Methodist Early Learning Center

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: 4/8/2026

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Mary Reed 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: 4/14/2026

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

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

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

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

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Mary Reed 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 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Corrected on Site

Compliance Date: 4/6/2026

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

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the name and phone number of the family physician, or hospital, or both.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Corrected on Site

Compliance Date: 4/6/2026

5 CSR 25-300.050 Health Requirements

Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/21/2024.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 4/16/2025

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

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

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

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

Correction Verification: Submit Documentation

Compliance Date: 4/8/2025

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation

Compliance Date: 4/3/2025

5 CSR 25-300.050 Health Requirements

Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/21/2024.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file 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: hand sanitizer. The item(s) was/were located in a preschool classroom and preschoolers girls bathroom on the counter top within children's reach, presenting possible poisoning hazards.

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: 4/3/2025

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

Violation: Doors to the bathroom or stalls did not meet requirements as evidenced by there was a latch on the bathroom stall.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 3 (C) states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.

Correction Required: Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.

Correction Verification: Corrected on Site

Compliance Date: 4/3/2025

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

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

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

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

Correction Verification: Submit Documentation

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

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by four child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Corrected on Site

Compliance Date: 4/3/2025

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 three child files did not have the name and phone number of the family physician, or hospital, or both.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Corrected on Site

Compliance Date: 4/3/2025

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.

Violation: Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

Correction Verification: Submit Documentation

5 CSR 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Submit Documentation

Compliance Date: 4/12/2024

5 CSR 25-300.070 Fire Safety Requirements

Violation: The facility's evacuation/emergency plan is not posted.

Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.

Correction Required: Evacuation/emergency plan must be posted/complete as required.

Correction Verification: Submit Documentation