First Steps Child Care Center
Quick Facts
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Missouri Department of Health and Senior Services lists this provider as LICENSE EXEMPT PROGRAM, so it does not hold a child care license. Providers in this category are exempt from state licensing requirements, which means they are not inspected or monitored the way licensed providers are. Ask the provider what oversight it does operate under, and check with Missouri Department of Health and Senior Services before enrolling.
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About the Provider
Hours of Operation
- Monday6:00 AM- 5:30 PM
- Tuesday6:00 AM- 5:30 PM
- Wednesday6:00 AM- 5:30 PM
- Thursday6:00 AM- 5:30 PM
- Friday6:00 AM- 5:30 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 |
|---|---|---|
| 2026-07-14 | ANNUAL | 1 violation cited |
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Findings: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured one foot. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Corrected on Site Compliance Date: 7/14/2026 |
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| 2025-08-29 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Yolanda Martin , Terra Ebeling, Linda Stewart and Jada Tilson, Shevanae Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 8/29/2025 |
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| 2025-08-28 | REINSPECTION | 1 violation cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Yolanda Martin , Terra Ebeling, Linda Stewart and Jada Tilson, Shevanae Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation |
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| 2025-08-26 | REINSPECTION | 15 violations cited |
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Findings: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures Violation: An approved Notice of Parental Responsibility was not on file for one child(ren). Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility. Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required. Correction Verification: Submit Documentation Compliance Date: 7/24/2025 5 CSR 25-300.050 Health Requirements Violation: The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when three children : two 1 year old and one 2 year old child fall down the steps. Rule Reference: 5 CSR 25-300.050 Health Requirements (11) states: In case of an accident or injury to a child, the provider shall notify a parent immediately. If a child requires emergency medical care, a parent's prior written instructions shall be followed. A form shall be completed indicating the circumstances and the date and time of the injury. The form shall be signed by the caregiver and his/her supervisor. A copy of the form shall be given to the parent the day of the accident or injury and necessary explanations shall be given. The form shall be filed in the child's record. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation Compliance Date: 8/19/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Yolanda Martin , Terra Ebeling, Linda Stewart and Jada Tilson, Shevanae Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Pamela Martin, Linda Steward, Shevanae Thomas, Jada Tilson, Yolanda Martin as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 7/30/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 1. states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment. Correction Required: Medical/TB reports shall be on file as required Correction Verification: Submit Documentation Compliance Date: 8/26/2025 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 7/29/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Corrected on Site Compliance Date: 8/26/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The space for infants and toddlers is not separated by floor-to-ceiling walls. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 2 states: A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor to- ceiling walls with separate play, sleeping and bathroom space. Correction Required: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. Correction Verification: Corrected on Site Compliance Date: 8/26/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The requirements for safety gates or doors were not met as evidenced by the gate is needed on the bottom of the stairs in Room C, so the children don't get to the stairs unsupervised. CI observed two 1 year old children going downstairs alone while teacher was talking with director on the top of the stairs. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (C) states: Approved safety gates at stairways and doors shall be provided as needed. Correction Required: Approved safety gates and doors shall be provided as required. Correction Verification: Submit Documentation Compliance Date: 8/1/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Children were not restricted to approved space as evidenced by a closet door that is not approved space was unlocked . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Submit Documentation Compliance Date: 8/2/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the child’s full name, address, birth date and the date care begins and ends. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 7/24/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 8/19/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name and phone number of the family physician, or hospital, or both. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 8/26/2025 RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility. Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility. Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility. Correction Verification: Corrected on Site Compliance Date: 8/26/2025 RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Violation: Requirements for sanitation inspection were not met as evidenced by the inspection was not approved. Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required. Correction Verification: Submit Documentation Compliance Date: 8/25/2025 |
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| 2025-07-23 | REINSPECTION | 20 violations cited |
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Findings: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures Violation: An approved Notice of Parental Responsibility was not on file for one child(ren). Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility. Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required. Correction Verification: Submit Documentation 5 CSR 25-300.040 Staffing Requirements Violation: Supervision and basic care were not provided as evidenced by caregiver Terra Ebeling was on the top of the stairs allowing three children who are one and two years old to go infront of her down the stairs. All three children tumbled down the stairs about 5 steps down and cried . Rule Reference: 5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities. Correction Required: Caregivers shall provide basic care and supervision. Correction Verification: Return Inspection Compliance Date: 7/23/2025 5 CSR 25-300.040 Staffing Requirements Violation: Supervision and basic care were not provided as evidenced by caregiver/director left a room to get to the kitchen, leaving two 4 years old children alone in a preschool classroom. Rule Reference: 5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities. Correction Required: Caregivers shall provide basic care and supervision. Correction Verification: Return Inspection Compliance Date: 7/23/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Yolanda Martin , Terra Ebeling, Linda Stewart and Jada Tilson, Shevanae Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 1. states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment. Correction Required: Medical/TB reports shall be on file as required Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Pamela Martin, Linda Steward, Shevanae Thomas, Jada Tilson, Yolanda Martin as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when three children : two 1 year old and one 2 year old child fall down the steps. Rule Reference: 5 CSR 25-300.050 Health Requirements (11) states: In case of an accident or injury to a child, the provider shall notify a parent immediately. If a child requires emergency medical care, a parent's prior written instructions shall be followed. A form shall be completed indicating the circumstances and the date and time of the injury. The form shall be signed by the caregiver and his/her supervisor. A copy of the form shall be given to the parent the day of the accident or injury and necessary explanations shall be given. The form shall be filed in the child's record. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 7/21/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The requirements for safety gates or doors were not met as evidenced by the gate is needed on the bottom of the stairs in Room C, so the children don't get to the stairs unsupervised. CI observed two 1 year old children going downstairs alone while teacher was talking with director on the top of the stairs. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (C) states: Approved safety gates at stairways and doors shall be provided as needed. Correction Required: Approved safety gates and doors shall be provided as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Children were not restricted to approved space as evidenced by a closet door that is not approved space was unlocked . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility's outdoor space was not safe for children's activities as evidenced by the presence of a black tarp was located on the playground front part , that may present potential tripping and falling hazards to a small children. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Submit Documentation Compliance Date: 7/21/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility's outdoor space was not safe for children's activities as evidenced by the presence of large wooden logs that are located on three sides of the perimeter of the playground and support the fence are old, have splinters and chipping paint, presenting possible hazards of splinters, injuries . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Submit Documentation Compliance Date: 7/21/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Equipment in the outdoor play area, the big plastic climber, was unsafe as evidenced by it has a broken plastic part , that has sharp edges , presenting possible scratching hazards to children. . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely. Correction Required: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored. Correction Verification: Submit Documentation Compliance Date: 7/21/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Corrected on Site Compliance Date: 7/23/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the child’s full name, address, birth date and the date care begins and ends. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name and phone number of the family physician, or hospital, or both. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility. Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility. Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility. Correction Verification: Return Inspection Compliance Date: 7/23/2025 RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Violation: Requirements for sanitation inspection were not met as evidenced by the inspection was not approved. Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required. Correction Verification: Submit Documentation |
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| 2025-07-09 | ANNUAL | 22 violations cited |
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Findings: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures Violation: An approved Notice of Parental Responsibility was not on file for one child(ren). Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (C) states: A child care facility operated by a religious organization shall provide the parent or guardian enrolling the child two (2) copies of the Notice of Parental Responsibility form for the enrolling parent to acknowledge, by signature, having read and accepted the information. One (1) copy shall be kept by the parent or guardian and the other copy shall be retained in the child's record at the facility. Correction Required: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required. Correction Verification: Submit Documentation 5 CSR 25-300.040 Staffing Requirements Violation: Supervision and basic care were not provided as evidenced by caregiver Terra Ebeling was on the top of the stairs allowing three children who are one and two years old to go infront of her down the stairs. All three children tumbled down the stairs about 5 steps down and cried . Rule Reference: 5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities. Correction Required: Caregivers shall provide basic care and supervision. Correction Verification: Return Inspection 5 CSR 25-300.040 Staffing Requirements Violation: Supervision and basic care were not provided as evidenced by caregiver/director left a room to get to the kitchen, leaving two 4 years old children alone in a preschool classroom. Rule Reference: 5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities. Correction Required: Caregivers shall provide basic care and supervision. Correction Verification: Return Inspection 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 1. states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment. Correction Required: Medical/TB reports shall be on file as required Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when three children : two 1 year old and one 2 year old child fall down the steps. Rule Reference: 5 CSR 25-300.050 Health Requirements (11) states: In case of an accident or injury to a child, the provider shall notify a parent immediately. If a child requires emergency medical care, a parent's prior written instructions shall be followed. A form shall be completed indicating the circumstances and the date and time of the injury. The form shall be signed by the caregiver and his/her supervisor. A copy of the form shall be given to the parent the day of the accident or injury and necessary explanations shall be given. The form shall be filed in the child's record. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Yolanda Martin , Terra Ebeling, Linda Stewart and Jada Tilson, Shevanae Thomas as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Pamela Martin, Linda Steward, Shevanae Thomas, Jada Tilson, Yolanda Martin as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by fire drills were not held at least one time every three months. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 5 (C) states: Sleeping equipment arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Corrected on Site Compliance Date: 7/9/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Equipment in the outdoor play area, the big plastic climber, was unsafe as evidenced by it has a broken plastic part , that has sharp edges , presenting possible scratching hazards to children. . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely. Correction Required: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility's outdoor space was not safe for children's activities as evidenced by the presence of a black tarp was located on the playground front part , that may present potential tripping and falling hazards to a small children. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility's outdoor space was not safe for children's activities as evidenced by the presence of large wooden logs that are located on three sides of the perimeter of the playground and support the fence are old, have splinters and chipping paint, presenting possible hazards of splinters, injuries . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Hazardous items as follows were accessible to children: cleaning supplies such as comet classic, spic and span spray , degreaser, air freshener aerosol and plastic bags that can present possible suffocating/choking hazards to the children. The item(s) was/were located in unlocked cabinets and drawers in Infant and toddler classroom and staff bathroom . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials. Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items. Correction Verification: Corrected on Site Compliance Date: 7/9/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The requirements for safety gates or doors were not met as evidenced by the gate is needed on the bottom of the stairs in Room C, so the children don't get to the stairs unsupervised. CI observed two 1 year old children going downstairs alone while teacher was talking with director on the top of the stairs. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (C) states: Approved safety gates at stairways and doors shall be provided as needed. Correction Required: Approved safety gates and doors shall be provided as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Children were not restricted to approved space as evidenced by a closet door that is not approved space was unlocked . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Children were not restricted to approved space as evidenced by a furnace room door and staff bathroom door that are not approved space were unlocked. . Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care. Correction Required: Caregivers shall restrict children to approved space. Correction Verification: Corrected on Site Compliance Date: 7/9/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the child’s full name, address, birth date and the date care begins and ends. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name and phone number of the family physician, or hospital, or both. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. Violation: Staff/child ratios did not meet those set forth in the Notice of Parental Responsibility. Rule Reference: RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2. (3) states: The staff/child ratios for enrolled children under two years of age, for children ages two to four and for those five years of age and older as required by the department of elementary and secondary education regulations in licensed facilities, the standard ratio of staff to number of children for each age level maintained in the exempt facility, and the total number of children to be enrolled by the facility. Correction Required: The staff/child ratio for each age level must be maintained as stated in the Notice of Parental Responsibility. Correction Verification: Return Inspection RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Violation: Requirements for sanitation inspection were not met as evidenced by the inspection was not approved. Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required. Correction Verification: Submit Documentation |
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