Lil Smarties Learning Center, Inc
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About the Provider
Hours of Operation
- MondayOpen
- TuesdayOpen
- WednesdayOpen
- ThursdayOpen
- FridayOpen
- 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 |
|---|---|---|
| 2026-06-10 | COMPLIANCE VERIFICATION | 3 violations cited |
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Findings: 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: 6/9/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. Correction Verification: Submit Documentation Compliance Date: 6/4/2026 5 CSR 25-500.192 Health Care Violation: Facility did not submit the 2026 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 Compliance Date: 6/8/2026 |
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| 2026-05-28 | COMPLIANCE MONITORING | 4 violations cited |
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Findings: 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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: There was no pad or mat under indoor equipment, a climber is 36 inches high and is located in the school age classroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 8. states: Floor surfaces under indoor equipment over twenty-four inches (24") in height, from which children might fall and be injured, shall be protected with pads or mats which will effectively cushion the fall of a child. Carpeting alone is not an acceptable resilient surface under indoor equipment. Correction Required: Pads or mats shall be in place as required. Correction Verification: Corrected on Site Compliance Date: 5/28/2026 5 CSR 25-500.192 Health Care Violation: Facility did not submit the 2026 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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| 2025-11-12 | COMPLIANCE VERIFICATION | 3 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 fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. Correction Verification: Submit Documentation Compliance Date: 11/11/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Cynthia Turner and Makayla Turner. 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: 10/21/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Persaphanie Turner. 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: 10/21/2025 |
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| 2025-10-21 | COMPLIANCE MONITORING | 15 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation Compliance Date: 10/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the preschool classroom, near the stage, and on the purple wall was/were not in good condition as evidenced by a patch of peeling paint, approximately 4 inches long, was visible on the yellow wall near the stage, and a patch of peeling paint, approximately 2 inches long, on the purple wall was located near the entrance to the room. 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: Corrected on Site Compliance Date: 10/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the preschool classroom by the stage was/were not in good condition as evidenced by the electrical plate was broken, exposing the wiring behind the plate. 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: Corrected on Site Compliance Date: 10/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required: The facility shall maintain approved resilient material in all fall-zone areas. 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 the right side of the fence that meets the fenced blacktop area is leaning and the chain link is not attached and secured along the entire right side. On the left side if the fenced area, the chain link is detached in some areas and there is a wooden board by the gate that is splintering. 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: 10/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back wall and in the boys bathroom was/were not in good condition as evidenced by two spots in the classroom and one spot in the bathroom where the flooring is not secure and soft as if a void is underneath. 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: 10/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back hall where the large toy storage shelf is was/were not in good condition as evidenced by a missing threshold strip. 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: 10/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located girls bathroom was/were not in good condition as evidenced by two metal plates on the floor, one rusted with exposed sharp edges and one is moveable and had an open gap. 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: 10/1/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the boys bathroom was/were not in good condition as evidenced by the stall divider between the second and third stall was rusted and had chipping paint on both sides. 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: 10/21/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: one bottle of hand sanitizer, two bottles of disinfectant spray, one bottle of bug spray, one electric bug zapper, and one large box of antibacterial soap. The item(s) was/were located in the preschool classroom, school age classroom, and hallway to the bathroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 10/21/2025 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: Makayla Turner needs 1.25 hours and Debra Johnson-Sanders need 7.25 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: 10/21/2025 5 CSR 25-500.192 Health Care Violation: The requirements for administering medication were not met as follows: medication was given to a child without the length of time the medication may be given specified. Rule Reference: 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required: All medication shall be administered and recorded as required. Correction Verification: Submit Documentation Compliance Date: 10/21/2025 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that there was no written diet plan on file for one child. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers. Correction Verification: Submit Documentation Compliance Date: 10/21/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Cynthia Turner and Makayla Turner. 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 Persaphanie Turner. 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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| 2025-05-28 | REINSPECTION | 43 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 Tromeka Turner 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: 5/28/2025 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not conducted. 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: 5/22/2025 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The observed surface area under the slide on the infant/toddler outdoor play space, from which a child might fall consists of grass. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured. Correction Required: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 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 trash around the large play area and overgrown plants in the infant/toddler play area. 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 Compliance Date: 5/28/2025 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 the right side of the fence that meets the fenced blacktop area is leaning and the chain link is not attached and secured along the entire right side. On the left side if the fenced area, the chain link is detached in some areas and there is a wooden board by the gate that is splintering. 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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back wall and in the boys bathroom was/were not in good condition as evidenced by two spots in the classroom and one spot in the bathroom where the flooring is not secure and soft as if a void is underneath. 