Blessed Beyond Measure Church Ministries

5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

Violation: An approved Notice of Parental Responsibility was not on file for 1 child(ren).

Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.

Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification: Submit Documentation

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: The floors located in the infant room was/were not in good condition as evidenced by trim near the right window was coming off and showing the glue underneath that is easily peelable.

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

RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.

Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.

Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.

Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.

Correction Verification: Return Inspection

Compliance Date: 5/18/2026

Subsidy Requirements

Violation: Staff/child ratio requirements were not met as evidenced by 7 children, ages 12 months to 2 years old (2- 2 year olds), were cared for by 1 caregiver(s).

Rule Reference: Subsidy Requirements A. 3. states: Birth through two years shall have no less than one adult caregiver to four children, with no more than eight children in a group.

Correction Required: Correct staff/child ratios and group sizes shall be maintained.

Correction Verification: Return Inspection

Compliance Date: 5/18/2026

Subsidy Requirements

Violation: Six hours of annual training was not completed and documented in DESE's professional development system for the following staff: Jessi Guarino needs 5 hours.

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

5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

Violation: An approved Notice of Parental Responsibility was not on file for 1 child(ren).

Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.

Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification: Submit Documentation

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: The floors located in the infant room was/were not in good condition as evidenced by trim near the right window was coming off and showing the glue underneath that is easily peelable.

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

RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.

Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility.

Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility.

Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility.

Correction Verification: Return Inspection

Subsidy Requirements

Violation: Staff/child ratio requirements were not met as evidenced by 7 children, ages 12 months to 2 years old (2- 2 year olds), were cared for by 1 caregiver(s).

Rule Reference: Subsidy Requirements A. 3. states: Birth through two years shall have no less than one adult caregiver to four children, with no more than eight children in a group.

Correction Required: Correct staff/child ratios and group sizes shall be maintained.

Correction Verification: Return Inspection

Subsidy Requirements

Violation: Six hours of annual training was not completed and documented in DESE's professional development system for the following staff: Jessi Guarino needs 5 hours.

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

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by 2 children have Asthma and there is no care plan on file.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

Compliance Date: 6/16/2025

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by 2 children have Asthma and there is no care plan on file.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation

Compliance Date: 5/10/2024

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation