Dreamland Daycare & Learning Center Llc
Quick Facts
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Reviews
1 star is too much!! The way that the staff talks to the children is ridiculous. The only room that is with anything is the infant room. Those teachers are always happy and amazing. Having to talk to anybody else is enough to make you want to pull your hair out. They are always out of ratio, always negative, and talk down to the children.
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About the Provider
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 |
|---|---|---|
| 2026-07-20 | COMPLIANCE VERIFICATION | 3 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: Bleach, cleaning bottles and toilet cleaning. The item(s) was/were located in the school aged classroom in both bathrooms in the school aged 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: Submit Documentation Compliance Date: 7/20/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the school agers room on the turquoise wall was/were not in good condition as evidenced by a hole approximately 4 inches wide in the wall near the floor. 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: 7/20/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school agers room on the blue wall to the right was/were not in good condition as evidenced by the trim along most of the wall is off and missing. 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: 7/20/2026 |
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| 2026-06-10 | COMPLIANCE MONITORING | 3 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: Bleach, cleaning bottles and toilet cleaning. The item(s) was/were located in the school aged classroom in both bathrooms in the school aged 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: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school agers room on the blue wall to the right was/were not in good condition as evidenced by the trim along most of the wall is off and missing. 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 school agers room on the turquoise wall was/were not in good condition as evidenced by a hole approximately 4 inches wide in the wall near the floor. 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 |
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| 2026-02-17 | COMPLIANCE VERIFICATION | 13 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Deborah Cortez and Cheryl Maher within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 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: bleach, cleaning sprays, and various cleaning products. The item(s) was/were located in the building at 3509 in the school aged bathroom under the sink. 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: Submit Documentation Compliance Date: 1/2/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school aged room at 3509 building was/were not in good condition as evidenced by trim coming up near the bathroom doors and trim falling off by the back outside door and trim coming off on the wall to the right when you walk in. 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: 1/7/2026 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 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 2024, the staff listed need the following information: Deborah Cortez needs 12 hours. She is not in the Professional Development system. 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 Compliance Date: 1/2/2026 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Jessica Allen, Gabrielle Slayton and Hailey Caraveo 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: 2/4/2026 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: Hailey Caraveo and Deborah Clark. 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: 1/15/2026 5 CSR 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by 5 immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 1/7/2026 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include child's address. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/2/2026 |
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| 2025-12-09 | COMPLIANCE MONITORING | 14 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Deborah Cortez and Cheryl Maher within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation 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: lotions, sprays, and cleaning tablets. The item(s) was/were located in the staff bathroom on the counter and under the sink that was open and can not remain closed. Will need to fix the door so it remains closed or move the hazardous items. 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: 12/9/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school aged room at 3509 building was/were not in good condition as evidenced by trim coming up near the bathroom doors and trim falling off by the back outside door and trim coming off on the wall to the right when you walk in. 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: Hazardous items as follows were accessible to children: bleach, cleaning sprays, and various cleaning products. The item(s) was/were located in the building at 3509 in the school aged bathroom under the sink. 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: Submit Documentation 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. 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 2024, the staff listed need the following information: Deborah Cortez needs 12 hours. She is not in the Professional Development system. 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 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Jessica Allen, Gabrielle Slayton and Hailey Caraveo 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: Hailey Caraveo and Deborah Clark. 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 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by 5 immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include child's address. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation |
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| 2025-09-04 | COMPLIANCE VERIFICATION | 2 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: lotion, air spray, toilet spray, clorox bleach, gallon size handwashing soap. The item(s) was/were located lotion, air spray, toilet spray located in the staff bathroom that the door did not stay closed when pulled, and the clorox bleach, gallon size handwashing soap were in the preschool rooms kitchen that did not have a lock on the door. 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: Submit Documentation Compliance Date: 9/2/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet; Correction Required: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required. Correction Verification: Submit Documentation Compliance Date: 8/18/2025 |
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| 2025-07-22 | COMPLIANCE MONITORING | 2 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet; Correction Required: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required. Correction Verification: Submit Documentation 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: lotion, air spray, toilet spray, clorox bleach, gallon size handwashing soap. The item(s) was/were located lotion, air spray, toilet spray located in the staff bathroom that the door did not stay closed when pulled, and the clorox bleach, gallon size handwashing soap were in the preschool rooms kitchen that did not have a lock on the door. 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: Submit Documentation |
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| 2025-02-25 | COMPLIANCE VERIFICATION | 16 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Tiesha Ajiboye, Debbie Clark, and Alisah Martin within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation Compliance Date: 1/16/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 3's bathroom was/were not in good condition as evidenced by chipping paint and wood near the hand washing station. 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: 1/16/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by there was no diapering table adjacent to the group space. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation Compliance Date: 1/16/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured unknown as the fence gate was moveable and can create a bigger hole. The fence gate had what was a bike lock on it but did not keep it closed enough creating a gap children could crawl through near the dumpster immediately accross from the red barn. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation Compliance Date: 2/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4 inches in the Infant/Toddler playground area where the black fence is on the far side. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation Compliance Date: 2/21/2025 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 1/16/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the red play seat in the preschool room had a rip and hole in it. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required: Indoor play equipment, clean and in good repair, shall be accessible to children. Correction Verification: Submit Documentation Compliance Date: 1/23/2025 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Brandy Padilla. 