| 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 Elle Waterkatter, Avery Burr, and McKenna Eschbacher 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
5/21/2026
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Violation
Medical examination reports, including TB testing, were not on file for Elle Waterkatter, Avery Burr, and McKenna Eschbacher 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
5/21/2026
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Violation
Requirements for immunization reports on file were not met as evidenced by 2026 annual summary report showing immunization status of each child enrolled was not submitted by January 15.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements 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 facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by two children under 24-months-old were observed in a room approved for preschool care.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler.
Correction Required
The facility shall provide adequate square feet of usable space per child.
Correction Verification
Return Inspection
Compliance Date
5/21/2026
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Violation
The facility failed to meet requirements for the mat covering is absorbent.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Submit Documentation
Compliance Date
5/21/2026
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Not Observed
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Elle Waterkatter, Avery Burr, and McKenna Eschbacher.
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
5/21/2026
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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.
Not Observed
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Subsidy Requirements
Violation
| | Provider Comments |
Violation
The facility did not adhere to safe sleep practices as evidenced by a 6-month-old was observed sleeping in a crib with a blanket draped over the side of the crib.
Licensing Rule Reference
Subsidy Requirements C. 2. states: Adheres to safe sleep practices, if caring for infants.
Correction Required
The facility shall adhere to safe sleep practices.
Correction Verification
Return Inspection
Compliance Date
5/21/2026
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