Laugh And Learn Daycare

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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: Corrected on Site

Compliance Date: 8/18/2026

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: Corrected on Site

Compliance Date: 8/18/2026

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: Corrected on Site

Compliance Date: 8/18/2026

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

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 provider, Arnetta Gauch.

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: Submit Documentation

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), Tana Darnell.

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: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Posting requirements were not met as evidenced by the posted license was outdated.

Rule Reference: 5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Correction Required: The official license shall be posted.

Correction Verification: Submit Documentation

Compliance Date: 6/2/2026

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: A smoke detector there are no working smoke detectors in the childcare family home.

Rule Reference: 5 CSR 25-400.086 Fire Safety (10) (A) states: Smoke detectors shall be installed in all family day care homes.

Correction Required: Smoke detectors shall be installed.

Correction Verification: Submit Documentation

Compliance Date: 6/2/2026

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Posting requirements were not met as evidenced by the posted license was outdated.

Rule Reference: 5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Correction Required: The official license shall be posted.

Correction Verification: Submit Documentation

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 window that is on the garage which shares one side of the play yard had metal that had sharp edges. CI Duckworth observed the pointed corners and edges that had been sticking out to but cut to have rounded corners however where the metal had been cut to be rounded, there were jagged sharp pointed pieces/edges that were still not safe and is a cutting hazard. The trim is made of white metal.

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: Submit Documentation

Compliance Date: 5/14/2026

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches by 4 inches at the bottom of the chain link fence gate on the right side of the outdoor play yard after going down the steps off the deck.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

Compliance Date: 5/14/2026

5 CSR 25-400.086 Fire Safety

Violation: Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the date of the drill was not recorded.

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: Corrected on Site

Compliance Date: 5/14/2026

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: A smoke detector there are no working smoke detectors in the childcare family home.

Rule Reference: 5 CSR 25-400.086 Fire Safety (10) (A) states: Smoke detectors shall be installed in all family day care homes.

Correction Required: Smoke detectors shall be installed.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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 window that is on the garage which shares one side of the play yard had trim that was coming off. CI Duckworth observed the trim to be pointed on the corners and sticking out around the window which was a cutting hazard. The trim was made of white metal.

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: Submit Documentation

Compliance Date: 4/29/2026

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches by 4 inches at the bottom of the chain link fence gate on the right side of the outdoor play yard after going down the steps off the deck.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

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 window that is on the garage which shares one side of the play yard had metal that had sharp edges. CI Duckworth observed the pointed corners and edges that had been sticking out to but cut to have rounded corners however where the metal had been cut to be rounded, there were jagged sharp pointed pieces/edges that were still not safe and is a cutting hazard. The trim is made of white metal.

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: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.025 Organization and Administration

Violation: The child care provider or legal entity did not meet all debts and obligations associated with operating the facility as evidenced by the fictitious name of Laugh & Learn Daycare does not match the fictitious name of Laugh and Learn Daycare on the Secretary of State website.

Rule Reference: 5 CSR 25-400.025 Organization and Administration (3) states: The person(s) or legal entity who owns a family child care home shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for family child care homes.

Correction Required: The child care provider or legal entity shall meet all financial obligations.

Correction Verification: Submit Documentation

Compliance Date: 3/26/2026

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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 window that is on the garage which shares one side of the play yard had trim that was coming off. CI Duckworth observed the trim to be pointed on the corners and sticking out around the window which was a cutting hazard. The trim was made of white metal.

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: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

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: Purex Laundry Soap. The item(s) was/were located on the floor int he 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: Corrected on Site

Compliance Date: 3/26/2026

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Outdoor equipment, child's plastic shopping cart that was blue and gray, in the outdoor play yard was not free of pointed parts as evidenced by the front of the shopping cart was broke which CI Duckworth observed to be hard plastic with sharp points and edges.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Correction Required: Outdoor equipment shall have no exposed hazards.

Correction Verification: Corrected on Site

Compliance Date: 3/26/2026

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Outdoor equipment, pink, purple, and blue plastic buckets, in the outdoor play yard was unsafe as evidenced by the pink and purple bucket had cracks in them which a child could bet their fingers caught and pinched in. The Blue bucket was broke and had sharp edges and pointed edges on it that could cut the children.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Correction Required: Outdoor equipment shall have no exposed hazards.

