| Compliance List |
5 CSR 25-500.032 Organization and Administration
Compliance
|
5 CSR 25-500.042 Licensing Process
Compliance
|
5 CSR 25-500.052 Annual Requirements
Compliance
|
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The facility did not provide 45 square feet of usable floor space for each infant and toddler as evidenced by Infants and toddlers were cared for in a classroom that was not approved for IT care. They moved infants to an approved IT room when Compliance Inspector observed children in a front area, which is approved for children's use, but not Infant/toddler use.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (I) states: For facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, at least forty-five (45) square feet of usable floor space shall be provided in the facility for each infant and toddler. Space occupied by napping equipment does not have to be deducted from usable floor space;
Correction Required
Forty-five square feet of usable floor space shall be provided for each infant/toddler. (GF)
Correction Verification
Corrected on Site
Compliance Date
7/14/2026
|
|
|
5 CSR 25-500.087 Fire Safety
Compliance
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
|
5 CSR 25-500.102 Personnel
Compliance
|
5 CSR 25-500.112 Staff/Child Ratios
Compliance
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
The medical examination report on file for Aubrey Smith was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
A medical examination report included either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) which was completed more than 12 months before beginning work in the facility for the following staff: Aubrey Smith.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
|
5 CSR 25-500.142 Nighttime Care
Compliance
|
5 CSR 25-500.162 Overlap Care of Children
Compliance
|
5 CSR 25-500.172 Emergency School Closings
Compliance
|
5 CSR 25-500.182 Child Care Program
Compliance
|
5 CSR 25-500.192 Health Care
Compliance
|
5 CSR 25-500.202 Nutrition and Food Service
Compliance
|
5 CSR 25-500.212 Transportation and Field Trips
Compliance
|
5 CSR 25-500.222 Records and Reports
Compliance
|
5 CSR 25-600.020 General Requirements
Compliance
|
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
|