Learn And Grow Organic Daycare
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Reviews
It says that they care about the children's wellness physical and mental.. yet my son was exposed to a sexual incident involving another child who was the predator.. instead of getting the little girl help.. they cover it up by kicking my child out.. both is unexceptable.. while i trusted my son in thier care.. he was being taught things he has never been exposed to while in thier care.. the girl has family members working there.. so .. favoritism over a child's wellbeing.. another unexceptable choice this facility makes.. caution.. they also write up permanent records worded in ways to cover up the issues as well.. they need a serious re-evaluation on thier priorities for childcare.. because the supervision children need obviously is not here.. ive never been so offended by the actions taken by a daycare facility before.. but ignoring the obvious
.. a little girl exposed to something horrible.. and teaching others.. and not getting that child help
. Is horrible!!.. kicking my child out to cover up is just pathetic.. would give negative stars if at all possible!!..
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About the Provider
Hours of Operation
- Monday6:00 AM- 9:00 PM
- Tuesday6:00 AM- 9:00 PM
- Wednesday6:00 AM- 9:00 PM
- Thursday6:00 AM- 9:00 PM
- Friday6:00 AM- 9:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Report Date | Report Type | Violations |
|---|---|---|
| 2026-08-20 | COMPLIANCE MONITORING | 7 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that an outlet in the front area where children were watching a video was uncovered. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 8/20/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room; Correction Required: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time. Correction Verification: Corrected on Site Compliance Date: 8/20/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility's outdoor space was not safe for children's activities as evidenced by several areas of high grass around the fence and side of building. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility's outdoor space was not safe for children's activities as evidenced by various vines including morning glory flowering vines were growing through and over the fence. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, brown Little Tykes play kitchen, in the outside play area was not free of sharp parts as evidenced by broken areas around the area on top of the play stove top. Rule Reference: 5 CSR 25-500.092 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 play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, brown bench, in the outdoor play area was not free of sharp parts as evidenced by several holes in the seat and back part of the bench creating sharp areas.. Rule Reference: 5 CSR 25-500.092 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 play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.192 Health Care Violation: Facility did not submit the 2025 annual summary report showing immunization status of each child enrolled by January 15. Rule Reference: 5 CSR 25-500.192 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department (see 19 CSR 40-61.185). The immunization records shall be available for review by department personnel upon request. Correction Required: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled. Correction Verification: Submit Documentation |
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| 2026-02-23 | COMPLIANCE VERIFICATION | 5 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Rebecca Anderson, Autumn Cantrell, Kahlen Cowden, Melanie Munder, and Alisha Vallance within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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: 2/10/2026 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Rebecca Anderson (5.0 hrs.), and Alisha Vallance (2.25 hrs.). Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation Compliance Date: 2/17/2026 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 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: 2/12/2026 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include name of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, 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: 2/23/2026 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Kahlen Cownden. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation Compliance Date: 2/9/2026 |
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| 2026-02-05 | COMPLIANCE MONITORING | 5 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Rebecca Anderson, Autumn Cantrell, Kahlen Cowden, Melanie Munder, and Alisha Vallance within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Rebecca Anderson (5.0 hrs.), and Alisha Vallance (2.25 hrs.). Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 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 25-500.222 Records and Reports Violation: One child(ren) records did not include name of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, 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 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Kahlen Cownden. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation |
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| 2025-08-12 | COMPLIANCE MONITORING | 1 violation cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Emergency numbers for the police, fire department, and ambulance were not posted. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 11. states: Telephone numbers for the police, fire department, ambulance and other emergency telephone numbers shall be posted near the telephone. Correction Required: Emergency numbers shall be posted near the telephone. Correction Verification: Corrected on Site Compliance Date: 8/12/2025 |
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| 2025-03-19 | COMPLIANCE VERIFICATION | 15 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation Compliance Date: 2/26/2025 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Submit Documentation Compliance Date: 2/26/2025 5 CSR 25-500.052 Annual Requirements Violation: The Annual Declaration was not submitted. Rule Reference: 5 CSR 25-500.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required: The facility shall submit the Annual Declaration as required. Correction Verification: Submit Documentation Compliance Date: 2/26/2025 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Rebecca Anderson, Autumn Cantrell, and Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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: 3/19/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers 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 was not in good condition in that large sharp screw accessible to children on north side of play yard. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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. Correction Verification: Submit Documentation Compliance Date: 2/27/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's list of emergency numbers are not posted in each room used for child care, specifically no child care room had emergency numbers posted. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required: The facility must post all emergency numbers as required. Correction Verification: Submit Documentation Compliance Date: 2/27/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's list of emergency numbers are not posted by each telephone, specifically in the office area . Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required: The facility must post all emergency numbers as required. Correction Verification: Submit Documentation Compliance Date: 2/27/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility’s name and phone number of the owner’s principal place of business was not posted in each room. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. C. states: When a facility operates at more than one (1) site, the name and telephone number of the facility's principal place of business; Correction Required: Facility must post information as required. Correction Verification: Submit Documentation Compliance Date: 2/27/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's evacuation route diagram was not posted in each room. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room; Correction Required: Facility must post information as required. Correction Verification: Submit Documentation Compliance Date: 2/27/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, steps to the castle slide, in the play yard was not in good condition as evidenced by plastic is cracked on the steps creating a pinching hazard. Rule Reference: 5 CSR 25-500.092 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 play equipment shall be safe and in good repair. Correction Verification: Submit Documentation Compliance Date: 3/18/2025 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Alisha Vallance needs 9 hours and 45 minutes. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation Compliance Date: 3/18/2025 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Melanie Munder needs 30 more minutes,. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation Compliance Date: 3/18/2025 5 CSR 25-500.222 Records and Reports Violation: Records were not available for inspection by the department upon request as evidenced by comprehensive criminal background screenings were not available for review on Demetra Gentry and James Gentry . Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request. Correction Required: Records shall be available at the facility for inspection. Correction Verification: Submit Documentation Compliance Date: 2/26/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Melanie Munder. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation Compliance Date: 3/11/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Allison Jordan. 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: 3/6/2025 |
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| 2025-02-25 | COMPLIANCE MONITORING | 15 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Annual Declaration was not submitted. Rule Reference: 5 CSR 25-500.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required: The facility shall submit the Annual Declaration as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Rebecca Anderson, Autumn Cantrell, and Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers 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 was not in good condition in that large sharp screw accessible to children on north side of play yard. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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. Correction Verification: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's list of emergency numbers are not posted in each room used for child care, specifically no child care room had emergency numbers posted. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required: The facility must post all emergency numbers as required. Correction Verification: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's list of emergency numbers are not posted by each telephone, specifically in the office area . Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required: The facility must post all emergency numbers as required. Correction Verification: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility’s name and phone number of the owner’s principal place of business was not posted in each room. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. C. states: When a facility operates at more than one (1) site, the name and telephone number of the facility's principal place of business; Correction Required: Facility must post information as required. Correction Verification: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's evacuation route diagram was not posted in each room. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room; Correction Required: Facility must post information as required. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, steps to the castle slide, in the play yard was not in good condition as evidenced by plastic is cracked on the steps creating a pinching hazard. Rule Reference: 5 CSR 25-500.092 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 play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Alisha Vallance needs 9 hours and 45 minutes. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Melanie Munder needs 30 more minutes,. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Records were not available for inspection by the department upon request as evidenced by comprehensive criminal background screenings were not available for review on Demetra Gentry and James Gentry . Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request. Correction Required: Records shall be available at the facility for inspection. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Melanie Munder. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Allison Jordan, . 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 |
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| 2024-10-30 | COMPLIANCE VERIFICATION | 8 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2024 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 8/23/2024 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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: 6/11/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation Compliance Date: 8/28/2024 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by the mesh netting of two playpens have holes.. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Correction Verification: Submit Documentation Compliance Date: 8/23/2024 5 CSR 25-500.102 Personnel Violation: The facility did not conduct a Family Care Safety Registry screening for Autumn Cantrell, who was hired on 8-9-24. Rule Reference: 5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result. Correction Required: Required results of the Family Care Safety Registry screening shall be on file. Correction Verification: Submit Documentation Compliance Date: 8/28/2024 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Melanie Munder 8.5 hours and Alisha Vallance 5 hours. . Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation Compliance Date: 8/28/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Lea Wilcox, Autumn Cantrell and Rebecca Anderson. 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: 10/29/2024 |
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| 2024-08-16 | COMPLIANCE MONITORING | 10 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that one electrical outlet did not have a cover. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 8/16/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located bathroom was/were not in good condition as evidenced by there is a hole under the sink. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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: 8/16/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by the mesh netting of two playpens have holes.. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The facility did not conduct a Family Care Safety Registry screening for Autumn Cantrell, who was hired on 8-9-24. Rule Reference: 5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result. Correction Required: Required results of the Family Care Safety Registry screening shall be on file. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Melanie Munder 8.5 hours and Alisha Vallance 5 hours. . Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Lea Wilcox, Autumn Cantrell and Rebecca Anderson. 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 |
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| 2024-07-25 | COMPLAINT INVESTIGATION | |
| 2024-06-05 | SUPPLEMENTAL | 10 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation Compliance Date: 3/7/2024 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not conducted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Megan Cloyd, and Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located bathroom was/were not in good condition as evidenced by there is a hole under the sink. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Melanie Munder 8.5 hours and Alisha Vallance 5 hours. . Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Grace Davis as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 6/5/2024 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Grace Davis. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation Compliance Date: 6/5/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Megan Cloyd and Lea Wilcox. 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 |
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| 2024-02-08 | COMPLIANCE MONITORING | 16 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The equipment list did not contain a list of equipment as required in 5 CSR 25-500.092. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Annual Declaration was not submitted. Rule Reference: 5 CSR 25-500.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules. Correction Required: The facility shall submit the Annual Declaration as required. Correction Verification: Submit Documentation Compliance Date: 1/25/2024 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not conducted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Megan Cloyd, and Melanie Munder within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Grace Davis, Alisha Vallance and Lea Wilcox within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 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: Corrected on Site Compliance Date: 2/8/2024 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located bathroom was/were not in good condition as evidenced by there is a hole under the sink. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. Correction Required: The facility shall provide paper towels, soap and toilet paper, accessible for children's use. Correction Verification: Corrected on Site Compliance Date: 2/8/2024 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Melanie Munder 8.5 hours and Alisha Vallance 5 hours. . Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Grace Davis as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Grace Davis. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation 5 CSR 25-500.192 Health Care Violation: Medication was not stored in a locked container. Rule Reference: 5 CSR 25-500.192 Health Care (3) (E) states: All medication shall be stored out of reach of children or in a locked container. Correction Required: Medication shall be inaccessible to children and handled as required. Correction Verification: Corrected on Site Compliance Date: 2/8/2024 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include date care begins and ends. Rule Reference: 5 CSR 25-500.222 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: Corrected on Site Compliance Date: 2/8/2024 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 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: 2/8/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Megan Cloyd and Lea Wilcox. 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 |
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| 2024-01-19 | COMPLAINT INVESTIGATION | |
| 2024-01-19 | COMPLAINT INVESTIGATION | |
| 2023-03-09 | COMPLIANCE VERIFICATION | |
| 2023-02-02 | COMPLIANCE MONITORING | |
| 2023-01-22 | COMPLIANCE VERIFICATION | |
| 2022-10-20 | REINSPECTION | |
| 2022-09-29 | COMPLIANCE MONITORING | |
| 2022-09-28 | COMPLIANCE VERIFICATION | |
| 2022-02-16 | COMPLIANCE MONITORING | |
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