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: The walls located in the school-age classroom was/were not in good condition as evidenced by a 4.5 inch patch of peeling paint, exposing plaster underneath, on the corner of the purple wall. 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: 5/28/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the school-age classroom was/were not in good condition as evidenced by the electrical wire covering on the yellow wall has a 7 inch patch of peeling paint. 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: 5/28/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back hall where the large toy storage shelf is was/were not in good condition as evidenced by a missing threshold strip. 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: The floors located girls bathroom was/were not in good condition as evidenced by two metal plates on the floor, one rusted with exposed sharp edges and one is moveable and had an open gap. 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: The walls located in the boys bathroom was/were not in good condition as evidenced by the stall divider between the second and third stall was rusted and had chipping paint on both sides. 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: Hazardous items as follows were accessible to children: Clorox bathroom cleaner, Lysol, and lotion. The item(s) was/were located the girls bathroom staff stall that is unlocked and accessible to children. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: paint cans, stain, wall plaster, caulk gun, foam spray, gasoline tank, OFF bug spray, floor stripper, ladder and extension cords. The item(s) was/were located the walkway hallway space used to go outside to the playground. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 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 an electrical plate was broken in that two electrical plates were found broken in the school-age classroom, one on the yellow wall and one on the blue wall. 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: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's list of emergency numbers are not posted by each telephone, specifically the radio station. 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: 5/28/2025 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's written emergency plan did not include plans for evacuation from a vehicle used to transport children. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (1) (A) 4. states: Evacuation from a vehicle used to transport children. Correction Required: Facility emergency plan must include required components. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Furniture/equipment, green and blue toy box holding dress-up materials, in preschool age classroom was not in good condition as evidenced by broken plastic along the edges with sharp edges. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet. Correction Required: Sleeping equipment shall meet safety and sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, wooden picnic table, in the main outdoor play space was unsafe as evidenced by the boards were warped and splintering with one board jutted up into the air with exposed screws. 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: 5/28/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, the merry-go-round bikes, in the main outdoor play space was not in good condition as evidenced by the merry-go-round bikes were all off the track and one of them was missing a pedal. 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: 5/28/2025 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Debra Johnson-Sanders, Trinity Mason, Jayvian Williams, and Tromeka Turner Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 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: Makayla Turner needs 1.25 hours and Debra Johnson-Sanders need 7.25 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 25-500.102 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: Makayla Turner needs 4 hours and Debra Johnson-Sanders need 7.25 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: 5/28/2025 5 CSR 25-500.122 Medical Examination Reports Violation: The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by the date of the exam is left blank on the medical examination report. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department athttps://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.132 Admission Policies and Procedures Violation: An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required: An individualized plan from a professional source shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.132 Admission Policies and Procedures Violation: The facility did not meet requirements for child enrollment and health information as evidenced by two children's records did not include authorization for emergency medical care. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.132 Admission Policies and Procedures Violation: The policy did not prohibit covering cribs or playpens with blankets or bedding. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (2) B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding. Correction Required: The policy shall prohibit covering cribs or playpens with blankets or bedding. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.192 Health Care Violation: The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file. Rule Reference: 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required: All medication shall be administered and recorded as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.192 Health Care Violation: The requirements for prescription medications were not met as evidenced by a medication was not in its original container - the medication was contained in individual plastic bags. Each bag had an albuterol puff and the child's name was written on the baggie. Rule Reference: 5 CSR 25-500.192 Health Care (3) (C) states: Prescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages and the physician's name. This may include sample medication provided by a physician. Correction Required: Medications shall be stored and labeled as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.192 Health Care Violation: The requirements for administering medication were not met as follows: medication was given to a child without the length of time the medication may be given specified. Rule Reference: 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required: All medication shall be administered and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that there was no written diet plan on file for one child. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers. Correction Verification: Submit Documentation 5 CSR 25-500.212 Transportation and Field Trips Violation: The driver of a vehicle used to transport children was not qualified as evidenced by Niaja Love did not have a valid driver's license (Class E or CDL). Rule Reference: 5 CSR 25-500.212 Transportation and Field Trips (2) (A) states: The driver of any vehicle used to transport children shall be no less than eighteen (18) years of age and shall have a valid driver's license as required by Missouri law. Correction Required: The driver of any vehicle used to transport children shall meet age and licensing requirements. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: Three 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: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: Three child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include home address of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 5/28/2025 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include telephone number 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: 5/28/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Cynthia Turner and Makayla Turner. 