| 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
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. During the re-inspection on 1-3-25 the infant/toddlers are being cared for in the same unapproved rooms as they were observed in during the inspection on 12-18-24.
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
1/17/2025
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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
1/17/2025
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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 This was again observed during the re-inspection on 1-3-25.
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
1/17/2025
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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. This was again observed during the re-inspection on 1-3-25.
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
1/17/2025
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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
Requirements for handwashing were not met as evidenced by during the re-inspection on 1-3-25 the infant/toddlers are still being care for in rooms without a sink that are hooked up to the facility's plumbing. The facility has added 2 portable sinks with cold running water and during the time portable sink was not working, an extra staff stepped into the room allowing the child that had their diaper changed and the staff doing the diapering to go to the hall bathroom to wash hands.
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
Return Inspection
Compliance Date
1/17/2025
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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
1/17/2025
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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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