| 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 Pearl Washington 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
Requirements for supervision of napping or sleeping children were not met as evidenced by no caregiver remained in the room while children were napping.
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (A) 2 states: A caregiver shall remain in the room with infants, preschool and school-age children while the children are napping and shall be able to see and hear the children if they have difficulty during napping or when they awaken.
Correction Required
A caregiver shall be in the room with napping children, and shall be able to see and hear them.
Correction Verification
Return Inspection
Compliance Date
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Violation
The supervision and care needs of children were not met as evidenced by No supervision in classroom with 23 month old child during nap time. Teacher was walking the halls between the classrooms of 2 year olds and an empty classroom except for the 23 month old child asleep.
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (A) 3 states: Caregivers shall be alert to various needs of each child such as thirst, hunger, diaper change, aggression by other children and need for attention.
Correction Required
Caregivers shall provide competent supervision and respond appropriately to children's needs as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Children were left without adult supervision as evidenced by One child asleep in a room by himself. Child was 23 months old..
Licensing Rule Reference
5 CSR 25-300.060 Responsibilities of Caregivers 1 (A) states: Children shall not be left without adult supervision.
Correction Required
Children shall not be left unsupervised.
Correction Verification
Return Inspection
Compliance Date
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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 walls located above the toilet in the preschool room bathroom was/were not in good condition as evidenced by peeling paint.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by nap mat was torn with foam showing .
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured 4" (by the gate on west side.
Licensing Rule Reference
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.
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 landscaping material posing a tripping hazard, disintegrating sun shade laying on ground with metal poles.
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 equipment, a climbing equipment, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by wood chips have worn down leaving bare ground/landscaping material.
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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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
Not Observed
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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
Not Observed
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