DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

DAYCARE ON THE HILL LLC

002885918

(314) 922-2014

1021 ROBERT AVE
ST LOUIS
MO  63135-2853

DAYCARE ON THE HILL LLC

1021 ROBERT AVE
ST LOUIS
MO  63135-2853

HILL, NAKEISHA EBONIQUE

daycareonthehill@yahoo.com


ELIZABETH TILLINGER

6 WEEKS - 6 YEARS

10

FAMILY HOME

 
Inspection Information

04/03/2026

10:00 AM

12:22 PM

UNANNOUNCED

COMPLIANCE MONITORING

2510827307


DocumentDocument-Date
CHILD CARE/DISCIPLINE POLICIES 12/12/2022
DAILY SCHEDULE 01/27/2023
DIAGRAM/OUTDOOR 02/04/2025
DISASTER AND EMERGENCY PREPAREDNESS PLAN 03/25/2025
LICENSING ORIENTATION 01/11/2023
LLC OPERATING AGREEMENT 01/27/2023
POLICIES 12/12/2022
SAFE SLEEP POLICY 07/27/2023
SAFETY PLAN 03/20/2025
SAMPLE WEEKLY MENU 06/02/2023
SANITATION INSPECTION 03/09/2026
FIRE/SAFETY INSPECTION 03/06/2026
EQUIPMENT LIST 04/03/2026
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/03/2026
APPLICATION 03/17/2026
DIAGRAM/INDOOR 04/23/2025
CERTIFICATE OF GOOD STANDING 03/26/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: 10
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 3
Total Children 9
StaffChildClass AgeNote
2 9 MIXED Alexis Hulsey, assistant and Laylah Lockett, assistant present with nine children age 8-months-old to 4-years-old. Child ages are; 8-months-old, 12-months-old, 12-months-old, 2-years-old, 2-years-old, 3-years-old, 3-years-old, 3-years-old, and 4-years-old.
1 0 NO CHILDREN IN ATTENDANCE Nakesha Hill, provider arrived during the inspection.

Compliance List
5 CSR 25-400.025 Organization and Administration
Compliance
5 CSR 25-400.045 Licensing Process
Compliance
5 CSR 25-400.055 Annual Requirements
Violation
 Provider Comments
Violation
The Family Care Safety Registry check was not conducted for Nakesha Hill, Alexis Hulsey and Laylah Lockett within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
5 CSR 25-400.055 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
 Provider Comments
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured there is a seven inch gap between the fence gate where it latches by the house.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there was broken glass pieces in the rocks, a wire laying down on the ground in the back of the yard by the fence, and a large branch along the back fence with sharp points.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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

Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the slides were located on the concrete.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 9. states: Concrete, asphalt, carpet or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date

Violation
Hazardous items as follows were accessible to children: air freshener and plastic bags. The item(s) was/were located on the bathroom sink and in the hallway closet.
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
4/3/2026
Violation
Hazardous items as follows were accessible to children: soothing tablets. The item(s) was/were located on the floor next to the children's cubby.
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
4/3/2026
5 CSR 25-400.086 Fire Safety
Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that assistants stated that the 8-month-old child is placed on a cot for naptime.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment as required.

Correction Verification
Corrected on Site

Compliance Date
4/3/2026
Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by the mattress/pad was not in good condition in that the playpen netting had a hole approximately two inches wide .
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by there is a changing pad attached to the side of the playpen that folds over.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items.
Correction Required
Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
 Provider Comments
Violation
The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (3) (B) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.
Correction Required
Assistant information shall be posted.

Correction Verification
Submit Documentation

Compliance Date

Violation
The assistant(s), Laylah Lockett, did not complete safe sleep training within 30 days of employment or volunteering.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (A) 3. states: The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in subsection (5)(A) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-400.115 Child Care Family and Household
Compliance
5 CSR 25-400.125 Medical Examination Reports
Compliance
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
5 CSR 25-400.145 Nighttime Care
Compliance
5 CSR 25-400.155 Overlap Care of Children
Compliance
5 CSR 25-400.165 Emergency School Closings
Not Observed
5 CSR 25-400.175 Child Care Program
Violation
 Provider Comments
Violation
Constructive, age-appropriate methods of discipline were not used as evidenced by two preschool children were placed in a highchair for timeout.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program (1) (C) 3 states: Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification
Corrected on Site

Compliance Date
4/3/2026
5 CSR 25-400.185 Health Care
Violation
 Provider Comments
Violation
The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time the medication may be given.
Correction Required
All medication shall be administered and recorded as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medication was not stored out of children's reach.
Licensing Rule Reference
5 CSR 25-400.185 Health Care (3) (E) states: All medication shall be stored out of reach of children or in a locked container.
Correction Required
Medication shall be inaccessible to children and handled as required.

Correction Verification
Corrected on Site

Compliance Date
4/3/2026
5 CSR 25-400.190 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the lunch served did not meet all components. Lunch served was pizza, oranges, and milk.
Licensing Rule Reference
5 CSR 25-400.190 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.

Correction Verification
Corrected on Site

Compliance Date
4/3/2026
5 CSR 25-400.200 Transportation and Field Trips
Compliance
5 CSR 25-400.210 Records and Reports
Violation
 Provider Comments
Violation
Daily attendance records were not maintained on file as required as evidenced by there was no child attendance record for three child(ren).
Licensing Rule Reference
5 CSR 25-400.210 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Child attendance records shall be maintained and retained as required.

Correction Verification
Corrected on Site

Compliance Date
4/3/2026
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Laylah Lockett.
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
Submit Documentation

Compliance Date

5 CSR 25-600.040 Background Screening Findings
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 - report made to another state, when.
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance