Cadence Academy Preschool, Eureka
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Contact Information
📞 (636) 938-3999Reviews
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About the Provider
Your child's early childhood development plays a vital role in their emotional, physical and academic development. At Creative Expressions Learning Center, we take that responsibility to heart, giving your child personal, loving attention, and a quality educational foundation.
Hours of Operation
- Monday6:00 AM- 9:00 PM
- Tuesday6:00 AM- 9:00 PM
- Wednesday6:00 AM- 9:00 PM
- Thursday6:00 AM- 9:00 PM
- Friday6:00 AM- 9:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Report Date | Report Type | Violations |
|---|---|---|
| 2026-04-07 | COMPLIANCE MONITORING | 11 violations cited |
|
Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the crocodile room was/were not in good condition as evidenced by there were four broken tiles. There was some loose tile pieces from the broken tiles. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The concrete floors located crocodile room, turtles, tigers and snakes was/were not covered with approved materials as evidenced by there were missing floor tiles that normally cover the concrete floors. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 7. states: Concrete floors in areas counted as child care space shall be covered with carpet, tile, linoleum or other floor covering. Correction Required: Floors shall be made of approved materials. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the tigers room was/were not in good condition as evidenced by there were eight broken tiles. There was some loose tile pieces from the broken tiles. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the snakes room was/were not in good condition as evidenced by there were nine broken tiles. There was some loose tile pieces from the broken tiles. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the turtle room was/were not in good condition as evidenced by there were three broken tiles. There was some loose tile pieces from the broken tiles. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located giraffe room by the back door was/were not in good condition as evidenced by there were two broken tiles. There was some loose tile pieces from the broken tiles. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the giraffe room by the back door was/were not in good condition as evidenced by there was chipped paint that measured 9in by 4in. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The concrete floors located in the giraffe room was/were not covered with approved materials as evidenced by the tiles were broken and concrete was exposed. There was some chunks of broken concrete in some of the cracks. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 7. states: Concrete floors in areas counted as child care space shall be covered with carpet, tile, linoleum or other floor covering. Correction Required: Floors shall be made of approved materials. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the bathroom between crocs and turtles was/were not in good condition as evidenced by there was a rusted section of 13 in by 2in on the metal door frame. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Tina Bueker needs 1 hour, Star Charlton needs 2 hours, Ridley Hertel needs 2 hours, Emily Higley needs 1 hour, Natasha Houston needs 1 hour, Ashleigh Keillor needs 2 hours, Shannon Lewis needs 2 hours, Lakin McMonigle needs 2 hours, Smita Modi needs 1 hour, Neena Radford needs 2 hours, Natasha Reese needs 1 hour, Shastine Snow Woosley needs 2 hours, and Hailey Williams needs 5 hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Alyssa Duncan and Sohair Elmagrabi. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation |
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| 2025-11-04 | COMPLIANCE VERIFICATION | 2 violations cited |
|
Findings: 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Lindsey Newton and Jamie Ireland. 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: 11/3/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Lindsey Newton and Jamie Ireland as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 10/31/2025 |
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| 2025-10-28 | COMPLIANCE MONITORING | 6 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: Lysol and Disinfecting Wipes. The item(s) was/were located under the sink in the crocodile room. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 10/28/2025 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Emily Higley. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation Compliance Date: 10/20/2025 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Krystie Rhodes needs 1 hour. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation Compliance Date: 8/15/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Lindsey Newton and Jamie Ireland as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Lindsey Newton and Jamie Ireland. 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 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Natasha Reese and Jamie Ireland. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation Compliance Date: 10/28/2025 |
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| 2025-10-04 | COMPLAINT INVESTIGATION | |
| 2025-04-15 | COMPLIANCE MONITORING | 5 violations cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Emily Higley. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Krystie Rhodes needs 1 hour. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Lindsey Newton and Jamie Ireland as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Lindsey Newton and Jamie Ireland. 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 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Natasha Reese and Jamie Ireland. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation |
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| 2024-10-22 | COMPLIANCE MONITORING | No violations cited |
| 2024-07-15 | COMPLIANCE VERIFICATION | 4 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation Compliance Date: 4/15/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the Rhino room was/were not in good condition as evidenced by there was chipped paint on the wall by the outside bathroom door. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 7/12/2024 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Shannon Lewis, Kyndra Morgan, and Alexandria Tigges. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation Compliance Date: 4/10/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Kennedy Bell, Star Charlton, Cathy Lewis, Shannon Lewis, Smita Modi, Hayde Nehring, Abigail Riffel, Shastine Snow- Woosley, and Tina Bueker. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation Compliance Date: 7/12/2024 |
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| 2024-04-05 | COMPLIANCE MONITORING | 4 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the Rhino room was/were not in good condition as evidenced by there was chipped paint on the wall by the outside bathroom door. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Shannon Lewis, Kyndra Morgan, and Alexandria Tigges. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Kennedy Bell, Star Charlton, Cathy Lewis, Shannon Lewis, Smita Modi, Hayde Nehring, Abigail Riffel, Shastine Snow- Woosley, and Tina Bueker. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation |
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| 2023-10-19 | COMPLIANCE MONITORING | No violations cited |
| 2023-09-15 | COMPLIANCE VERIFICATION | 2 violations cited |
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Findings: 5 CSR 25-500.122 Medical Examination Reports Violation: The medical examination report on file was older than 12 months before the individual's begin date at the facility. 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: 9/14/2023 5 CSR 25-500.122 Medical Examination Reports 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: Sohair Turky. 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: 9/14/2023 |
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| 2023-08-30 | SUPPLEMENTAL | |
| 2023-04-24 | COMPLIANCE MONITORING | |
| 2022-12-12 | COMPLIANCE VERIFICATION | |
| 2022-10-24 | COMPLIANCE MONITORING | |
| 2022-06-07 | COMPLIANCE VERIFICATION | |
| 2022-04-21 | COMPLIANCE MONITORING | |
| 2022-04-21 | COMPLIANCE VERIFICATION | |
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