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5 CSR 25-500.032 Organization and Administration
Compliance
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5 CSR 25-500.042 Licensing Process
Compliance
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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 There was no diapering table in the preschool unit and a two year old child was present. Licensing Rule Reference 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (C) states: Facilities initially licensed after the effective date of these rules and accepting two (2)-year olds for care in the preschool unit shall have a diapering table available in the preschool unit. Correction Required The facility shall provide a diapering table in the preschool unit as required. (GF)
Correction Verification Submit Documentation
Compliance Date
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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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. 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 25-500.087 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 there was no aisle on the long 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 Corrected on Site
Compliance Date 3/6/2024
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Violation The facility did not meet requirements for balls or other large muscle. The facility needed an additional 4 more items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. B. states: Balls or other large muscle equipment; Correction Required The facility shall provide approved equipment as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 3 more items in this category. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. D. states: Cloth or plastic coated books. Correction Required The facility shall provide approved equipment as required.
Correction Verification Corrected on Site
Compliance Date 3/6/2024
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Violation Stationary equipment, basket ball goal, was unsafe as evidenced by the equipment had exposed footings. Licensing Rule Reference 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions. Correction Required Stationary equipment shall be safely installed, stable and securely anchored.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-500.102 Personnel
Violation
| Provider Comments |
Violation Aiden NOrris, Corrinne Foxhoven, Morgan Baxter and Ayanna Banks 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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Violation Documentation of caregiver completion of the facility orientation was not on file for the following staff: Morgan Baxter, Corrinne Foxhoven . Licensing Rule Reference 5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department. Correction Required Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required.
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 Carla Thurman, Aiden Norris, and Corrinne Foxhaven 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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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
Compliance
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5 CSR 25-500.202 Nutrition and Food Service
Violation
| Provider Comments |
Violation Requirements for feeding infants unable to hold their own bottle were not met as evidenced by a 5-6 month old child had a bottle propped with a blanket in a bouncy seat. Licensing Rule Reference 5 CSR 25-500.202 Nutrition and Food Service (2) (D) states: Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped. Correction Required Caregivers shall hold infants during bottle feeding as required.
Correction Verification Corrected on Site
Compliance Date 3/6/2024
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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
Compliance
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5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were older than five (5) years for Susan Main, Nicole McCann and Pam Patterson. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required Required results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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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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