Correction Verification: Corrected on Site

Compliance Date: 3/26/2026

5 CSR 25-400.025 Organization and Administration

Violation: The child care provider or legal entity did not meet all debts and obligations associated with operating the facility as evidenced by the fictitious name of Laugh & Learn Daycare does not match the fictitious name of Laugh and Learn Daycare on the Secretary of State website.

Rule Reference: 5 CSR 25-400.025 Organization and Administration (3) states: The person(s) or legal entity who owns a family child care home shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for family child care homes.

Correction Required: The child care provider or legal entity shall meet all financial obligations.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility did not meet requirements for child enrollment and health information as evidenced by one child's file did not have a completed enrollment form.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 A states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 E states: They have received a copy of the provider’s safe sleep policy when enrolling children less than one (1) year of age.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 D states: They understand and agree that the child may not be accepted for care when ill.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 C states: They and the provider have agreed on a plan for continuing communication regarding the child’s development, behavior and individual needs.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 B states: They have been informed that the Licensing Rules for Family Day Care Homes in Missouri are available in the home for their review.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: Enrollment, medical and attendance records were not accessible at all times as evidenced by there was no enrollment form on one child.

Rule Reference: 5 CSR 25-400.210 Records and Reports (7) states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.

Correction Required: All required records shall be kept on file at the facility and accessible at all times.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child's file did not have an enrollment form on the first day of enrollment.

Rule Reference: 5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

Correction Required: Accurate records shall be maintained.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name and phone number of the family physician or hospital.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name of individual authorized to take the child from the home.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (E) states: Name of the individual(s) authorized to take the child from the home.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include field trip and transportation authorization.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (F) states: Field trip and transportation authorization.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

Compliance Date: 2/24/2026

5 CSR 25-400.025 Organization and Administration

Violation: The child care provider or legal entity did not meet all debts and obligations associated with operating the facility as evidenced by the fictitious name of Laugh & Learn Daycare expired on 10-20-2024 and remains expired at this time.

Rule Reference: 5 CSR 25-400.025 Organization and Administration (3) states: The person(s) or legal entity who owns a family child care home shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for family child care homes.

Correction Required: The child care provider or legal entity shall meet all financial obligations.

Correction Verification: Submit Documentation

Compliance Date: 2/19/2026

5 CSR 25-400.025 Organization and Administration

Violation: The child care provider or legal entity did not meet all debts and obligations associated with operating the facility as evidenced by the fictitious name of Laugh & Learn Daycare does not match the fictitious name of Laugh and Learn Daycare on the Secretary of State website.

Rule Reference: 5 CSR 25-400.025 Organization and Administration (3) states: The person(s) or legal entity who owns a family child care home shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for family child care homes.

Correction Required: The child care provider or legal entity shall meet all financial obligations.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

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: Ibuprofen, generic aspercreme and Biofreeze. The item(s) was/were located on side tables in the livingroom.

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: 2/19/2026

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility did not meet requirements for child enrollment and health information as evidenced by one child's file did not have a completed enrollment form.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 A states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 B states: They have been informed that the Licensing Rules for Family Day Care Homes in Missouri are available in the home for their review.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 E states: They have received a copy of the provider’s safe sleep policy when enrolling children less than one (1) year of age.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 D states: They understand and agree that the child may not be accepted for care when ill.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 C states: They and the provider have agreed on a plan for continuing communication regarding the child’s development, behavior and individual needs.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: Enrollment, medical and attendance records were not accessible at all times as evidenced by there was no enrollment form on one child.

Rule Reference: 5 CSR 25-400.210 Records and Reports (7) states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.

Correction Required: All required records shall be kept on file at the facility and accessible at all times.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: The provider failed to maintain accurate records to meet administrative requirements as evidenced by one child's file did not have an enrollment form on the first day of enrollment.

Rule Reference: 5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

Correction Required: Accurate records shall be maintained.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name and phone number of the family physician or hospital.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include name of individual authorized to take the child from the home.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (E) states: Name of the individual(s) authorized to take the child from the home.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include field trip and transportation authorization.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (F) states: Field trip and transportation authorization.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Submit Documentation

5 CSR 25-400.025 Organization and Administration

Violation: The child care provider or legal entity did not meet all debts and obligations associated with operating the facility as evidenced by the fictitious name of Laugh & Learn Daycare expired on 10-20-2024 and remains expired at this time.

