| Compliance List |
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
Children were not restricted to approved space as evidenced by the infants were being cared for in room B-7 and the toddlers were being cared for in room D-1. The room the infants are in is approved child care space, but is not approved for the care of children under 24 months of age. The room the toddlers are being cared for in is not approved for the care of any age child.
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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Violation
The diapering area requirements were not met as evidenced by warm running water was not adjacent to the diapering area.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (D) 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
Return Inspection
Compliance Date
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5 CSR 25-500.087 Fire Safety
Violation
| | Provider Comments |
Violation
The facility cares for children under the age of 24 months and at least one means of egress did not lead directly outside at level exit discharge as evidenced by during the time the HVAC is being replaced the infants and toddler are being cared for in B Hall and in D hall neither room has a means of egress that leads directly outside.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (6) . states: Facilities caring for children under the age of twenty-four (24) months shall have two (2) means of egress out of each room that is dedicated for their use. One (1) means of egress shall lead directly outside at level exit discharge. Both exit doors shall be a minimum of thirty-six inches (36") wide or wider to accommodate the largest crib in the room. Doors shall swing in the direction of egress travel. The direct exit outside is not required if the entire facility is protected throughout by an approved supervised automatic sprinkler system.
Correction Required
The facility shall maintain means of egress for children under 24 months as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility cares for children under the age of 24 months and does not have two (2) means of egress out of each room dedicated for infant/toddler care as evidenced by during the time the HVAC is being replaced the infants and toddler are being cared for in B Hall and in D hall neither room has 2 means of egress.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (6) . states: Facilities caring for children under the age of twenty-four (24) months shall have two (2) means of egress out of each room that is dedicated for their use. One (1) means of egress shall lead directly outside at level exit discharge. Both exit doors shall be a minimum of thirty-six inches (36") wide or wider to accommodate the largest crib in the room. Doors shall swing in the direction of egress travel. The direct exit outside is not required if the entire facility is protected throughout by an approved supervised automatic sprinkler system.
Correction Required
The facility shall maintain means of egress for children under 24 months as required.
Correction Verification
Return Inspection
Compliance Date
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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
Compliance
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5 CSR 25-500.102 Personnel
Compliance
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5 CSR 25-500.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Staff/child ratio requirements were not met as evidenced by 7 children , ages 13 months to 2-years-old, were cared for by 1 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
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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
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
Violation
| | Provider Comments |
Violation
Requirements for handwashing were not met as evidenced by the toddlers are being cared for in a room without a sink. Caregiver Gracie Perryman was changing a diaper and when asked about handwashing she stated they are wearing gloves during diaper changes and using hand sanitizer in place of handwashing.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (6) (A) states: Caregivers shall wash their hands with soap and running water after toileting or assisting a child with toileting, after diapering a child, before food preparation or serving of food and at other times as needed.
Correction Required
Staff/children shall wash hands as required.
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
Compliance
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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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