| 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
Not Observed
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
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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
Not Observed
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5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
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5 CSR 25-500.102 Personnel
Not Observed
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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
Not Observed
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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
Not Observed
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5 CSR 25-500.192 Health Care
Violation
| | Provider Comments |
Violation
Information regarding the date and circumstance of accident or injury was not noted in the child's record.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (5) (B) states: Information regarding the date and circumstance of any accident or injury shall be noted in the child's record.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when Child A fell on the playground and stated he hurt his shoulder and was crying. On February 29, 2024, CI Greer interviewed Parent A, Child E, Caregiver Keisha Black, and Caregiver Melanie Haniyeah. Parent A said Child A had tears in his eyes and said he was racing and tripped and fell on the playground when she picked him up on February 27, 2024. Child A said his shoulder and arm were hurting. Parent A took Child A to the hospital where it was determined that he had a broken collarbone. Child E said she remembers Child A falling on the playground. Caregiver Keisha Black said she remembers Child A falling on the playground on February 27, 2024. Caregiver Haniyeah said on February 27, 2024, Child A was running and fell down on the playground. She said he was crying and grabbing at his shoulder and saying he hurt his shoulder. She did not notify Parent A of the accident/injury. On March 5, 2024, CI Greer interviewed Child A and Child C. Child A said he fell down and pointed at his upper arm when asked where he was hurt. Child C said she saw Child A racing with other kids and fall.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification
Submit Documentation
Compliance Date
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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
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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