| Compliance List |
5 CSR 25-500.032 Organization and Administration
Not Observed
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5 CSR 25-500.042 Licensing Process
Not Observed
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5 CSR 25-500.052 Annual Requirements
Not Observed
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5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The floors located in the main play area was/were not in good condition as evidenced by 4 tiles were chipped. One tile was located in front of the handwashing sink. Three tiles were located near the tables.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
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Violation
There was evidence of rodents/droppings in the kitchen cabinets, kitchen drawers and on the kitchen floor. Under the kitchen cabinets there were packages of paper towels and napkins that had been torn apart and used for nesting by the mice. The drawers that had utensils and sippy cup lids had mouse droppings on them. The drawer under the stove that had pans had mouse droppings in the drawer and on the pans. In addition, there were 9 packages of expired baby food observed in the cabinets. The food expired between August and December of 2025. When looking again there were several other expired foods in the cabinet. Additional mouse droppings were observed along the baseboards on the floor in the infant crawl space, on the washable rug in the infant crawl space, in 6 cubbies located in the infant crawl space, in the closet in the infant crawl space, including but not limited to the floor, shelving and on top of cot and crib sheets. In addition, there were mouse droppings on the feeding table in the back. This table was not in use but had several items stored on top of it. The bathroom had mouse dropping in and around the hot water heater in the bathroom. The mouse infestation was observed and documented by Cape County sanitation during an annual inspection that ended at approximately 12:15 p.m. today. Because of the amount of rodent droppings and they areas they were discovered, a return inspection was conducted at 3:00p.m. with the Cape County sanitation inspectors and the state sanitation inspectors. At arrival Nicole Ruesler, Owner/Director,stated that they had not done any work to clean any areas and planned to after they close this evening. During an inspection on 2/2/2025 the following was observed: mouse droppings on the kitchen floor, in the kitchen cabinets (cabinets were empty), on the floor in the infant room, including on the mat on the floor and the infant soft mat with sides. In addition there are mouse droppings in the crib and the flowered pack and play. There is a sheet in each piece of sleeping equipment and the droppings are sitting on the sheets. While conducting the inspection a baby mouse was observed running across the floor by the bathroom. The mouse went under the bathroom door and in the closet and could not be located. There are traps in the bathroom as well as throughout the building. These were put in place by a pest control company and have been checked weekly. The gaps throughout the building have not been closed up. Nicole states her brother in law is supposed to be helping with that but had to work this weekend.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-500.087 Fire Safety
Not Observed
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5 CSR 25-500.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-500.092 Furniture, Equipment and Materials
Not Observed
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5 CSR 25-500.102 Personnel
Not Observed
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5 CSR 25-500.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Staff/child ratio requirements were not met as evidenced by 15 children , ages 1 year through 5 years, were cared for by 2 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.
Correction Verification
Corrected on Site
Compliance Date
2/2/2026
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5 CSR 25-500.122 Medical Examination Reports
Not Observed
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5 CSR 25-500.132 Admission Policies and Procedures
Not Observed
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5 CSR 25-500.142 Nighttime Care
Not Observed
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5 CSR 25-500.162 Overlap Care of Children
Not Observed
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5 CSR 25-500.172 Emergency School Closings
Not Observed
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5 CSR 25-500.182 Child Care Program
Not Observed
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5 CSR 25-500.192 Health Care
Not Observed
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5 CSR 25-500.202 Nutrition and Food Service
Compliance
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5 CSR 25-500.212 Transportation and Field Trips
Not Observed
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5 CSR 25-500.222 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were older than five (5) years for Nicole Ruesler.
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
Return Inspection
Compliance Date
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Violation
Criminal background check results were not on file for Lindsay Berry.
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
Return Inspection
Compliance Date
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5 CSR 25-600.040 Background Screening Findings
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 — report made to another state, when. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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