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: 1/16/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Brandy Padilla 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: 1/16/2025 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: Debbie Clark and Tanya White. 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: 1/23/2025 5 CSR 25-500.122 Medical Examination Reports Violation: A school-age child's health report was not on file at the time of enrollment as evidenced by 4 school aged children had no health report on file. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/23/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/27/2022 and 10/22/2024. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 1/23/2025 5 CSR 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 2/21/2025 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that there was no written diet plan for one infant DOB: 5/13/24.. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers. Correction Verification: Submit Documentation Compliance Date: 1/23/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Tanya White, and Skylynn Riggs. 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: 1/16/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Cheryl Maher. Rule Reference: 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation Compliance Date: 2/21/2025 |
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| 2024-12-11 | COMPLIANCE MONITORING | 17 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Tiesha Ajiboye, Debbie Clark, and Alisah Martin within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation 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: clorox bleach wipes, hand sanitizer, bleach spray cleaner, multipurpose cleaner, lysol spray, etc.. The item(s) was/were located in the school aged room under both bathroom sinks and on the table. 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: 12/11/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 3's bathroom was/were not in good condition as evidenced by chipping paint and wood near the hand washing station. 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: Diapering requirements were not met as evidenced by there was no diapering table adjacent to the group space. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 4 inches in the Infant/Toddler playground area where the black fence is on the far side. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured unknown as the fence gate was moveable and can create a bigger hole. The fence gate had what was a bike lock on it but did not keep it closed enough creating a gap children could crawl through near the dumpster immediately accross from the red barn. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation 5 CSR 25-500.087 Fire Safety Violation: Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Rule Reference: 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the red play seat in the preschool room had a rip and hole in it. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required: Indoor play equipment, clean and in good repair, shall be accessible to children. 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 Brandy Padilla. 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 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Brandy Padilla 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: Debbie Clark and Tanya White. 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 25-500.122 Medical Examination Reports Violation: A school-age child's health report was not on file at the time of enrollment as evidenced by 4 school aged children had no health report on file. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 6/27/2022 and 10/22/2024. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by 4 immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that there was no written diet plan for one infant DOB: 5/13/24.. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Tanya White, and Skylynn Riggs. 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 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Cheryl Maher. Rule Reference: 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation |
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| 2024-05-28 | REINSPECTION | 2 violations cited |
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Findings: 5 CSR 25-500.042 Licensing Process Violation: The number of children was/were exceeded as evidenced by having 41 children when only licensed for 40 children. Rule Reference: 5 CSR 25-500.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required: The facility shall maintain compliance with the specifications on the license. Correction Verification: Return Inspection Compliance Date: 5/28/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the 3509 building in the preschool room was/were not in good condition as evidenced by trim on the left wall has fallen off. 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: 5/15/2024 |
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| 2024-05-15 | COMPLIANCE MONITORING | 3 violations cited |
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Findings: 5 CSR 25-500.042 Licensing Process Violation: The number of children was/were exceeded as evidenced by having 41 children when only licensed for 40 children. Rule Reference: 5 CSR 25-500.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required: The facility shall maintain compliance with the specifications on the license. Correction Verification: Return Inspection 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: 4/25/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the 3509 building in the preschool room was/were not in good condition as evidenced by trim on the left wall has fallen off. 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 |
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| 2024-03-19 | SUPPLEMENTAL | 5 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 facility's outdoor space was not safe for children's activities as evidenced by a hole/opening approximately 4 inches wide in the big red barn. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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: 1/29/2024 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, blue radio flyer, in the big playground was not in good condition as evidenced by the handle bars are off causing two holes that can pinch fingers. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required: Outdoor play equipment shall be safe and in good repair. Correction Verification: Submit Documentation Compliance Date: 1/29/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Jennifer Beougher and Skylynn Riggs 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: 1/29/2024 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: Karen Diaz, Cheryl Maher, and Madelaine Sanchez. 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: 2/1/2024 |
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| 2023-12-15 | COMPLIANCE MONITORING | 6 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 facility's outdoor space was not safe for children's activities as evidenced by a hole/opening approximately 4 inches wide in the big red barn. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or 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 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: The passage to an exit located in the 2's room was not clear as evidenced by children's table and chairs against the door. This was corrected on site. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits. Correction Required: Caregivers shall keep passageways to all exits clear. Correction Verification: Corrected on Site Compliance Date: 12/15/2023 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, blue radio flyer, in the big playground was not in good condition as evidenced by the handle bars are off causing two holes that can pinch fingers. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required: Outdoor play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Jennifer Beougher and Skylynn Riggs 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: Karen Diaz, Cheryl Maher, and Madelaine Sanchez. 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 |
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| 2023-07-13 | COMPLIANCE VERIFICATION | |
| 2023-06-07 | COMPLIANCE MONITORING | |
| 2023-02-07 | COMPLIANCE VERIFICATION | |
| 2023-01-18 | CLOSE SUPERVISION | |
| 2022-12-21 | COMPLIANCE MONITORING | |
| 2022-11-03 | CLOSE SUPERVISION | |
| 2022-10-06 | CLOSE SUPERVISION | |
| 2022-09-26 | CLOSE SUPERVISION | |
| 2022-08-03 | COMPLAINT INVESTIGATION | |
| 2022-08-02 | CLOSE SUPERVISION | |
| 2022-07-21 | REINSPECTION | |
| 2022-07-11 | REINSPECTION | |
| 2022-07-05 | REINSPECTION | |
| 2022-06-23 | REINSPECTION | |
| 2022-06-16 | REINSPECTION | |
| 2022-06-09 | COMPLIANCE MONITORING | |
| 2022-05-28 | COMPLIANCE VERIFICATION | |
| 2022-03-31 | SUPPLEMENTAL | |
| 2022-02-24 | COMPLIANCE VERIFICATION | |
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