Rule Reference: 5 CSR 25-400.025 Organization and Administration (3) states: The person(s) or legal entity who owns a family child care home shall be responsible for meeting all debts and obligations incurred by the facility and for maintaining compliance with all licensing rules for family child care homes.

Correction Required: The child care provider or legal entity shall meet all financial obligations.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

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: shampoo and face cleaner/oil. The item(s) was/were located on the bathroom sink in reach of the children.

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: 1/7/2026

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

Correction Verification: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

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: Pledge. The item(s) was/were located in the bathroom on 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: 12/3/2025

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

Violation: The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chair(s) were not located in a bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 2. states: Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use.

Correction Required: The facility shall provide and clean/sanitize potty training equipment as required.

Correction Verification: Corrected on Site

Compliance Date: 12/3/2025

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

Violation: The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by the potty chair was not emptied.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 2. states: Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use.

Correction Required: The facility shall provide and clean/sanitize potty training equipment as required.

Correction Verification: Corrected on Site

Compliance Date: 12/3/2025

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

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 closet to the water heater and piping was open and children had access to go inside the water heater closet in the bathroom.

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: Submit Documentation

Compliance Date: 11/7/2025

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5 inches. The location of the gap in the fence is at the right corner of the dog pen next to the building when facing the fence from the play yard..

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Corrected on Site

Compliance Date: 11/17/2025

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by there were 5 protective outlets (4 in the first bedroom to the left down the hall and one on the wall outlet by the TV) that did not have protective covers.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

Compliance Date: 11/7/2025

5 CSR 25-400.045 Licensing Process

Violation: Conditions of a variance were not met as evidenced by the ceiling height in the facility is lower than the approved condition height of 7 foot due to renovations completed by the provider.

Rule Reference: 5 CSR 25-400.045 Licensing Process (19) states: All child care provided on the premises of a licensed family child care home shall be in compliance with the licensing rules, the conditions specified on the license, and the conditions of any variances granted to the licensee.

Correction Required: The provider shall maintain compliance with the specifications on the license and conditions of any variance granted.

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 in the grassy area between the deck and the outdoor play yard that the children walk through to get to the play yard (4 areas of concern throughout area).

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: 10/28/2025

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

Violation: The walls located in the first bedroom on the left down the hall was/were not in good condition as evidenced by there was one nickel-size hole on the left wall / left side of closet when you walk into the room and there was a second nickel-size hole on the wall on the right side of the room.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

Compliance Date: 10/28/2025

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

Violation: Hazardous items as follows were accessible to children: drill, saw, nails, construction battery packs, and bits. The item(s) was/were located in the kitchen on the counter in reach of the children.

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: 10/28/2025

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 closet to the water heater and piping was open and children had access to go inside the water heater closet in the bathroom.

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: Submit Documentation

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by there were 5 protective outlets (4 in the first bedroom to the left down the hall and one on the wall outlet by the TV) that did not have protective covers.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

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 in the grassy area between the deck and the outdoor play yard that the children walk through to get to the play yard (4 areas of concern throughout area).

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: The walls located in the first bedroom on the left down the hall was/were not in good condition as evidenced by there was one nickel-size hole on the left wall / left side of closet when you walk into the room and there was a second nickel-size hole on the wall on the right side of the room.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

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

Violation: The walls located in the hall way on the left side and right side of bathroom door was/were not in good condition as evidenced by there was broken drywall with 2 nails showing on the left and peeling wall paper/drywall on the right side of the bathroom door.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

Compliance Date: 9/23/2025

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

Violation: The facility has not met the requirements for fire and safety as evidenced by a Fire/Safety inspection dated 10-1-2025 was not approved due to ceiling height being between 6'8" and 6'9.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee.

Correction Required: The facility shall comply with fire and safety requirements.

Correction Verification: Submit Documentation

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 broken window in the shed on the side of the shed that the outdoor play yard is attached to. The children have access to the broken window.

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: Submit Documentation

Compliance Date: 9/29/2025

5 CSR 25-400.086 Fire Safety

Violation: The fire safety inspection did not include overlap approval.

Rule Reference: 5 CSR 25-400.086 Fire Safety (2) (A) states: The Missouri Division of Fire Safety shall inspect the facility annually for the capacity specified on the license application and the fire inspection request. The inspection shall include a determination of whether or not the facility is approved for overlap care as provided in 19 CSR 30-61.155 Overlap Care of Children.

