DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

LAUGH & LEARN DAYCARE

002499925

(573) 231-1225

1606 RINKER ST
HANNIBAL
MO  63401-5828

GAUCH, ARNETTA RUTH



 

GAUCH, ARNETTA RUTH

arnetta_gch@yahoo.com


BETHANY DUCKWORTH

BIRTH - 12 YEARS

10

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

07/31/2025

10:40 AM

11:23 AM

UNANNOUNCED

REINSPECTION

2497853970


DocumentDocument-Date
DAILY SCHEDULE 12/11/2014
LOCAL FIRE DEPARTMENT NOTIFICATION 10/22/2014
OWNER/PROVIDER REFERENCES 12/26/2014
CHILD CARE/DISCIPLINE POLICIES 10/20/2014
POLICIES 10/20/2014
DISASTER AND EMERGENCY PREPAREDNESS PLAN 09/08/2015
ASSISTANT APPROVAL REQUEST 11/23/2015
SAFE SLEEP POLICY 01/20/2016
DIAGRAM/INDOOR 12/11/2014
DIAGRAM/OUTDOOR 12/11/2014
APPLICATION 03/29/2019
SAMPLE WEEKLY MENU 01/10/2020
REGISTERING FICTITIOUS NAMES 08/29/2022
FIRE/SAFETY INSPECTION 04/23/2024
EQUIPMENT LIST 08/26/2024
SANITATION INSPECTION 04/08/2024
ANNUAL DECLARATION 07/01/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 08/26/2024

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   4:30PM   2/20/2017
  7:00AM   8:00AM   2/20/2017



Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 1
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 8
StaffChildClass AgeNote
2 8 MIXED Staff: Arnetta Gauch and Tana Darnell. Age range 7 months through 4 years. Three children under 2 years old. Also present was 2 school-age childen (7 years and 8 years) that live in the home.

Compliance List
5 CSR 25-400.025 Organization and Administration
Not Observed
5 CSR 25-400.045 Licensing Process
Violation
 Provider Comments
Violation
Posting requirements were not met as evidenced by the license was not posted near the entrance.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.
Correction Required
The official license shall be posted.

Correction Verification
Return Inspection

Compliance Date
7/31/2025
5 CSR 25-400.055 Annual Requirements
Not Observed
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there was an area open about 3 to 4 foot that children could enter and crawl underneath the deck within the fenced playground. Arnetta is in the process of putting up lattice to cover the open areas underneath the deck.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
Return Inspection

Compliance Date
7/31/2025
Violation
Children were not restricted to approved space as evidenced by a 16 month old child was being cared for in the master bedroom that was not approved for childcare.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) 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
7/31/2025
5 CSR 25-400.086 Fire Safety
Violation
 Provider Comments
Violation
The requirements for protective outlet covers were not met as evidenced by four electrical outlets did not have covers in first bedroom down the hall .
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
7/31/2025
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
5 CSR 25-400.095 Furniture, Equipment and Materials
Not Observed
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by a 16 month old child was being cared for in a back bedroom that was locked with a lever mechanism type lock on the outside of the door where the caregiver could not open the door to exit if needed and the door also had a lock on the inside of the door that was locked so the caregiver could not get in if needed.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (C) states: Caregivers shall be eighteen (18) years of age or older, have knowledge of the needs of children, and be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall be 18 years of age or older and meet childcare personnel requirements.

Correction Verification
Return Inspection

Compliance Date
7/31/2025
Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by on April 25, 2025, CI Christine Hughes inspected the facility and observed Rachel Murphy at the facility. The provider told her that Rachel Murphy did not live at the facility and was only visiting. On 7/21/25, the provider told CI Duckworth that Rachel Murphy is living in the home and has lived in the home since February of 2025.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.

Correction Verification
Return Inspection

Compliance Date
7/31/2025
Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth observed an 18 year old and a 24 year old male in a bedroom that was not approved childcare space with the door locked from the outside with a hook and eye lock. When CI Duckworth asked the provider why the door was locked, the provider told her that the boys asked to have the door locked, they were in non-licensed space, and that no one told her that she had to take the lock off the boys' bedroom door. She thought she just had to take the lock off the first bedroom that is licensed childcare space. The provider unlocked the door to the bedroom where the two young men were and then, after CI Duckworth looked in the room, the provider locked the door again.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.

Correction Verification
Return Inspection

Compliance Date
7/31/2025
Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth found a 16 month old child and an adult caregiver in the master bedroom that was locked with a lever mechanism type lock on the outside of the door. Arnetta Gauch told CI Duckworth that the adult, Rachel Murphy, who was in the locked master bedroom, lived at the facility and was caring for the 16 month old child that was in there with her. Arnetta explained that the child was related to Rachel, therefore did not need to be enrolled in her facility because Rachel is the one who was caring for the child, not her.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.

Correction Verification
Return Inspection

Compliance Date
7/31/2025
5 CSR 25-400.115 Child Care Family and Household
Not Observed
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 1-8-2024, 12-2-2024 There was a 16 month old child being cared for by Rachel Murphy in the master bedroom that did not have a medical exam on file.
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
7/31/2025
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 3-3-2025.
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

5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
5 CSR 25-400.145 Nighttime Care
Not Observed
5 CSR 25-400.155 Overlap Care of Children
Not Observed
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Not Observed
5 CSR 25-400.185 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by a 16 month old child being cared for by Rachel Murphy in the master bedroom whose immunization record(s) was/were not on file .
Licensing Rule Reference
5 CSR 25-400.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/31/2025
5 CSR 25-400.190 Nutrition and Food Service
Not Observed
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
5 CSR 25-400.210 Records and Reports
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by a 16 month old being cared for by Rachel Murphy in the master bedroom did not have a file.
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date
7/31/2025
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Chuck Murphy, Rachel Murphy, and Brady Murphy, household members.
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
7/31/2025
5 CSR 25-600.040 Background Screening Findings
Not Observed
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance