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MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD - CHILD CARE COMPLIANCE

COMPLAINT INVESTIGATION OF SUBSTANTIATED STATUTE OR RULE VIOLATIONS
Facility Information
Date of Report
2/25/2025 12:00:00 AM
DVN
002875929
Facility Name
LITTLE BIG KIDS, LLC
Facility Address
12069 STATE HIGHWAY 77
City
CHAFFEE
Zip Code
63740-9720
Phone
(573) 318-9001
County
SCOTT
Assigned Specialist
GRAHAM, JESSICA
Rule/Statute Violation(s)
ViolationViolation Description
5 CSR 25-500.192(5)(A) In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions.
Conclusion Summary
Compliance Inspector (CI) Jessica Graham investigated the allegation that on February 11, 2025, Child A (age 5-months-old), had a bloodied, bruised nose from falling onto a toy at 2:00 PM and the parent was not notified until pick up. This allegation is substantiated based on the following rule violation. 5 CSR 25-500.192(5)(A) which states: "In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions." On March 3, 2025 director Paige Russom stated that she was told Child A, age 5-months-old, had bumped her nose on a toy causing it to bleed. She was away from the facility during this time but caregiver Anni Johnson called to inform her. Paige will contact parents when accidents happen but forgot to do so this time. None of the caregivers at the center are responsible for contacting parents, only for writing up reports. On March 3, 2025, CI Graham reviewed the incident report for Child A. It was dated February 11, 2025, with a time of 2:10pm. Anni Johnson was the caregiver that completed the report. The report stated the following: "Child A was on her belly for tummy time. She had her binky in her mouth when she was playing with a toy and nodded her head down hard hitting the toy with her binky in mouth and hit her mouth and nose. Nose bled and has a mark on the nose. Picked her up and cleaned her up. held ice pack on it. Lots of hugs and loves." The notice to the parents stated it was verbal at pick up time by Anni. On March 10, 2025, Parent A stated that Parent B picked up Child A around 5:00pm on February 11, 2025, and was told that Child A had bumped her nose on a toy causing it to bleed. Neither Parent A or Parent B were notified of the incident prior to pickup.
Corrective Measures
Corrective MeasureCompleted (Y/N)Completed Date
The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood. Y 9/10/2025 12:00:00 AM
Disposition
SUBSTANTIATED
Disposition Date
4/14/2025 12:00:00 AM
Approving Supervisor
CHRISCO, MARLA L