
Return Inspection
Compliance Date
12/18/2023
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
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5 CSR 25-400.115 Child Care Family and Household
Not Observed
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5 CSR 25-400.125 Medical Examination Reports
Not Observed
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5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
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5 CSR 25-400.145 Nighttime Care
Not Observed
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5 CSR 25-400.155 Overlap Care of Children
Not Observed
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5 CSR 25-400.165 Emergency School Closings
Not Observed
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5 CSR 25-400.175 Child Care Program
Violation
| | Provider Comments |
Violation
Requirements for supervision of napping children were not met as evidenced by home monitors and commercial devices were used in place of supervision while children were napping or sleeping.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (A) 5 states: Caregivers shall check on the children frequently during napping or sleeping and shall remain in close enough proximity to the children to be able to hear them if they have difficulty during napping or when they awaken. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping or sleeping.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Submit Documentation
Compliance Date
12/18/2023
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Violation
Infants and toddlers did not have constant care and supervision as evidenced by a 7 month old infant was alone in pack and play. He was located behind closed door in the back of the house by the bathroom. During the 12/18/2023 return inspection CI observed the door to a room where the 7 month old was getting ready to sleep was open and propped with a door stop, to prevent older children closing the door.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program 1 (D) 1 states: Infants and toddlers shall have constant care and supervision.
Correction Required
Infants/toddlers shall receive constant care and supervision as required.
Correction Verification
Return Inspection
Compliance Date
12/18/2023
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5 CSR 25-400.185 Health Care
Not Observed
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5 CSR 25-400.190 Nutrition and Food Service
Not Observed
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5 CSR 25-400.200 Transportation and Field Trips
Not Observed
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5 CSR 25-400.210 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Not Observed
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5 CSR 25-600.040 Background Screening Findings
Not Observed
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RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when.
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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