Kingswood Programs

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Elizabeth Grady, Caroline Kelly, Natalie Raynor and Kendra Henderson 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: 2/26/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Caroline Kelly, Kendra Rosenbaum and Melanie Setser. 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: 3/26/2026

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

Compliance Date: 1/29/2026

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 there is a small hole on the ground creating a tripping factor.

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: Submit Documentation

Compliance Date: 1/29/2026

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

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

Compliance Date: 2/9/2026

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 two 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: 1/29/2026

5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

Violation: An approved Notice of Parental Responsibility was not on file for one child(ren).

Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility.

Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

Correction Verification: Corrected on Site

Compliance Date: 1/14/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Caroline Kelly, Kendra Rosenbaum and Melanie Setser. 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: Medical examination reports, including TB testing, were not on file for Elizabeth Grady, Caroline Kelly, Natalie Raynor and Kendra Henderson 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 25-300.070 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: 1/14/2026

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 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: staff's personal purse and untied plastic bags. The item(s) was/were located preschool classroom.

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: 1/14/2026

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 there is a small hole on the ground creating a tripping factor.

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: Submit Documentation

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

Violation: The equipment, a slide, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare ground is exposed.

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: Corrected on Site

Compliance Date: 1/14/2026

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

Violation: Hazardous items as follows were accessible to children: sunscreen and sanitizing spray. The item(s) was/were located preschool classroom.

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: 1/14/2026

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

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

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 17 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: 1/14/2026

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 17 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: 1/14/2026

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 two 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 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Danica Cruts.

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: 1/8/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Lindsey Bell 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: 1/14/2025

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

Violation: The temperature of the facility did not meet requirements as evidenced by the temperature of rooms was less than 68 degrees F measured two feet from the floor. The temperature was 63 degrees and 62 degrees in the two 3 and 4 year old rooms.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (B) states: Room temperatures that are no less than sixty-eight degrees Fahrenheit (68 F) and no more than eighty-five degrees Fahrenheit (85 F) measured two feet (2') from the floor.

Correction Required: Room temperature shall be 68 degrees F. - 85 degrees F.

Correction Verification: Submit Documentation

Compliance Date: 1/14/2025

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: 1/14/2025

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Danica Cruts.

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 Lindsey Bell 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 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: The temperature of the facility did not meet requirements as evidenced by the temperature of rooms was less than 68 degrees F measured two feet from the floor. The temperature was 63 degrees and 62 degrees in the two 3 and 4 year old rooms.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (B) states: Room temperatures that are no less than sixty-eight degrees Fahrenheit (68 F) and no more than eighty-five degrees Fahrenheit (85 F) measured two feet (2') from the floor.

Correction Required: Room temperature shall be 68 degrees F. - 85 degrees F.

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 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: Corrected on Site

Compliance Date: 1/8/2025

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Haley Brison, Kristin Riedy and Allison Riddle.

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: 2/1/2024

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

Violation: Children were not restricted to approved space as evidenced by the resource room and adjoining areas used by staff only were unlocked. A storage area behind the stage in the large recreation room was also accessible to children.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Submit Documentation

Compliance Date: 2/1/2024

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

Violation: The premises were not safe and suitable as evidenced by an issue with the sprinkler system caused flooding in the infant rooms (which will require Sanitation inspection and approval) and the system was in the process of repair, which also caused the access to the outdoor play area to be unsafe, due to work equipment/vehicles present, an open man hole and dirt which had been dug up.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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: 2/1/2024

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

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by instructions were not provided by the medical professional for a child's special care needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

Compliance Date: 2/2/2024

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 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: 1/29/2024

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 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: 1/18/2024

5 CSR 25-300.050 Health Requirements

Violation: TB reports on file were older than 24 months for Haley Brison, Kristin Riedy and Allison Riddle.

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: Children were not restricted to approved space as evidenced by the resource room and adjoining areas used by staff only were unlocked. A storage area behind the stage in the large recreation room was also accessible to children.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Submit Documentation

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

Violation: The premises were not safe and suitable as evidenced by an issue with the sprinkler system caused flooding in the infant rooms (which will require Sanitation inspection and approval) and the system was in the process of repair, which also caused the access to the outdoor play area to be unsafe, due to work equipment/vehicles present, an open man hole and dirt which had been dug up.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by instructions were not provided by the medical professional for a child's special care needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

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 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

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