| 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
Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 06/05/2023, 12/29/2025, 11/18/2025.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination reports, including TB testing, were not on file for Haleigh Migues 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
Violation
| | Provider Comments |
Violation
The diapering surface used for changing diapers was not located within or adjacent to the infant/toddler group so the caregiver using the diapering surface can maintain supervision of the group at all times as evidenced by .
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (F) 1 states: A safe, waterproof and washable diapering surface shall be used for changing diapers. The diapering area shall be located within or adjacent to the infant/toddler group so the caregiver using the diapering surface can maintain supervision of his/her group of children at all times.
Correction Required
Diapering surfaces shall be provided as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-300.070 Fire Safety Requirements
Compliance
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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
Compliance
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5 CSR 25-300.110 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 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
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Rylee Dutton.
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
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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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Subsidy Requirements
Violation
| | Provider Comments |
Violation
Joy Beary did not complete age-appropriate pediatric CPR/First Aid certification within 90 days of employment or before providing unsupervised direct care to children.
Licensing Rule Reference
Subsidy Requirements G. 4. states: The provider and staff have age-appropriate pediatric CPR/First Aid certification within ninety (90) days of employment and before a staff member or volunteer provides unsupervised direct care to children.
Correction Required
Age-appropriate pediatric CPR/First Aid certification shall be completed for all staff and volunteers as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Six hours of annual training was not completed and documented in DESE's professional development system for the following staff: Joy Beary, Rylee Dutton, Sawyer Hays, Emma Lopez, Crystal Miller, Mary Sage, Brandy Wallace, Destiny Wheaton, Jade Irvin, Brenda Keigh, Johann Wurtz, Jersey Smith, Haleigh Migues, Chasity Hedeen, Tailynn Klien.
Licensing Rule Reference
Subsidy Requirements H. 1. states: The provider and staff involved in the care of children have completed six hours of annual training as approved by DESE and documentation of training is viewable in DESE’s designated professional development system.
Correction Required
Training requirements shall be completed and documented as required.
Correction Verification
Submit Documentation
Compliance Date
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