End Of The Rainbow Cdc
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Contact Information
📞 (573) 442-7979Reviews
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About the Provider
Hours of Operation
- MondayOpen
- TuesdayOpen
- WednesdayOpen
- ThursdayOpen
- FridayOpen
- 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 |
|---|---|---|
| 2026-06-15 | SUPPLEMENTAL | 1 violation cited |
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Findings: 5 CSR 25-500.222 Records and Reports Violation: Records were not available for inspection by the department upon request as evidenced by the requested documentation for the correction of ownership of the fictitious name to reflect the owner being the LLC has not been submitted to the department . Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request. Correction Required: Records shall be available at the facility for inspection. Correction Verification: Submit Documentation |
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| 2026-04-07 | COMPLIANCE VERIFICATION | 5 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 Glijahaonna Cobbins and Ava Meyers 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: 2/6/2026 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: Reagan Hinkamper needs 1 clock hours . 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: 2/16/2026 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Ashley Hatton 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: 2/10/2026 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: Ashley Hatton. 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: 2/10/2026 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Reagan Hinkamper. 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: 4/7/2026 |
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| 2026-02-05 | COMPLIANCE MONITORING | 5 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 Glijahaonna Cobbins and Ava Meyers 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 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Reagan Hinkamper needs 1 clock hours . 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 Ashley Hatton 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: Ashley Hatton. 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 not on file for Reagan Hinkamper. 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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| 2025-09-25 | COMPLIANCE MONITORING | No violations cited |
| 2025-07-05 | COMPLAINT INVESTIGATION | |
| 2025-06-27 | COMPLIANCE VERIFICATION | 4 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 3 and Preschool 1 was/were not in good condition as evidenced by in Toddler 3 in the bathroom there is missing/cracked tile along outside wall/ in Preschool 1 there are holes in bathroom wall by toilet paper roll and chipping paint/sheet rock on the point wall by the door that passes through to the other classroom. 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: 6/17/2025 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: Jan Chesher (12 hours) and Rosemary Wyatt (2 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 Compliance Date: 6/24/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Rebecca Kespohl. 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: 6/6/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Chloe Schumacher, Cadence Lengel and Ellie Jacobs. 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: 6/20/2025 |
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| 2025-05-30 | SUPPLEMENTAL | 7 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 Cadence Lengel and Noah McAlister 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: 4/17/2025 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: 4/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 3 and Preschool 1 was/were not in good condition as evidenced by in Toddler 3 in the bathroom there is missing/cracked tile along outside wall/ in Preschool 1 there are holes in bathroom wall by toilet paper roll and chipping paint/sheet rock on the point wall by the door that passes through to the other classroom. 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 2024, the staff listed need the following information: Jan Chesher (12 hours) and Rosemary Wyatt (2 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 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source. 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: 3/11/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Rebecca Kespohl. 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 Chloe Schumacher, Cadence Lengel and Ellie Jacobs. 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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| 2025-03-11 | REINSPECTION | 12 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 Cadence Lengel and Noah McAlister 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 25-500.052 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: Children were not restricted to approved space as evidenced by children age 1 year were in a classroom that has not been approved for infant/toddler care. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Return Inspection Compliance Date: 3/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 3 and Preschool 1 was/were not in good condition as evidenced by in Toddler 3 in the bathroom there is missing/cracked tile along outside wall/ in Preschool 1 there are holes in bathroom wall by toilet paper roll and chipping paint/sheet rock on the point wall by the door that passes through to the other classroom. 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 Toddler 2 room was/were not in good condition as evidenced by along the right wall there was a gap were tile was 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: Return Inspection Compliance Date: 3/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1, Toddler 3, P1, PK and 2's was/were not in good condition as evidenced by in Infant 1 - peeling paint chip by the door/ Toddler 3 - chipping paint in the yellow corner / P1 - peeling paint under the window and in the bathroom / PK - peeling paint in the dramatic play room, dark blue room, reading room and 2's - the wall by gross motor room 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: Return Inspection Compliance Date: 3/11/2025 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: Laela Jackson (1.5 hours), Jan Chesher (12 hours), Destiny Cramer (1 hour), Rosemary Wyatt (2 hours) and Brionne Perkins (2 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 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 10 children , ages 1 year to 2 years, were cared for by 2 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection Compliance Date: 3/11/2025 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: Maurissa Thrall. 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: 3/3/2025 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 the medical examination was not signed by the required medical source. 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 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Rebecca Kespohl. 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 Noah McAlister, Chloe Schumacher, Syanne Johnston, Cadence Lengel and Ellie Jacobs. 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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| 2025-02-21 | 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 Cadence Lengel, Syanne Johnston and Noah McAlister 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 25-500.052 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: Children were not restricted to approved space as evidenced by children age 1 year were in a classroom that has not been approved for infant/toddler care. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that in the 2 year old classroom, in the cubby room, there is an outlet plate that is broken below the shelf of cubbies. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Return Inspection Compliance Date: 2/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located Toddler 2 room was/were not in good condition as evidenced by along the right wall there was a gap were tile was 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: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1, Toddler 3, P1, PK and 2's was/were not in good condition as evidenced by in Infant 1 - peeling paint chip by the door/ Toddler 3 - chipping paint in the yellow corner / P1 - peeling paint under the window and in the bathroom / PK - peeling paint in the dramatic play room, dark blue room, reading room and 2's - the wall by gross motor room 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: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Requirements for a protected crawl area were not met in that a resilient and washable floor covering was not provided. