Kimber's Daycare

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Stationary equipment, climber dome, was unsafe as evidenced by the equipment was placed in close proximity to a fence which could cause a collision hazard - the fence location and measured distance from the play equipment was 33 inches.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Correction Required: Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification: Submit Documentation

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Kimberly Little needs .5 hours .

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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 25-400.185 Health Care

Violation: Facility did not submit the 2025 annual summary report showing immunization status of each child enrolled by January 15.

Rule Reference: 5 CSR 25-400.185 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department. The immunization records shall be available for review by department personnel upon request.

Correction Required: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

Correction Verification: Submit Documentation

5 CSR 25-400.185 Health Care

Violation: Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .

Rule Reference: 5 CSR 25-400.185 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.

Correction Required: Child immunization requirements shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Animal excrement was observed in an outdoor area used by children; the location of the excrement was on the fenced in playground.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (D) states: Areas used by children shall be free of animal excrement.

Correction Required: No animal excrement shall be in areas used by children.

Correction Verification: Submit Documentation

Compliance Date: 2/18/2026

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Animal excrement was observed in an outdoor area used by children; the location of the excrement was on the fenced in playground.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (4) (D) states: Areas used by children shall be free of animal excrement.

Correction Required: No animal excrement shall be in areas used by children.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: 1 bottle of toilet bowl cleaner. The item(s) was/were located in an unlatched cabinet under the bathroom sink.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 2/9/2026

5 CSR 25-400.045 Licensing Process

Violation: The number of children was/were exceeded as evidenced by there were five children under the age of two years.

Rule Reference: 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Correction Required: The provider shall maintain compliance with the specifications on the license.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.055 Annual Requirements

Violation: The equipment list was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (B) states: A current list of available equipment.

Correction Required: The child care provider shall submit an equipment list as required.

Correction Verification: Return Inspection

Compliance Date: 9/5/2025

5 CSR 25-400.055 Annual Requirements

Violation: The listing of household members and assistants was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).

Correction Required: The child care provider shall submit a listing of all household members and assistants.

Correction Verification: Return Inspection

Compliance Date: 9/5/2025

5 CSR 25-400.055 Annual Requirements

Violation: The Annual Declaration was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules;

Correction Required: The child care provider shall submit the Annual Declaration as required.

Correction Verification: Return Inspection

Compliance Date: 9/5/2025

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for Kimberly Little and Makenzie Little within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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: Return Inspection

Compliance Date: 9/5/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by two cans of aerosol sunscreen and one bottle of insect repellant sitting on a table accessible to children.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

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

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the middle window on the right has sharp wooden pieces along sides of the window and a loose board with exposed screws.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

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

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

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 see-saw was placed on a concrete pad.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 9. states: Concrete, asphalt, carpet or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.

Correction Required: The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by overflowing trash and cleaning equipment located in the laundry room were in the walking path to the playground.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: A gun was not locked in a cabinet or a closet as evidenced by one airsoft rifle and a BB gun were in an unlocked cabinet with the door open. The bedroom was shut and a childproof knob was on the doorknob.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (K) states: Ammunition, guns, hunting knives, bows and arrows or other weapons shall be stored in a locked cabinet or locked closet.

Correction Required: Weapons and ammunition shall be inaccessible in locked cabinets or closets.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: A bow and arrows was not locked in a cabinet or a closet as evidenced by a crossbow was in an unlocked cabinet with the door open. A second crossbow was sitting in a chair inside a bedroom. The bedroom was shut and a childproof knob was on the doorknob.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (K) states: Ammunition, guns, hunting knives, bows and arrows or other weapons shall be stored in a locked cabinet or locked closet.

Correction Required: Weapons and ammunition shall be inaccessible in locked cabinets or closets.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: There was evidence of dirt/debris in the hallway return vent.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 9. states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

Correction Required: The facility shall be clean and pest free.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Stationary equipment, the swingset, was unsafe as evidenced by the equipment was placed in close proximity to a fence which could cause a collision hazard - the fence location and measured distance from the play equipment was 2 feet.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Correction Required: Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Stationary equipment, the swingset and dome climber, was unsafe as evidenced by the equipment was not securely anchored.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Correction Required: Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Staff/child ratio requirements were not met as evidenced by 5 children under age two and 4 children over age two were cared for by 1 caregiver(s).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Correction Required: Staff/child ratios shall be maintained at all times.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The caregivers listed need a MOPD ID: Makenzie Little.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number from the department.

Correction Required: All caregivers shall obtain a MOPD ID.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Safe sleep training was not completed within the past 3 years for the assistant(s), Makenzie Little.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (A) . states: Every three (3) years the provider, assistant(s), and volunteers in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs dese-administrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.

Correction Required: The child care provider and assistant(s) shall complete department-approved safe sleep training as required.

Correction Verification: Return Inspection

Compliance Date: 9/11/2025

5 CSR 25-400.045 Licensing Process

Violation: The number of children was/were exceeded as evidenced by there were five children under the age of two years.

Rule Reference: 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Correction Required: The provider shall maintain compliance with the specifications on the license.

Correction Verification: Return Inspection

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for Kimberly Little and Makenzie Little within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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: Return Inspection

5 CSR 25-400.055 Annual Requirements

Violation: The Annual Declaration was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, revised 2021 and 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, indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules;

Correction Required: The child care provider shall submit the Annual Declaration as required.

