| Compliance List |
5 CSR 25-400.025 Organization and Administration
Compliance
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5 CSR 25-400.045 Licensing Process
Compliance
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5 CSR 25-400.055 Annual Requirements
Compliance
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. C. states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.
Correction Required
The facility shall provide required supplies accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
11/22/2024
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Violation
Hazardous items as follows were accessible to children: 2 cans of paint. The item(s) was/were located underneath the kitchen sink.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Corrected on Site
Compliance Date
11/22/2024
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Violation
The premises were not safe and suitable as evidenced by an extension cord was in reach of the children along with 2 vacuums with the cords pulled out. Also, there were 4 small chairs stacked on top of a table which the children could have pulled off onto themselves and gotten hurt.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Corrected on Site
Compliance Date
11/22/2024
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5 CSR 25-400.086 Fire Safety
Violation
| | Provider Comments |
Violation
The requirements for protective outlet covers were not met as evidenced by one outlet did not have a protective cover.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.
Correction Required
The facility shall use protective outlet covers as required.
Correction Verification
Corrected on Site
Compliance Date
11/22/2024
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Arrangement of sleeping equipment was not met as evidenced by no aisle was provided on the long side of napping equipment.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 1 E 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
The facility shall maintain a two-foot (2') aisle as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
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5 CSR 25-400.115 Child Care Family and Household
Compliance
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5 CSR 25-400.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 9-30-2024.
Licensing Rule Reference
5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.135 Admission Policies and Procedures
Compliance
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5 CSR 25-400.145 Nighttime Care
Compliance
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5 CSR 25-400.155 Overlap Care of Children
Compliance
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5 CSR 25-400.165 Emergency School Closings
Compliance
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5 CSR 25-400.175 Child Care Program
Violation
| | Provider Comments |
Violation
Separation requirements of diapering/hand wash areas from food service were not met as evidenced by the diapering table was in the dining room where the children eat and next to the kitchen. Kaili stated that she had been changing diapers on the diaper table in the dining room and using the kitchen sink to wash her hands after diaper changes as it is the only sink within 8 feet.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program (1) (E) 8 states: The diapering area and hand washing area shall be separate from any food service area and any food-related materials.
Correction Required
Caregivers shall keep food items/supplies separate from diapering items.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Warm, running water was not adjacent to the diapering area.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program (1) (E) 2 states: Diapering supplies and warm, running water shall be adjacent to the diapering area.
Correction Required
The facility shall supply the diapering area as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.185 Health Care
Violation
| | Provider Comments |
Violation
The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with the child's name.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name and instructions for administration, including the times and amounts for dosages.
Correction Required
Medications shall be stored and labeled as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name and instructions for administration, including the times and amounts for dosages.
Correction Required
Medications shall be stored and labeled as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time the medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.190 Nutrition and Food Service
Compliance
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5 CSR 25-400.200 Transportation and Field Trips
Compliance
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5 CSR 25-400.210 Records and Reports
Compliance
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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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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