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. A. (II) states: A crawl area protected by stable dividers shall be provided. The area shall have a resilient and washable floor covering which shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Correction Required: A protected crawl area shall be provided as required. Correction Verification: Return Inspection Compliance Date: 2/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved in that the swings on the playground outside of the Toddler 3 classroom and the swings on the Infants playground had black mats. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. Correction Verification: Return Inspection Compliance Date: 2/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The provider did not provide resilient material necessary for the protection of children as evidenced by the ground coverage on the 2 year old playground was not spread under the equipment that needs the fall zones (small slides). Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children. Correction Required: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children. Correction Verification: Return Inspection Compliance Date: 2/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 3, Toddler 1, Preschool 1 was/were not in good condition as evidenced by in Toddler 3 in the bathroom there is missing/cracked tile along outside wall and in the classroom along the outside wall there is a hole in the sheet rock/ in Toddler 1 there is peeling paint by outside door/ in Preschool 1 there are holes in bathroom wall by toilet paper roll and chipping paint/sheet rock on the point wall by the door that passes through to the other classroom. 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: Return Inspection 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: Laela Jackson (1.5 hours), Jan Chesher (12 hours), Destiny Cramer (1 hour), Rosemary Wyatt (2 hours) and Brionne Perkins (2 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 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 11 children , ages 3 years to 4 years, were cared for by 1 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Corrected on Site Compliance Date: 2/21/2025 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 10 children , ages 1 year to 2 years, were cared for by 2 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection 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: Maurissa Thrall. 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: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source. 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 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Rebecca Kespohl. 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 Noah McAlister, Chloe Schumacher, Syanne Johnston, Cadence Lengel and Ellie Jacobs. 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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| 2024-09-20 | COMPLIANCE MONITORING | 9 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that in the 2 year old classroom, in the cubby room, there is an outlet plate that is broken below the shelf of cubbies. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1, Toddler 3, P1, PK and 2's was/were not in good condition as evidenced by in Infant 1 - peeling paint chip by the door/ Toddler 3 - chipping paint in the yellow corner / P1 - peeling paint under the window and in the bathroom / PK - peeling paint in the dramatic play room, dark blue room, reading room and 2's - the wall by gross motor room 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: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Requirements for a protected crawl area were not met in that a resilient and washable floor covering was not provided. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. A. (II) states: A crawl area protected by stable dividers shall be provided. The area shall have a resilient and washable floor covering which shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Correction Required: A protected crawl area shall be provided as required. Correction Verification: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved in that the swings on the playground outside of the Toddler 3 classroom and the swings on the Infants playground had black mats. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. Correction Verification: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The provider did not provide resilient material necessary for the protection of children as evidenced by the ground coverage on the 2 year old playground was not spread under the equipment that needs the fall zones (small slides). Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children. Correction Required: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children. Correction Verification: Return Inspection 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chairs were not located in a bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 2. states: One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for every four (4) children being toilet trained. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use. Correction Required: The facility shall provide, clean, and disinfect potty training equipment as required. Correction Verification: Corrected on Site Compliance Date: 9/20/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that in several classrooms there were outlets that were missing outlet covers. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 9/20/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located Toddler 2 room was/were not in good condition as evidenced by along the right wall there was a gap were tile was 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: Return Inspection 5 CSR 25-500.192 Health Care Violation: Requirements for handwashing were not met as evidenced by after a diaper change, the child's hands were not washed. Rule Reference: 5 CSR 25-500.192 Health Care (6) (B) states: Caregivers shall teach children to wash their hands before eating and after toileting. Correction Required: Staff/children shall wash hands as required. Correction Verification: Corrected on Site Compliance Date: 9/20/2024 |
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| 2024-08-25 | COMPLAINT INVESTIGATION | |
| 2024-05-09 | COMPLIANCE VERIFICATION | 3 violations cited |
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Findings: 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 2023, the staff listed need the following information: Mercedes Green needs .75 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 Compliance Date: 5/3/2024 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: Casey Patterson and Chloe Schumacher. 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: 3/1/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Jordan Allen and Chloe Schumacher, . 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: 5/8/2024 |
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| 2024-02-28 | COMPLIANCE MONITORING | 3 violations cited |
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Findings: 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 2023, the staff listed need the following information: Mercedes Green needs .75 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 25-500.122 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: Casey Patterson and Chloe Schumacher. 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 not on file for Jordan Allen and Chloe Schumacher, . 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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| 2023-09-28 | COMPLIANCE MONITORING | No violations cited |
| 2023-07-24 | COMPLAINT INVESTIGATION | |
| 2023-07-24 | COMPLAINT INVESTIGATION | |
| 2023-05-30 | COMPLAINT INVESTIGATION | |
| 2023-05-30 | COMPLAINT INVESTIGATION | |
| 2023-05-11 | COMPLIANCE VERIFICATION | |
| 2023-03-29 | REINSPECTION | |
| 2023-03-14 | SUPPLEMENTAL | |
| 2023-02-27 | COMPLIANCE MONITORING | |
| 2022-11-02 | COMPLAINT INVESTIGATION | |
| 2022-10-14 | REINSPECTION | |
| 2022-09-29 | COMPLIANCE MONITORING | |
| 2022-05-20 | COMPLIANCE VERIFICATION | |
| 2022-02-23 | COMPLIANCE MONITORING | |
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