Correction Required: The fire safety inspection shall include overlap approval.

Correction Verification: Submit Documentation

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

Violation: The walls located in the hall way on the left side and right side of bathroom door was/were not in good condition as evidenced by there was broken drywall with 2 nails showing on the left and peeling wall paper/drywall on the right side of the bathroom door.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

5 CSR 25-400.085 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 in the grassy area between the deck and the outdoor play yard that the children walk through to get to the play yard (4 areas of concern throughout area).

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: The walls located in the first bedroom on the left down the hall was/were not in good condition as evidenced by there was one nickel-size hole on the left wall / left side of closet when you walk into the room and there was a second nickel-size hole on the wall on the right side of the room.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

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

Violation: Hazardous items as follows were accessible to children: Lysol spray, Pledge, toilet bowl cleaner, fingernail polish remover, hair masque, nails and electric drill. The item(s) was/were located Lysol, Pledge, toilet bowl cleaner and fingernail polish remover was underneath the bathroom sink. The hair masque was sitting on the sink. The nails were on a shelf in the livingroom and the drill was on the kitchen counter. Children had access to all items.

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: 9/16/2025

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 broken window in the shed on the side of the shed that the outdoor play yard is attached to. The children have access to the broken window.

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: Submit Documentation

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

Violation: The facility did not have a adjacent hand washing sink with running water.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. A. states: A flush toilet and an adjacent hand washing facility with running water shall be provided.

Correction Required: The facility shall provide bathroom fixtures as required.

Correction Verification: Submit Documentation

Compliance Date: 8/27/2025

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 CI Duckworth observed a large pile of leaves, twigs, and branches in the outdoor play yard. There was a limb hanging off over the swingset that appeared to have fallen from the tree and landed on top of the swingset. Also, the playyard had tall weeds and grass and needs mowed.

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: Submit Documentation

Compliance Date: 8/27/2025

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the height of the fence was less than 42 inches high - the measured height was 36 and 39 inches on the NE corner of the play yard.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

Compliance Date: 8/27/2025

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.5 inches at the corner of the building and between the pole of the fence.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

Compliance Date: 8/27/2025

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 4.5 inches at the corner of the building and between the pole of the fence.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

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

Violation: The facility did not have a adjacent hand washing sink with running water.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. A. states: A flush toilet and an adjacent hand washing facility with running water shall be provided.

Correction Required: The facility shall provide bathroom fixtures as required.

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: CI Duckworth observed a bag of prescription medicine that was in the children's reach. The item(s) was/were located on the side table in the livingroom.

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: 8/21/2025

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 children had access to 3 bedrooms that were not child care space. CI observed Tana Darnell correct on site by putting child proof mechanisms on the door knobs during inspection.

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: 8/21/2025

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 CI Duckworth observed a large pile of leaves, twigs, and branches in the outdoor play yard. There was a limb hanging off over the swingset that appeared to have fallen from the tree and landed on top of the swingset. Also, the playyard had tall weeds and grass and needs mowed.

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: Submit Documentation

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the height of the fence was less than 42 inches high - the measured height was 36 and 39 inches on the NE corner of the play yard.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

5 CSR 25-400.125 Medical Examination Reports

Violation: Requirements for infant-toddler/preschool child medical examination reports on file 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 3-3-2025.

Rule Reference: 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

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

Correction Verification: Submit Documentation

Compliance Date: 8/21/2025

5 CSR 25-400.045 Licensing Process

Violation: Posting requirements were not met as evidenced by the license was not posted near the entrance.

Rule Reference: 5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Correction Required: The official license shall be posted.

Correction Verification: Return Inspection

Compliance Date: 7/31/2025

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

Violation: Children were not restricted to approved space as evidenced by a 16 month old child was being cared for in the master bedroom that was not approved for childcare.

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: Return Inspection

Compliance Date: 7/31/2025

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 there was an area open about 3 to 4 foot that children could enter and crawl underneath the deck within the fenced playground. Arnetta is in the process of putting up lattice to cover the open areas underneath the deck.

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: 7/31/2025

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by four electrical outlets did not have covers in first bedroom down the hall .

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Corrected on Site

Compliance Date: 7/31/2025

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

Violation: A caregiver was not knowledgeable of the needs of children as evidenced by a 16 month old child was being cared for in a back bedroom that was locked with a lever mechanism type lock on the outside of the door where the caregiver could not open the door to exit if needed and the door also had a lock on the inside of the door that was locked so the caregiver could not get in if needed.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (C) states: Caregivers shall be eighteen (18) years of age or older, have knowledge of the needs of children, and be sensitive to the capabilities, interests, and problems of children in care.

Correction Required: Caregivers shall be 18 years of age or older and meet childcare personnel requirements.

Correction Verification: Return Inspection

Compliance Date: 7/31/2025

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by on April 25, 2025, CI Christine Hughes inspected the facility and observed Rachel Murphy at the facility. The provider told her that Rachel Murphy did not live at the facility and was only visiting. On 7/21/25, the provider told CI Duckworth that Rachel Murphy is living in the home and has lived in the home since February of 2025.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

Compliance Date: 7/31/2025

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth found a 16 month old child and an adult caregiver in the master bedroom that was locked with a lever mechanism type lock on the outside of the door. Arnetta Gauch told CI Duckworth that the adult, Rachel Murphy, who was in the locked master bedroom, lived at the facility and was caring for the 16 month old child that was in there with her. Arnetta explained that the child was related to Rachel, therefore did not need to be enrolled in her facility because Rachel is the one who was caring for the child, not her.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

Compliance Date: 7/31/2025

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth observed an 18 year old and a 24 year old male in a bedroom that was not approved childcare space with the door locked from the outside with a hook and eye lock. When CI Duckworth asked the provider why the door was locked, the provider told her that the boys asked to have the door locked, they were in non-licensed space, and that no one told her that she had to take the lock off the boys' bedroom door. She thought she just had to take the lock off the first bedroom that is licensed childcare space. The provider unlocked the door to the bedroom where the two young men were and then, after CI Duckworth looked in the room, the provider locked the door again.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

Compliance Date: 7/31/2025

5 CSR 25-400.125 Medical Examination Reports

Violation: Requirements for infant-toddler/preschool child medical examination reports on file 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 1-8-2024, 12-2-2024 There was a 16 month old child being cared for by Rachel Murphy in the master bedroom that did not have a medical exam on file.

Rule Reference: 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

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

Correction Verification: Submit Documentation

Compliance Date: 7/31/2025

5 CSR 25-400.125 Medical Examination Reports

Violation: Requirements for infant-toddler/preschool child medical examination reports on file 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 3-3-2025.

Rule Reference: 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

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

Correction Verification: Submit Documentation

5 CSR 25-400.185 Health Care

Violation: Requirements for immunization reports on file were not met as evidenced by a 16 month old child being cared for by Rachel Murphy in the master bedroom whose 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

Compliance Date: 7/31/2025

5 CSR 25-400.210 Records and Reports

Violation: The provider failed to maintain accurate records to meet administrative requirements as evidenced by a 16 month old being cared for by Rachel Murphy in the master bedroom did not have a file.

Rule Reference: 5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

Correction Required: Accurate records shall be maintained.

Correction Verification: Submit Documentation

Compliance Date: 7/31/2025

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for Chuck Murphy, Rachel Murphy, and Brady Murphy, household members.

Rule Reference: 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.

Correction Required: Required results of criminal background checks shall be on file.

Correction Verification: Submit Documentation

Compliance Date: 7/31/2025

5 CSR 25-400.045 Licensing Process

Violation: Posting requirements were not met as evidenced by the license was not posted near the entrance.

Rule Reference: 5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Correction Required: The official license shall be posted.

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 there was an area open about 3 to 4 foot that children could enter and crawl underneath the deck within the fenced playground. Arnetta is in the process of putting up lattice to cover the open areas underneath the deck.

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: Children were not restricted to approved space as evidenced by a 16 month old child was being cared for in the master bedroom that was not approved for childcare.

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: Return Inspection

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth found a 16 month old child and an adult caregiver in the master bedroom that was locked with a lever mechanism type lock on the outside of the door. Arnetta Gauch told CI Duckworth that the adult, Rachel Murphy, who was in the locked master bedroom, lived at the facility and was caring for the 16 month old child that was in there with her. Arnetta explained that the child was related to Rachel, therefore did not need to be enrolled in her facility because Rachel is the one who was caring for the child, not her.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

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

Violation: A caregiver was not knowledgeable of the needs of children as evidenced by a 16 month old child was being cared for in a back bedroom that was locked with a lever mechanism type lock on the outside of the door where the caregiver could not open the door to exit if needed and the door also had a lock on the inside of the door that was locked so the caregiver could not get in if needed.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (C) states: Caregivers shall be eighteen (18) years of age or older, have knowledge of the needs of children, and be sensitive to the capabilities, interests, and problems of children in care.

Correction Required: Caregivers shall be 18 years of age or older and meet childcare personnel requirements.

Correction Verification: Return Inspection

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by CI Duckworth observed an 18 year old and a 24 year old male in a bedroom that was not approved childcare space with the door locked from the outside with a hook and eye lock. When CI Duckworth asked the provider why the door was locked, the provider told her that the boys asked to have the door locked, they were in non-licensed space, and that no one told her that she had to take the lock off the boys' bedroom door. She thought she just had to take the lock off the first bedroom that is licensed childcare space. The provider unlocked the door to the bedroom where the two young men were and then, after CI Duckworth looked in the room, the provider locked the door again.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

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

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by on April 25, 2025, CI Christine Hughes inspected the facility and observed Rachel Murphy at the facility. The provider told her that Rachel Murphy did not live at the facility and was only visiting. On 7/21/25, the provider told CI Duckworth that Rachel Murphy is living in the home and has lived in the home since February of 2025.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Return Inspection

5 CSR 25-400.115 Child Care Family and Household

Violation: Provider did not notify the department of a new household member as evidenced by Arnetta Gauch reported that the new household members were Chuck Murphy, Rachel Murphy, and Brady Murphy. These household members have been living in the home since February 2025 and Arnetta did not report them to CI Duckworth.

Rule Reference: 5 CSR 25-400.115 Child Care Family and Household (4) states: The provider shall notify the department of any new household members.

Correction Required: The provider shall promptly notify the Section for Child Care Regulation of new household members.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.125 Medical Examination Reports

Violation: Requirements for infant-toddler/preschool child medical examination reports on file 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 1-8-2024, 12-2-2024, and 3-3-2025. There was a 16 month old child being cared for by Rachel Murphy in the master bedroom that did not have a medical exam on file.

Rule Reference: 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

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

Correction Verification: Submit Documentation

5 CSR 25-400.185 Health Care

Violation: Requirements for immunization reports on file were not met as evidenced by a 16 month old child being cared for by Rachel Murphy in the master bedroom whose 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 25-400.210 Records and Reports

Violation: The provider failed to maintain accurate records to meet administrative requirements as evidenced by a 16 month old being cared for by Rachel Murphy in the master bedroom did not have a file.

Rule Reference: 5 CSR 25-400.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.

Correction Required: Accurate records shall be maintained.

Correction Verification: Submit Documentation

5 CSR 25-400.210 Records and Reports

Violation: Two child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include employers' name of parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.210 Records and Reports

Violation: one child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.210 Records and Reports

Violation: Two child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.210 Records and Reports

Violation: Two child(ren) records did not include address of another individual who might be reached in an emergency.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-400.210 Records and Reports

Violation: One child(ren) records did not include name and phone number of the family physician or hospital.

Rule Reference: 5 CSR 25-400.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.

Correction Required: Child enrollment information shall be completed and on file as required.

Correction Verification: Corrected on Site

Compliance Date: 7/21/2025

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for Chuck Murphy, Rachel Murphy, and Brady Murphy, household members.

Rule Reference: 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.

Correction Required: Required results of criminal background checks shall be on file.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by One outlet and one light switch did not have a cover on it.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

Compliance Date: 3/14/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: An infant was observed sleeping in a/an in a floor swing with blankets around it.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

Correction Required: Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification: Return Inspection

Compliance Date: 3/14/2025

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility's written policies were not implemented as evidenced by CI Duckworth observed an 8 week old infant sleeping in a floor swing which is against the Safe Sleep policy.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment.

Correction Required: The provider's written policies shall be provided to the parent(s) as required.

Correction Verification: Return Inspection

Compliance Date: 3/14/2025

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

Violation: Hazardous items as follows were accessible to children: shampoo, conditioner and body wash. The item(s) was/were located on the sink in the bathroom accessible to children.

