| Compliance List |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
|
5 CSR 25-300.040 Staffing Requirements
Compliance
|
5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
Medical examination reports, including TB testing, were not on file for Elizabeth Grady, Caroline Kelly, Natalie Raynor and Kendra Henderson 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
2/26/2026
|
|
Violation
Medical examination reports, including TB testing, were not on file for Caroline Kelly, Kendra Rosenbaum and Melanie Setser. 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
3/26/2026
|
|
|
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
|
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 fire drills were not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.
Correction Required
Fire and tornado drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
1/29/2026
|
|
|
5 CSR 25-300.080 Sanitation Requirements
Compliance
|
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of there is a small hole on the ground creating a tripping factor.
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
1/29/2026
|
|
|
5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility's admitting procedure did not include an individualized special care plan for a child with special needs.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.
Correction Required
The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.
Correction Verification
Submit Documentation
Compliance Date
2/9/2026
|
|
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
1/29/2026
|
|
|
5 CSR 25-600.020 General Requirements
Compliance
|
5 CSR 25-600.040 Background Screening Findings
Compliance
|
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
|
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
|
RSMo 210.201. Definitions. — As used in sections 210.201 to 210.257, the following terms mean:
Compliance
|
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
|
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
|
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|
Subsidy Requirements
Compliance
|