| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Not Observed
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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 Makeala Scott, Laura Swenson, and Erin Tieman 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
10/3/2025
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Violation
Medical examination reports, including TB testing, were not on file for Joan Skare, Makeala Scott, Laura Swenson, and Erin Tieman 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
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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
Violation
| | Provider Comments |
Violation
The walls located in rooms 2 and 4 was/were not easily cleanable as evidenced by sticky/tape residue on cabinets.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
9/22/2025
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Violation
The floors located in hallway was/were not easily cleanable as evidenced by tape residue/labels peeling off.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
9/15/2025
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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 no acknowledgements on file for child DOB: 5/30/2019.
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
9/15/2025
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by no acknowledgements on file for child DOB: 5/30/2019.
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
9/15/2025
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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.
Violation
| | Provider Comments |
Violation
Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.
Licensing Rule Reference
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification
Submit Documentation
Compliance Date
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