| 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 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
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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 kitchen was not in compliance with state rules governing food service sanitation.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (D) states: Kitchens shall be maintained in compliance with state or local rules, or both, governing food service sanitation.
Correction Required
Kitchens/food service shall be approved.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's kitchen did not meet requirements as evidenced by there was no storage space for food, dishes, and cooking.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (B) states: Kitchens used for meal preparation shall have sufficient equipment to accommodate the licensed capacity of the facility. The equipment shall include a stove, sink, hot and cold running water, a refrigerator and storage space for food, dishes and cooking utensils.
Correction Required
The kitchen shall be equipped as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's kitchen did not meet requirements as evidenced by there was no sink.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (B) states: Kitchens used for meal preparation shall have sufficient equipment to accommodate the licensed capacity of the facility. The equipment shall include a stove, sink, hot and cold running water, a refrigerator and storage space for food, dishes and cooking utensils.
Correction Required
The kitchen shall be equipped as required.
Correction Verification
Submit Documentation
Compliance Date
6/3/2024
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Violation
The facility's kitchen did not meet requirements as evidenced by there was no stove.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (B) states: Kitchens used for meal preparation shall have sufficient equipment to accommodate the licensed capacity of the facility. The equipment shall include a stove, sink, hot and cold running water, a refrigerator and storage space for food, dishes and cooking utensils.
Correction Required
The kitchen shall be equipped as required.
Correction Verification
Submit Documentation
Compliance Date
6/3/2024
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Violation
The facility's kitchen did not meet requirements as evidenced by there was no approved kitchen.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (A) states: A kitchen shall be required for meal preparation unless meals are catered from a source approved by the local or state sanitarian, or both.
Correction Required
The facility shall provide food preparation equipment and use an approved caterer as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Bathrooms were not provided as required for school age children as evidenced by there was no separate girls' and boys' bathrooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (B) 1. A. states: Separate girls' and boys' bathrooms shall be provided;
Correction Required
The facility shall provide separate bathrooms as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not have an adequate number of flush toilets/urinals and hand wash sinks as evidenced by due to construction the approved area only has two approved toilets and sinks for a capacity of eighty-seven.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 1. and 2. states: One (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty (20) children. Urinals may be substituted for up to one-half (1/2) the required number of toilets, with a minimum of one (1) toilet per bathroom.
Correction Required
The facility shall provide bathroom fixtures as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by space was reduced by the facility in under construction and has sealed off the licensed area reducing their area because there is no access to the approved rooms.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.
Correction Verification
Return Inspection
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by total of 20 children in an unlicensed space. Twelve of the children were under 24 months old. Nine children in an unapproved three year old room age 3-years-old. Four children in an unapproved toddler room ages 13-months-old to 22-months-old, and Eight children in an unapproved infant room age 2-months-old to 9-months-old. During the 5/22/2024 inspection there were nine children age 3-years-old, and seven children ages 2-months-old to 18-months-old and four children ages 11-months-old to 18-months-old all in the same unapproved spaces.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
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
Not Observed
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5 CSR 25-500.092 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 an infant was observed sleeping with a blanket.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G 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
6/3/2024
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Violation
An infant was observed sleeping in a/an swing.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification
Return Inspection
Compliance Date
6/3/2024
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5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Justin Beaver 6 hours, Dillon Ganzer 11 hours, Kailey Gillespie 12 hours, April Robnett 11 hours, Travis Ruff 11.75 hours, Savannah Thebeau 5 hours, Brooke Headley 6 hours, Patricia Lemond 4.5 hours, Kaitlyn Lumpkins 11.5 hours, Randi Lynn 12 hours, Annette Menzie 12 hours, Nancy Miller 6 hours, Addison Murray 6 hours, Morhan Reynolds 3.75 hours, and Kayla Robertson 12 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
6/3/2024
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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: Addison Murray, Brooke Headley, Deanna Robinson, Chloe Wedde, and Savannnah Thebeau.
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
6/3/2024
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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
Not Observed
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5 CSR 25-500.202 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
One serving of fluid milk was not served with each meal.
Licensing Rule Reference
5 CSR 25-500.202 Nutrition and Food Service (1) (E) states: One (1) serving of fluid milk shall be served with each meal.
Correction Required
Milk shall be served as required.
Correction Verification
Submit Documentation
Compliance Date
6/3/2024
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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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