First Christian Church Day Care

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

Violation: The equipment, a the outdoor play area around the swings, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is not impact absorbing material present.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.

Correction Required: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Ellie Berendzen as evidenced by the medical examination was not signed by the required medical source.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 5/20/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for 2 as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 5/16/2025

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

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Submit Documentation

Compliance Date: 5/14/2025

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

Violation: Requirements for sanitation inspection were not met as evidenced by the inspection was not approved.

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

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

Correction Verification: Submit Documentation

Compliance Date: 6/16/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Ellie Berendzen as evidenced by the medical examination was not signed by the required medical source.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for 2 as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

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

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Submit Documentation

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

Violation: Requirements for sanitation inspection were not met as evidenced by the inspection was not approved.

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

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

Correction Verification: Submit Documentation