DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

INSPECTION REPORT
Facility Information






 




 








 
Inspection Information








DocumentDocument-Date
CHILD CARE PRACTICES 10/04/2022
DIAGRAM/INDOOR 11/08/2022
DIRECTOR'S QUALIFICATIONS 11/08/2022
DISASTER AND EMERGENCY PREPAREDNESS PLAN 10/31/2022
DISCIPLINE POLICIES 10/04/2022
JOB RESPONSIBILITIES 10/10/2022
LICENSING ORIENTATION 11/09/2022
LINES OF ADMINISTRATIVE AUTHORITY 10/10/2022
LLC ARTICLES OF ORGANIZATION 10/04/2022
LLC OPERATING AGREEMENT 10/04/2022
LOCAL BUILDING APPROVAL 11/23/2022
LOCAL FIRE DEPARTMENT NOTIFICATION 11/08/2022
LOCAL ZONING APPROVAL 11/23/2022
POLICIES 10/04/2022
SAFE SLEEP POLICY 10/04/2022
SAMPLE FORMS 12/07/2022
SAMPLE WEEKLY MENU 10/04/2022
APPLICATION 12/07/2022
DAILY SCHEDULE 01/06/2022
DIAGRAM/OUTDOOR 05/25/2023
ANNUAL DECLARATION 01/23/2024
EQUIPMENT LIST 01/14/2025
FIRE/SAFETY INSPECTION 11/06/2024
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 01/14/2025
SANITATION INSPECTION 08/15/2024

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:30PM   5:30PM   1/13/2023



Compliance Licensing Rules
Open Violations:
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The licensing representative did not have access to the entire premises as evidenced by the Back Office was locked & a key was not available to unlock the door.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (3) states: The licensing process shall include an inspection of the entire premises of the facility by the licensing representative.
Correction Required
The inspection shall include the entire premises of the facility.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.052 Annual Requirements
Violation
 Provider Comments
Violation
The Annual Declaration was not completed as evidenced by the document was not signed.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The Family Care Safety Registry check was not conducted for Tanya Baston-Minto, Abigail Brooks, Jasmine Donoho, Daniel Gubitz, LaDonna Gubitz, Savannah Patterson & Daniel Ross (As of 4/30/2025 Jasmine Donoho is no longer employed. As of 7/30/2025 checks had been conducted for Daniel Gubitz & LaDonna Gubitz.) within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Return Inspection

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: Diaper Cream. The item(s) was/were located in the cabinet under the changing table in I/T Unit B, specifically the Front Room.
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
Corrected on Site

Compliance Date
7/30/2025
Violation
The space for infants and toddlers is not separated by floor-to-ceiling walls.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;
Correction Required
Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

Correction Verification
Return Inspection

Compliance Date

Violation
Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
7/30/2025
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches, specifically at the second post from the fenced tree area on the Preschool/School-Age Playground.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Corrected on Site

Compliance Date
7/30/2025
Violation
The facility's outdoor space was not safe for children's activities as evidenced by 10 metal fence clips were broken, exposing sharp edges to children along the top rail of the fenced tree area on the I/T Playground.
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
Corrected on Site

Compliance Date
7/30/2025
Violation
Hazardous items as follows were accessible to children: Sunscreen. The item(s) was/were located in the storage cabinet near the bathroom in Room D.
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
Corrected on Site

Compliance Date
7/30/2025
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, a red basket, in Room D was not free of sharp parts as evidenced by it was cracked on the edges.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
7/30/2025
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the tan squares on two soft Floor Play Mats were cracked, when touched the material flaked off. These were located in I/T Unit A, specifically the Back Room.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Corrected on Site

Compliance Date
7/30/2025
Violation
Outdoor equipment, a large Lego Block, in the Preschool/School-Age Playground was not free of sharp parts as evidenced by it was cracked.
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
Corrected on Site

Compliance Date
7/30/2025
Violation
Furniture/equipment, a green basket, in Room F was not free of sharp parts as evidenced by it was cracked on the edges.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Corrected on Site

Compliance Date
7/30/2025
Violation
Outdoor equipment, a Frisbee, in the Preschool/School-Age Playground was not free of sharp parts as evidenced by it was cracked.
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
Corrected on Site

Compliance Date
7/30/2025
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Compliance
5 CSR 25-500.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Jasmine Donoho, Jessica Murray, Grace Nikol & Janice Suermann (As of 4/30/2025 Jasmine Donoho & Jessica Murray are no longer employed. As of 7/30/2025 this was on file for Grace Nikol.) as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Return Inspection

Compliance Date

Violation
A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Jasmine Donoho, Grace Nikol & Janice Suermann. As of 4/30/2025 Jasmine Donoho is no longer employed.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification
Return Inspection

Compliance Date

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
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
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 older than five (5) years for Abigail Brooks, Jasmine Donoho & Savannah Patterson. As of 4/30/2025 Jasmine Donoho is no longer employed.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date
5/12/2025
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