DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

THOMAS, PATRICIA ANN

002112154

(314) 536-4148

5331 SAINT LOUIS AVE
ST LOUIS
MO  63120-2015

THOMAS, PATRICIA ANN



 

THOMAS, PATRICIA ANN

PAT_THOMAS53@YAHOO.COM


BRITTNEY RALPH

6 WEEKS - 12 YEARS

16

GROUP HOME AND CENTER

4 CHILDREN UNDER 12 MONTHS
 
Inspection Information

03/28/2025

12:07 PM

2:18 PM

UNANNOUNCED

CLOSE SUPERVISION

2490065834


DocumentDocument-Date
DISASTER AND EMERGENCY PREPAREDNESS PLAN 05/31/2018
SAFE SLEEP POLICY 02/25/2020
DAILY SCHEDULE 11/14/2019
SAMPLE WEEKLY MENU 07/14/2018
SANITATION INSPECTION 12/11/2024
FIRE/SAFETY INSPECTION 11/18/2024
ANNUAL DECLARATION 01/28/2025
EQUIPMENT LIST 01/28/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/28/2025
LOCAL BUILDING APPROVAL 02/25/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 25
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 2
Total Children 7
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Staff member, Karen Stafford was present with three children ages ranging between 14-months-old to 2-years-old.
1 3 MIXED Provider, Patricia Thomas was present with three children ages ranging between 2-years-old to 4-years-old.
0 1 SCHOOL AGE A child aged 12-years-old was observed alone in the front room of the facility. The child was in the room alone for the entire length of the inspection.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
Evidence of local building approval was not received.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable.
Correction Required
The facility shall submit evidence of local building/zoning approval as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: Paint, primer, leaf shine, rock salt, extension cords, and hair products. The item(s) was/were located on the back indoor porch.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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
Submit Documentation

Compliance Date

Violation
Napping equipment interferes with children’s play activities due to napping equipment left in place.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. D. states: Space occupied by permanently placed cots, cribs, beds or playpens used for napping cannot be counted as usable floor space. Cots shall not be set up early or left in place to interfere with children's play activities.
Correction Required
Placement of napping equipment shall not interfere with child care space/activities.

Correction Verification
Submit Documentation

Compliance Date

Violation
There was no space provided for staff breaks that is separate from child care space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. H. states: An area for staff breaks shall be provided in the facility separate from child care space.
Correction Required
The facility shall provide a staff break area.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom, on top of the bathtub, held up by wooden planks.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The prohibition to use the kitchen for napping or as a passageway for children was not followed as evidenced by children must walk through the kitchen to enter the approved play space.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (5) (F) states: Kitchens shall not be used for napping or as passageways for children.
Correction Required
Caregivers shall not allow children to use the kitchen for napping or as a passageway.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by their is a rotten tree stump with sharp pieces of bark sticking out of the ground. A wooden stick was observed with nails sticking out on the ground near the covered BBQ grill.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant room against the wall..
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Diapering requirements were not met as evidenced by the diapering table was not safe in that located in the bathroom was not secured to tub or wall. A diapering mat was observed located on top of a wooden chest, that measured 2 feet 2 inches by 1 foot 4 and 1/2 inches, the wooden chest was located on top of the bathtub which is being held up by a wooden plank. There was not a lip on the diapering area to help prevent a child from falling. The wooden plank/board and wooden dresser were able to be moved and lifted.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: disinfectant wipes. The item(s) was/were located on the table in the room where preschool children were sleeping.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by there is a tree stump that has been burned to ashes. Surrounding the tree stump and ashes include metal rustic blade located in the yard.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
Stairs with no walls on either side had a baluster with openings of more than four inches (4). The measurements of baluster openings was approximately 13 inches long by 5 feet 4 inches wide between each hand railing.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (5) (B) 2. states: Stairs with no walls on either side shall have balusters placed on the sides. There shall be no more than four inches (4") between each baluster. They shall be attached to the stairs in a sturdy manner.
Correction Required
The facility shall provide an approved railing or barrier as required.

Correction Verification
Submit Documentation

Compliance Date
3/26/2025
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The passage to an exit located in the infant bedroom was not clear as evidenced by the corners of two playpens were blocking the doorway exit.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for sleeping materials were not met as evidenced by 1 child(ren) 12 months or older was/were sleeping/napping on the floor in the front classroom, without a cot. Provider, Patricia Thomas stated that a 12-year-old child was not asleep on a cot due to being to tall. Staff member, Karen Stafford woke the child up and the child relocated to a recliner where he fell asleep again. The child was still sleeping in the recliner when leaving the inspection.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1 foot by 2 inches.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. 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
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 6 items in this category.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Outdoor equipment, the stairs and railing, in back yard that leads to the outside play space was not in good condition as evidenced by chipped paint on the stairs and railings.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

Violation
Outdoor equipment, the metal swing set, in the outside play space was not in good condition as evidenced by metal chains were hanging down which are accessible by children.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
3/28/2025
Violation
Outdoor equipment, The pink and blue little tikes car, in the outside play space near the basketball hoop was not in good condition as evidenced by the pink and blue was missing a door.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date
3/28/2025
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The facility did not conduct a Family Care Safety Registry screening for Karen Stafford, who was hired on 3/18/25.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Andrew Searcy, and Karen Stafford
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include--
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Violation
 Provider Comments
Violation
A child was left without competent supervision as evidenced by Provider, Patricia Thomas left left unattended in the front classroom to go to other rooms including the kitchen to cook lunch.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision.
Correction Required
The facility shall provide competent supervision for each child as required.

Correction Verification
Return Inspection

Compliance Date
3/28/2025
Violation
Requirements for supervision of napping children were not met as evidenced by infants and toddlers did not have constant care and supervision in that an infant was left alone a room during nap time.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (D) 1. states: Infants and toddlers shall have constant care and supervision. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping or sleeping.
Correction Required
Caregivers shall provide constant care and supervision of infants/toddlers as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The daily activities for school-age children did not include quiet time with a cot or bed available for those who nap or rest.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (2) (B) 8. states: A quiet time for school-age children after the noon meal with a cot or bed available for those who wish to nap or rest;
Correction Required
Daily activities for preschool and school-age children shall be provided as required.

Correction Verification
Return Inspection

Compliance Date

Violation
A child was left without competent supervision as evidenced by one school age child was left in the front room by themselves.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision.
Correction Required
The facility shall provide competent supervision for each child as required.

Correction Verification
Return Inspection

Compliance Date

Violation
A child was left without competent supervision as evidenced by 3 children ages ranging between 14-months-old and 2-years-old were napping in the infant room by themselves.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision.
Correction Required
The facility shall provide competent supervision for each child as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by Provider, Patricia Thomas stated that a parent ordered pizza and salad for lunch for the children. Patricia Thomas provided milk.
Licensing Rule Reference
5 CSR 25-500.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.212 Transportation and Field Trips
Violation
 Provider Comments
Violation
Written parental consent was not on file for field trips and transportation.
Licensing Rule Reference
5 CSR 25-500.212 Transportation and Field Trips (1) (B) states: Written parental consent shall be on file at the facility for field trips and transportation.
Correction Required
Written parental consent shall be on file at the facility for field trips and transportation.

Correction Verification
Submit Documentation

Compliance Date
3/28/2025
Violation
Identifying information in the vehicle did not include the names, addresses and telephone numbers of each child's parent(s).
Licensing Rule Reference
5 CSR 25-500.212 Transportation and Field Trips (3) (B) states: Identifying information regarding the name of the provider, the names of the children and the names, addresses and telephone numbers of each child's parent(s) shall be carried in the vehicle.
Correction Required
During transport, the facility shall carry identifying information for provider and children as required.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Andrew Searcy, and Karen Stafford.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.040 Background Screening Findings
Compliance
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance