| Compliance List |
5 CSR 25-400.025 Organization and Administration
Compliance
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5 CSR 25-400.045 Licensing Process
Compliance
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5 CSR 25-400.055 Annual Requirements
Not Observed
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation Children were not restricted to approved space as evidenced by the room on the back is set up for care however, this room was not approved during the initial licensing. 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 Corrected on Site
Compliance Date 10/3/2025
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Violation Stairways in the facility did not meet requirements as evidenced by the stairway was not free of obstructions in that there were a mop, a broom, a dust pen observed blocking the back door leading outside. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (F) states: Stairways in approved child care space shall be well-lighted and free of obstructions. Stairways in approved child care space having more than three (3) steps shall have a handrail the children can reach. Correction Required Stairways shall meet safety standards as required.
Correction Verification Corrected on Site
Compliance Date 10/3/2025
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Violation Hazardous items as follows were accessible to children: insect spray. The item(s) was/were located on the floor in the unlocked cabinet near the bathroom. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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 10/3/2025
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5 CSR 25-400.086 Fire Safety
Compliance
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for child care as evidenced by there was no emergency plan in the I/T room, and the play room. Licensing Rule Reference 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children. Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Corrected on Site
Compliance Date 10/3/2025
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Violation The facility's list of emergency numbers that are posted do not include the numbers for radio station. Licensing Rule Reference 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station. Correction Required Facility must post information as required.
Correction Verification Corrected on Site
Compliance Date 10/3/2025
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care. Licensing Rule Reference 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children. Correction Required Facility must post information as required.
Correction Verification Corrected on Site
Compliance Date 10/3/2025
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5 CSR 25-400.095 Furniture, Equipment and Materials
Compliance
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Compliance
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5 CSR 25-400.115 Child Care Family and Household
Compliance
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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 08/12/2025, 08/18/2025, 08/12/2025. 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
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Violation Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a child care program. Licensing Rule Reference 5 CSR 25-400.125 Medical Examination Reports (2) (B) states: Examination reports shall determine if a child’s medical history and current state of health is satisfactory for participation in a child care program. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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5 CSR 25-400.135 Admission Policies and Procedures
Compliance
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5 CSR 25-400.145 Nighttime Care
Compliance
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5 CSR 25-400.155 Overlap Care of Children
Compliance
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5 CSR 25-400.165 Emergency School Closings
Compliance
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5 CSR 25-400.175 Child Care Program
Compliance
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5 CSR 25-400.185 Health Care
Compliance
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5 CSR 25-400.190 Nutrition and Food Service
Compliance
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5 CSR 25-400.200 Transportation and Field Trips
Compliance
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5 CSR 25-400.210 Records and Reports
Compliance
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5 CSR 25-600.020 General Requirements
Compliance
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5 CSR 25-600.040 Background Screening Findings
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 - report made to another state, when.
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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