| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
| | Provider Comments |
Violation
An approved Notice of Parental Responsibility was not on file for children that were enrolled on 06/14/2024, 09/18/2024, 09/23/2023 child(ren).
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.
Correction Required
The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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5 CSR 25-300.040 Staffing Requirements
Compliance
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5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
TB reports on file were older than 24 months for Jane Al-Ramahi,Kylee Day, Marie Kramer.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
Medical examination reports, including TB testing, were not on file for Freedom Sneathen,Drew Brown, Laura Klouzek, Macreaelyn Crossley as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
Medical examination reports, including TB testing, were not on file for Freedom Sneathern, Jaycee Enelbrecht, Drew Brown, Laura Klouzek, Macraelyn Crossley 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 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
Requirements for children's medical examination reports 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 for child enrolled on 09/18/2024.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/2/2025
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Violation
Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/2/2025
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Violation
The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (10) (A) states: All medication shall be given to a child only with the dated, written permission of a parent, stating the length of time the medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a nonprescription medication was not labeled by the parent with instructions for administration including times and dosage amounts.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (10) (B) states: Prescription and nonprescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages, and the physician's name. Sample medication provided by a physician may be used.
Correction Required
Medications shall be in its original container and labeled as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
The facility's storage/disposal of medication was not proper as evidenced by medication was not disposed of or returned to the parent when no longer needed. The medication was located in the infant room above the diapering station.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (10) (F) states: Unused medication shall be returned to the parent or disposed of immediately after it is no longer needed.
Correction Required
Medication shall be inaccessible to children and handled as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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5 CSR 25-300.060 Responsibilities of Caregivers
Violation
| | Provider Comments |
Violation
The facility did not meet the requirements for diapering surfaces. The diapering surface was not waterproof as evidenced by there were tears on both sides of the toddler diaper mat allowing water and body fluids and cleaners to enter in the tears.
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (F) 1 states: A safe, waterproof and washable diapering surface shall be used for changing diapers. The diapering area shall be located within or adjacent to the infant/toddler group so the caregiver using the diapering surface can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide diapering surfaces as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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5 CSR 25-300.070 Fire Safety Requirements
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by the date and/or type of drill were not recorded.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) (B) states: A written record shall be kept of the dates and types of drills conducted.
Correction Required
Fire and tornado drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.
Correction Required
Fire and tornado drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
8/19/2025
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Violation
Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.
Correction Required
Fire and tornado drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
8/19/2025
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5 CSR 25-300.080 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The use of diapering products did not meet requirements as evidenced by products provided by the facility were not approved by the parent.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (3) (B) states: Disposable tissues or wipes shall be used to clean the child at each time of diapering. Any diapering creams, powders or other products applied at the time of diapering shall be approved or provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering creams, powders or other products shall be approved or supplied by the parent and labeled with the child's name.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
The use of diapering products did not meet requirements as evidenced by products were not labeled with the child's name.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (3) (B) states: Disposable tissues or wipes shall be used to clean the child at each time of diapering. Any diapering creams, powders or other products applied at the time of diapering shall be approved or provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering creams, powders or other products shall be approved or supplied by the parent and labeled with the child's name.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
The diapering surface was not cleaned and sanitized after each use as evidenced by the caregiver did not sanitize the diaper changing surface in-between children or after changing children in the toddler room.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (3) (C) states: The diapering surface, after each use, shall be cleaned and sanitized with a sanitizer approved by the department.
Correction Required
Diapering surfaces shall be cleaned and sanitized as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
The infant and toddler toys were not sanitized as evidenced by in the infant room toys were placed in bins and not cleaned after the children used them.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (1) (B) states: Infant and toddler toys shall be kept clean and shall be sanitized after any contact with body fluids.
Correction Required
Caregivers shall clean/sanitize infant/toddler toys as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
Personal items were not labeled with each child's name.
Licensing Rule Reference
5 CSR 25-300.080 Sanitation Requirements (1) (D) states: If toothbrushes, combs, hairbrushes or other personal care items are used, they shall be individually air-dried and labeled with each child's name.
Correction Required
Caregivers will ensure children's personal items are individually labeled and air-dried as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Hazardous items as follows were accessible to children: old files, mechanical supplies and a 5 gallon container of paint. The item(s) was/were located in the school age girls bathroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Submit Documentation
Compliance Date
8/13/2025
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Violation
Hazardous items as follows were accessible to children: several cans and 5 gallon containers of wall paint, a box of ceiling tiles leaning against the wall, helium tank. The item(s) was/were located In the hall boys school age bathroom.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Submit Documentation
Compliance Date
8/13/2025
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Violation
Emergency numbers for the police, fire department, poison control, and ambulance were not posted.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.
Correction Verification
Submit Documentation
Compliance Date
8/8/2025
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Violation
Flooring did not meet requirements as evidenced by carpet/rugs in toddler area rug were soiled as evidenced by was dingy and appeared to have dark spots all over the area rug.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 1 states: The floor shall be covered with material that can be cleaned. Carpets or rugs shall be spot-cleaned when soiled. They shall be sanitized with an approved sanitizer when contaminated with body fluids.
Correction Required
Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
Flooring did not meet requirements as evidenced by carpet/rugs in two year old room were soiled as evidenced by was dingy and appeared to have dark spots all over the area rug.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 1 states: The floor shall be covered with material that can be cleaned. Carpets or rugs shall be spot-cleaned when soiled. They shall be sanitized with an approved sanitizer when contaminated with body fluids.
Correction Required
Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
Flooring did not meet requirements as evidenced by carpet/rugs in infant room were soiled as evidenced by rug was dingy and appeared to have dark spots all over the area rug.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 1 states: The floor shall be covered with material that can be cleaned. Carpets or rugs shall be spot-cleaned when soiled. They shall be sanitized with an approved sanitizer when contaminated with body fluids.
Correction Required
Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.
Correction Verification
Submit Documentation
Compliance Date
8/12/2025
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Violation
Requirements for the outdoor play area were not met as evidenced by the opening measured 4 inch opening between the post and the gate between the infant and preschool play areas.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.
Correction Verification
Submit Documentation
Compliance Date
8/15/2025
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of weeds and tall grass within the fenced in area. .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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
8/22/2025
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of black land scaping fabric was coming through the pea gravel causing a fall hazard. .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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
8/22/2025
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Violation
The facility failed to meet requirements for individually assigned blankets.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (B) states: Clean bedding with sheets laundered at least once a week or when soiled. Once bedding has been used by a child, it shall not be used by another child until it is laundered.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Submit Documentation
Compliance Date
8/8/2025
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Compliance
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Jane, Al-Ramahi, Kristyn Betts, Kylea Day, Taylor Deadeuf, Marie Kramer, Sadie Melville, Brianna Parker, Kayley Pax, Toni Sohm, Megan Wilson , Connie Jones, Macraelyn Crossley, Lilly Akers, Jaycee Engelbrecht, Drew Brown, Laura Klouzek.
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
8/12/2025
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5 CSR 25-600.040 Background Screening Findings
Compliance
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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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.
Compliance
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RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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