Gray Summit Christian Preschool

5 CSR 25-300.040 Staffing Requirements

Violation: A caregiver has not reviewed the rules of this chapter as evidenced by Charley Rice and Paige Langley do not have a signed statement in their folder stating that they have read the rules of this chapter.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.

Correction Required: All caregivers shall review the rules 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 Damien Reinhardt and Autumn Langley 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 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Dana Mendenall and Autumn Langley 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 25-300.050 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 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Corrected on Site

Compliance Date: 7/8/2026

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

5 CSR 25-300.080 Sanitation Requirements

Violation: Bathroom supplies were not available and accessible to children as evidenced by there was no soap.

Rule Reference: 5 CSR 25-300.080 Sanitation Requirements (2) (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.

Correction Required: Soap, paper towels or air dryer, and toilet paper shall be accessible.

Correction Verification: Submit Documentation

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

Violation: Hazardous items as follows were accessible to children: Glade, Lysol, Hand Sanitizer and Coastal Cool Aerosol. The item(s) was/were located on a teachers desk accessible to children in the blue room.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 7/8/2026

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

Violation: Requirements for indoor play equipment and materials were not met. Toys/materials were not safe as evidenced by there was a blue bucket of toys located in the large sensory motor gym. The blue bucket was busted and cracked and split open on the side. Children can injure themselves when taking toys in and out of the bucket on the sharp edges of the crack/bust.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.

Correction Required: The facility shall provide play equipment and materials as required.

Correction Verification: Corrected on Site

Compliance Date: 7/8/2026

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

Violation: The facility's outdoor space was not safe for children's activities as evidenced by the presence of 2 large 2 x 4's were located directly outside of the back door exit at the foot of the exit. The 2 x 4's are a tripping hazard as children exit the building out into the playground, the 2 x 4's if moved can block and prevent the back emergency door to the playground from opening.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.

Correction Required: The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification: Corrected on Site

Compliance Date: 7/8/2026

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

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

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

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

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Jenny Benton, Robin Wilken and Anda Reidt.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

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

Correction Verification: Submit Documentation

Compliance Date: 8/7/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Katey Parmentier and Taylor Page 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 25-300.050 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: 8/7/2025

5 CSR 25-300.050 Health Requirements

Violation: Requirements for children's medical examination reports 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 9-23-2024.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 8/7/2025

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

Compliance Date: 7/23/2025

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

Compliance Date: 7/23/2025

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 did not have dads work address, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

Correction Verification: Submit Documentation

Compliance Date: 7/30/2025

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 3 children still need parents work telephone numbers, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

Correction Verification: Submit Documentation

Compliance Date: 7/30/2025

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 2 children still need parents work addresses, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

Correction Verification: Submit Documentation

Compliance Date: 7/30/2025

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, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.

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

Correction Verification: Submit Documentation

Compliance Date: 7/30/2025

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Jenny Benton, Robin Wilken and Anda Reidt.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

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 Katey Parmentier and Taylor Page 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 25-300.050 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: Requirements for children's medical examination reports 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 9-23-2024.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded 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 an admission date was needed for 2 children, child files did not have the child’s full name, address, birth date and the date care begins and ends.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.

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

Correction Verification: Corrected on Site

Compliance Date: 7/3/2025

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 2 children still need parents work addresses, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

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, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.

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

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 2 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: Corrected on Site

Compliance Date: 7/3/2025

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 did not have dads work address, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

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 3 children still need parents work telephone numbers, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Jenny Benton, Robin Wilken and Anda Reidt.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

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 Katey Parmentier and Taylor Page 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 25-300.050 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: Requirements for children's medical examination reports 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 9-23-2024.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Correction Required: Fire and tornado drills shall be completed and recorded 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 did not have dads work address, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

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 3 children still need parents work telephone numbers, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

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 2 children still need parents work addresses, child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

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, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.

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

Correction Verification: Submit Documentation

5 CSR 25-300.040 Staffing Requirements

Violation: Background screening information received by the provider was not available for review as evidenced by Michelle Homeyer did not have a Family Care Safety Registry on file but does have one that was conducted.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (8) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and made available for review when requested by the department.

Correction Required: Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

Correction Verification: Submit Documentation

Compliance Date: 7/18/2024

5 CSR 25-300.040 Staffing Requirements

Violation: A caregiver has not reviewed the rules of this chapter as evidenced by Zaylee Duncan did not have a statement stating that the License Exempt rules have been read and understood nor reviewed.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.

Correction Required: All caregivers shall review the rules as required.

Correction Verification: Submit Documentation

Compliance Date: 7/18/2024

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Lindsey Duncan.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

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

Correction Verification: Submit Documentation

Compliance Date: 7/18/2024

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

Violation: The floors located in the gymnasium was/were not easily cleanable as evidenced by the flooring appeared to be rigid and not smooth. Upon closer inspection tape was on the floor in the place of where tile was needed to the left of the exit door to the main playground.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.

Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification: Submit Documentation

Compliance Date: 8/20/2024

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

Violation: The floors located in the gymnasium was/were not in good condition as evidenced by there was a piece of flooring missing near the exit door to the main playground.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.

Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification: Submit Documentation

Compliance Date: 8/20/2024

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

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

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

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

Correction Verification: Submit Documentation

Compliance Date: 7/16/2024

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

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

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

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

Correction Verification: Submit Documentation

Compliance Date: 8/28/2024

5 CSR 25-300.040 Staffing Requirements

Violation: Background screening information received by the provider was not available for review as evidenced by Michelle Homeyer did not have a Family Care Safety Registry on file but does have one that was conducted.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (8) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and made available for review when requested by the department.

Correction Required: Background screening information shall be retained in the individual file, kept confidential, and made available for review when requested by the department.

Correction Verification: Submit Documentation

5 CSR 25-300.040 Staffing Requirements

Violation: A caregiver has not reviewed the rules of this chapter as evidenced by Zaylee Duncan did not have a statement stating that the License Exempt rules have been read and understood nor reviewed.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.

Correction Required: All caregivers shall review the rules as required.

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Lindsey Duncan.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 3. states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician.

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

Correction Verification: Submit Documentation

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

Violation: Hazardous items as follows were accessible to children: Sanitation wipes. The item(s) was/were located in the blue room in a teachers desk in a unlocked drawer accessible to children and low to the ground.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 7/9/2024

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

Violation: The floors located in the gymnasium was/were not in good condition as evidenced by there was a piece of flooring missing near the exit door to the main playground.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.

Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification: Submit Documentation

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

Violation: The floors located in the gymnasium was/were not easily cleanable as evidenced by the flooring appeared to be rigid and not smooth. Upon closer inspection tape was on the floor in the place of where tile was needed to the left of the exit door to the main playground.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.

Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification: Submit Documentation

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 4 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

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

Correction Verification: Corrected on Site

Compliance Date: 7/9/2024

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

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

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

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

Correction Verification: Submit Documentation

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

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

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

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

Correction Verification: Submit Documentation