Correction Verification: Return Inspection

5 CSR 25-400.055 Annual Requirements

Violation: The listing of household members and assistants was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).

Correction Required: The child care provider shall submit a listing of all household members and assistants.

Correction Verification: Return Inspection

5 CSR 25-400.055 Annual Requirements

Violation: The equipment list was not submitted.

Rule Reference: 5 CSR 25-400.055 Annual Requirements (1) (B) states: A current list of available equipment.

Correction Required: The child care provider shall submit an equipment list as required.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by overflowing trash and cleaning equipment located in the laundry room were in the walking path to the playground.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: A bow and arrows was not locked in a cabinet or a closet as evidenced by a crossbow was in an unlocked cabinet with the door open. A second crossbow was sitting in a chair inside a bedroom. The bedroom was shut and a childproof knob was on the doorknob.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (K) states: Ammunition, guns, hunting knives, bows and arrows or other weapons shall be stored in a locked cabinet or locked closet.

Correction Required: Weapons and ammunition shall be inaccessible in locked cabinets or closets.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: There was evidence of dirt/debris in the hallway return vent.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 9. states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

Correction Required: The facility shall be clean and pest free.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

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 see-saw was placed on a concrete pad.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 9. states: Concrete, asphalt, carpet or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.

Correction Required: The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the middle window on the right has sharp wooden pieces along sides of the window and a loose board with exposed screws.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

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

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by two cans of aerosol sunscreen and one bottle of insect repellant sitting on a table accessible to children.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 5. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

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

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: A gun was not locked in a cabinet or a closet as evidenced by one airsoft rifle and a BB gun were in an unlocked cabinet with the door open. The bedroom was shut and a childproof knob was on the doorknob.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (K) states: Ammunition, guns, hunting knives, bows and arrows or other weapons shall be stored in a locked cabinet or locked closet.

Correction Required: Weapons and ammunition shall be inaccessible in locked cabinets or closets.

Correction Verification: Return Inspection

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Stationary equipment, the swingset and dome climber, was unsafe as evidenced by the equipment was not securely anchored.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Correction Required: Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification: Return Inspection

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Stationary equipment, the swingset, was unsafe as evidenced by the equipment was placed in close proximity to a fence which could cause a collision hazard - the fence location and measured distance from the play equipment was 2 feet.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.

Correction Required: Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Staff/child ratio requirements were not met as evidenced by 5 children under age two and 4 children over age two were cared for by 1 caregiver(s).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Correction Required: Staff/child ratios shall be maintained at all times.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The caregivers listed need a MOPD ID: Makenzie Little.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number from the department.

Correction Required: All caregivers shall obtain a MOPD ID.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Safe sleep training was not completed within the past 3 years for the assistant(s), Makenzie Little.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (5) (A) . states: Every three (3) years the provider, assistant(s), and volunteers in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs dese-administrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions.

Correction Required: The child care provider and assistant(s) shall complete department-approved safe sleep training as required.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: Diaper Cream. The item(s) was/were located in the drawer of the changing table in the Bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: Stridex & Deodorant. The item(s) was/were located in the drawers of the vanity in the Bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by the TV in the Living Room was not secured to the shelf or the wall.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.086 Fire Safety

Violation: Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.

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

Correction Verification: Submit Documentation

Compliance Date: 2/11/2025

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's disaster and emergency plan was not available in each room used for child care as evidenced by the plan was not posted.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.

Correction Required: The facilities disaster and emergency plan must be available in required locations.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's name, address and telephone number was not posted in each room used for child care.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's list of emergency numbers are not posted in each room used for child care, specifically the Daycare Room or Living Room.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that 2 bassinets were being used, no cribs or playpens were available.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.

Correction Required: The facility shall provide approved sleeping equipment as required.

Correction Verification: Submit Documentation

Compliance Date: 10/31/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: Stridex & Deodorant. The item(s) was/were located in the drawers of the vanity in the Bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: Diaper Cream. The item(s) was/were located in the drawer of the changing table in the Bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by the bedroom doors weren't locked/latched & were accessible to children.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Corrected on Site

Compliance Date: 10/22/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by the TV in the Living Room was not secured to the shelf or the wall.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.

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

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The door, located in the Daycare Room, used as an exit from the facility was locked/latched and the lock/latch was not disengaged easily.

Rule Reference: 5 CSR 25-400.086 Fire Safety (4) (F) states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.

Correction Required: Exit doors shall not be locked/impede exit from the building.

Correction Verification: Corrected on Site

Compliance Date: 10/22/2024

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's disaster and emergency plan was not available in each room used for child care as evidenced by the plan was not posted.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.

Correction Required: The facilities disaster and emergency plan must be available in required locations.

Correction Verification: Submit Documentation

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's name, address and telephone number was not posted in each room used for child care.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's list of emergency numbers are not posted in each room used for child care, specifically the Daycare Room or Living Room.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

5 CSR 25-400.090 Disaster and Emergency Preparedness

Violation: The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.

Rule Reference: 5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that 2 bassinets were being used, no cribs or playpens were available.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 A states: A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.

Correction Required: The facility shall provide approved sleeping equipment as required.

Correction Verification: Submit Documentation