| 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 2 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
8/4/2025
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Violation
A copy of the Notice of Parental Responsibility form was not fully completed, in that The individual responsible for the religious organization was not signed or dated.
Licensing Rule Reference
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (D) states: A child care facility operated by a religious organization shall file the Notice of Parental Responsibility form with the department annually during the month of August.
Correction Required
The Notice of Parental Responsibility form shall be filed annually, during the month of August, with the department.
Correction Verification
Submit Documentation
Compliance Date
9/25/2025
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5 CSR 25-300.040 Staffing Requirements
Not Observed
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5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
Medical examination reports, including TB testing, were not on file for Ulysses Bestey, Sha-Leah Wilson, Paris Terry, LaRon Thompson, Alawnna Duncan, and Madelyn Venner 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
8/26/2025
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Violation
Medical examination reports, including TB testing, were not on file for Ulysses Bestey, Sha-Leah Wilson, Paris Terry, LaRon Thompson, Alawnna Duncan, and Madelyn Venner 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
9/8/2025
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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 10/16/23.
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
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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
8/4/2025
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5 CSR 25-300.060 Responsibilities of Caregivers
Not Observed
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5 CSR 25-300.070 Fire Safety Requirements
Not Observed
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5 CSR 25-300.080 Sanitation Requirements
Not Observed
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Not Observed
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
9/26/2025
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child did not have the acknowledgments signed.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
9/26/2025
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child did not have the acknowledgments signed.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
9/26/2025
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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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Not Observed
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RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Not Observed
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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.
Not Observed
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Not Observed
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed
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