| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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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
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 the child's name.
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
Corrected on Site
Compliance Date
2/17/2026
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Violation
Medical examination reports, including TB testing, were not on file for Zadie Hayden 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
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5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
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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
Corrected on Site
Compliance Date
2/17/2026
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5 CSR 25-300.080 Sanitation Requirements
Compliance
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5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The equipment, a large swing set, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there was not enough pea gravel under the fall-zone of the swings. The fall zone needs to be maintained to continue to have sufficient impact absorbing material for falls.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of there was not good drainage under the swing set with standing water.
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
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Violation
The facility had inadequate equipment for children being toilet trained as evidenced by no bathroom for every twenty-four children as evidence by "Little Toddlers" is being used for Infants/Toddlers and does not have a bathroom in the unit.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (F) states: For infants, toddlers and children not toilet trained, one (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit. One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for ever four (4) children being toilet trained.
Correction Required
Bathrooms for infants and toddlers shall be equipped as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Hazardous items as follows were accessible to children: hand sanitizer, white board cleaner, and cleaning sanitizer. The item(s) was/were located in reach of the children on a shelf that the children had access to.
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
Corrected on Site
Compliance Date
2/17/2026
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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
Compliance
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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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