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: 3/11/2025

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by 2 outlets did not have protective covers.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Corrected on Site

Compliance Date: 3/11/2025

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by One outlet and one light switch did not have a cover on it.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: An infant was observed sleeping in a/an in a floor swing with blankets around it.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

Correction Required: Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification: Return Inspection

5 CSR 25-400.135 Admission Policies and Procedures

Violation: The facility's written policies were not implemented as evidenced by CI Duckworth observed an 8 week old infant sleeping in a floor swing which is against the Safe Sleep policy.

Rule Reference: 5 CSR 25-400.135 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment.

Correction Required: The provider's written policies shall be provided to the parent(s) 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 CI Duckworth observed a metal exhaust cover which was rusted and had sharp edges accessible to the children. Also, CI Duckworth observed 2 pieces of metal guttering in the play yard with sharp edges. CI Duckworth also observed a broken wooden edging piece that had a rusted rod through it. A lighter was on the grill on the deck. All these things were accessible to the 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: Submit Documentation

Compliance Date: 9/12/2024

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 play yard had tall weeds and needed to be mowed. The plants may not be safe for the 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: Submit Documentation

Compliance Date: 9/12/2024

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

Violation: Hazardous items as follows were accessible to children: cleaning supplies, pest control items, and spray paint. The item(s) was/were located underneath the sink in the cabinet. Also the children had access to construction materials such as drills, saw, glue, box knife, etc. CI Duckworth observed these things on the counter in the kitchen. The construction items (drills, saw, glue, box knife, etc) were moved while CI was on site.

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: 9/12/2024

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 play yard had tall weeds and needed to be mowed. The plants may not be safe for the 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: Submit Documentation

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 CI Duckworth observed a metal exhaust cover which was rusted and had sharp edges accessible to the children. Also, CI Duckworth observed 2 pieces of metal guttering in the play yard with sharp edges. CI Duckworth also observed a broken wooden edging piece that had a rusted rod through it. A lighter was on the grill on the deck. All these things were accessible to the 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: Submit Documentation

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

Violation: Hazardous items as follows were accessible to children: cleaning supplies, pest control items, and spray paint. The item(s) was/were located underneath the sink in the cabinet. Also the children had access to construction materials such as drills, saw, glue, box knife, etc. CI Duckworth observed these things on the counter in the kitchen. The construction items (drills, saw, glue, box knife, etc) were moved while CI was on site.

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 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for Arnetta Gauch, Tana Darnell, and Ryan Darnell 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: Submit Documentation

Compliance Date: 9/25/2023

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

Violation: The provider did not provide resilient material necessary for the protection of children as evidenced by there was not enough pea gravel to provide resilient material and cushioning underneath the swingswet and where children may fall from the play area.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 7. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.

Correction Required: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

Correction Verification: Submit Documentation

Compliance Date: 9/25/2023

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

Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the opening measured approximately 2 feet. The fencing/lattice work around the deck keeping the children from going under the deck was not up so the children had access to go under the deck where metal wiring was observed.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

Correction Required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

Correction Verification: Submit Documentation

Compliance Date: 9/21/2023

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

Violation: Hazardous items as follows were accessible to children: Oxy Clean and rubbing alcohol. The item(s) was/were located underneath the sink. The child proof locks were broken and not working properly so the children had access to the items.

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: 9/25/2023

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

Violation: Hazardous items as follows were accessible to children: children's breathing medication and bottles of medication. The item(s) was/were located living room on the side table accessible to the children.

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: 9/25/2023

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: Outdoor equipment, the baby swing, in outdoor play area was not in good condition as evidenced by was broken and had fallen not attached to the swingset. The swing was laying on the ground with broken ropes.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials 3 (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Correction Required: Outdoor equipment shall have no exposed hazards.

Correction Verification: Submit Documentation

Compliance Date: 9/21/2023

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

Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Ryan Darnell.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:

Correction Required: The provider shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification: Submit Documentation

Compliance Date: 10/18/2023

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

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.

Correction Required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification: Submit Documentation

Compliance Date: 9/25/2023

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

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.

Correction Required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

Correction Verification: Submit Documentation

Compliance Date: 9/25/2023

5 CSR 25-400.125 Medical Examination Reports

Violation: Requirements for infant-toddler/preschool child medical examination reports on file 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 3-28-2023.

Rule Reference: 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School), revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

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

Correction Verification: Submit Documentation

Compliance Date: 9/25/2023

5 CSR 25-400.185 Health Care

Violation: Requirements for immunization reports on file were not met as evidenced by one 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

Compliance Date: 9/25/2023