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 Persaphanie Turner. 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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| 2025-05-14 | COMPLIANCE MONITORING | 55 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 Tromeka Turner 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 annual fire safety inspection was not conducted. 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: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back wall and in the boys bathroom was/were not in good condition as evidenced by two spots in the classroom and one spot in the bathroom where the flooring is not secure and soft as if a void is underneath. 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: The walls located in the school-age classroom was/were not in good condition as evidenced by a 4.5 inch patch of peeling paint, exposing plaster underneath, on the corner of the purple wall. 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: The walls located in the school-age classroom was/were not in good condition as evidenced by the electrical wire covering on the yellow wall has a 7 inch patch of peeling paint. 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: Hazardous items as follows were accessible to children: air freshener plug-in. The item(s) was/were located in the school-age classroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in the school-age classroom by the back hall where the large toy storage shelf is was/were not in good condition as evidenced by a missing threshold strip. 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: The observed surface area under the slide on the infant/toddler outdoor play space, from which a child might fall consists of grass. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured. Correction Required: The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall. 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 trash around the large play area and overgrown plants in the infant/toddler play area. 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 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 the right side of the fence that meets the fenced blacktop area is leaning and the chain link is not attached and secured along the entire right side. On the left side if the fenced area, the chain link is detached in some areas and there is a wooden board by the gate that is splintering. 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 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the infant/toddler room was/were not in good condition as evidenced by a large patch of peeling green paint by the door, a patch of peeling yellow paint by the cribs, and holes in the drywall by the infant mirrors. 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: 5/14/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: paint cans, stain, wall plaster, caulk gun, foam spray, gasoline tank, OFF bug spray, floor stripper, ladder and extension cords. The item(s) was/were located the walkway hallway space used to go outside to the playground. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: Clorox bathroom cleaner, Lysol, and lotion. The item(s) was/were located the girls bathroom staff stall that is unlocked and accessible to children. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the boys bathroom was/were not in good condition as evidenced by the stall divider between the second and third stall was rusted and had chipping paint on both sides. 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: The floors located girls bathroom was/were not in good condition as evidenced by two metal plates on the floor, one rusted with exposed sharp edges and one is moveable and had an open gap. 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: The floors located in the school age classroom was/were not in good condition as evidenced by a piece of flooring was missing by the back wall. 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: 5/14/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The space for infants and toddlers is not separated 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. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF) Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: hand sanitizer. The item(s) was/were located on a shelf accessible to children in the school-age classroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 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 an electrical plate was broken in that an electrical plate in the classroom with the stage was broken in half. 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: Submit Documentation Compliance Date: 5/14/2025 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 an electrical plate was broken in that two electrical plates were found broken in the school-age classroom, one on the yellow wall and one on the blue wall. 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: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's written emergency plan did not include plans for evacuation from a vehicle used to transport children. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (1) (A) 4. states: Evacuation from a vehicle used to transport children. Correction Required: Facility emergency plan must include required components. 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 the radio station. 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 special instructions for infants and non-ambulatory children were not posted in each room. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required: Facility must post information as required. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, wooden picnic table, in the main outdoor play space was unsafe as evidenced by the boards were warped and splintering with one board jutted up into the air with exposed screws. 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, bike, vacuum, and activity table, in the infant/toddler outdoor play space was not in good condition as evidenced by the bike and vacuum were broken with sharp parts exposed, and the activity table was broken and heavily soiled. 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: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Furniture/equipment, clear plastic storage tub holding blocks, in the school-age classroom was not in good condition as evidenced by the tub was broken and cracked with exposed sharp edges. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet. Correction Required: Sleeping equipment shall meet safety and sanitation requirements. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, the merry-go-round bikes, in the main outdoor play space was not in good condition as evidenced by the merry-go-round bikes were all off the track and one of them was missing a pedal. 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: Furniture/equipment, two toy trucks, a toy piano, and plastic coated soft blocks, in the infant/toddler classroom was not in good condition as evidenced by the trucks had exposed sharp screws and cracked material posing a pinching hazard, the piano was heavily soiled, and the blocks were falling apart exposing material beneath the coating. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Furniture/equipment, plastic coated blocks, in pre-school age classroom was not in good condition as evidenced by the blocks were falling apart exposing material beneath the coating. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Furniture/equipment, green and blue toy box holding dress-up materials, in preschool age classroom was not in good condition as evidenced by broken plastic along the edges with sharp edges. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Furniture/equipment, high chair, in infant/toddler classroom was not in good condition as evidenced by the foam seat cover was excessively chewed and falling apart. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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: The facility shall provide safe and clean furniture/equipment as required. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Debra Johnson-Sanders, Trinity Mason, Jayvian Williams, and Tromeka Turner Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. 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: Makayla Turner needs 4 hours and Debra Johnson-Sanders need 7.25 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: The medical examination report and/or the school-age health report form(s) used was not supplied by the department or did not contain all the required information as evidenced by the date of the exam is left blank on the medical examination report. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the facility may use its own form if it contains all the information on the department’s form. The School-Age Child Health Report form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department athttps://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.132 Admission Policies and Procedures Violation: An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required: An individualized plan from a professional source shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.132 Admission Policies and Procedures Violation: The facility did not meet requirements for child enrollment and health information as evidenced by two children's records did not include authorization for emergency medical care. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.132 Admission Policies and Procedures Violation: The policy did not prohibit covering cribs or playpens with blankets or bedding. Rule Reference: 5 CSR 25-500.132 Admission Policies and Procedures (2) B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding. Correction Required: The policy shall prohibit covering cribs or playpens with blankets or bedding. Correction Verification: Submit Documentation 5 CSR 25-500.182 Child Care Program Violation: Brief separation from the group was more than one minute for each year of the child’s age as evidenced by a one-year-old child was put in time-out in a highchair for biting, per the caregiver. The child was in the highchair upon entering the classroom and was still in the seat after CI was in the classroom for approximately 10 minutes. Upon discussion, the caregiver stated she would get him down in a few more minutes. CI asked caregiver to take the child out of the highchair because the child was in time-out for more than one minute per age. Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (C) 5. states: Brief, supervised separation from the group may be used based on a guideline of one (1) minute of separation for each year of the child's age. Correction Required: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted. Correction Verification: Corrected on Site Compliance Date: 5/14/2025 5 CSR 25-500.192 Health Care Violation: The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file. Rule Reference: 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required: All medication shall be administered and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-500.192 Health Care Violation: The requirements for administering medication were not met as follows: medication was given to a child without the length of time the medication may be given specified. Rule Reference: 5 CSR 25-500.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given. Correction Required: All medication shall be administered and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-500.192 Health Care Violation: The requirements for prescription medications were not met as evidenced by a medication was not in its original container - the medication was contained in individual plastic bags. Each bag had an albuterol puff and the child's name was written on the baggie. Rule Reference: 5 CSR 25-500.192 Health Care (3) (C) states: Prescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages and the physician's name. This may include sample medication provided by a physician. Correction Required: Medications shall be stored and labeled as required. Correction Verification: Submit Documentation 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not followed for a child in that there was no written diet plan on file for one child. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers. Correction Verification: Submit Documentation 5 CSR 25-500.212 Transportation and Field Trips Violation: The driver of a vehicle used to transport children was not qualified as evidenced by Niaja Love did not have a valid driver's license (Class E or CDL). Rule Reference: 5 CSR 25-500.212 Transportation and Field Trips (2) (A) states: The driver of any vehicle used to transport children shall be no less than eighteen (18) years of age and shall have a valid driver's license as required by Missouri law. Correction Required: The driver of any vehicle used to transport children shall meet age and licensing requirements. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Three child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include home address of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Three 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: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: One child(ren) records did not include telephone number 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 Cynthia Turner and Makayla Turner. 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 Persaphanie Turner. 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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| 2024-11-26 | REINSPECTION | 3 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 walls located in the infant/toddler room was/were not in good condition as evidenced by a large patch of peeling green paint by the door, a patch of peeling yellow paint by the cribs, and holes in the drywall by the infant mirrors. 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: The floors located in the school age classroom was/were not in good condition as evidenced by a piece of flooring was missing by the back wall. 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: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by an electrical plate was broken in that an electrical plate in the classroom with the stage was broken in half. 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: Submit Documentation |
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| 2024-11-12 | COMPLIANCE MONITORING | 3 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 an electrical plate was broken in that an electrical plate in the classroom with the stage was broken in half. 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: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the infant/toddler room was/were not in good condition as evidenced by a large patch of peeling green paint by the door, a patch of peeling yellow paint by the cribs, and holes in the drywall by the infant mirrors. 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: The floors located in the school age classroom was/were not in good condition as evidenced by a piece of flooring was missing by the back wall. 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 |
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| 2024-08-29 | 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 Makayla Turner and Camryn Miller 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: 6/25/2024 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation Compliance Date: 8/13/2024 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Makayla Turner, Debra Johnson-Sanders, Trinity Mason, Tromeka Turner, Robin Boone, Camryn Miller, and Howard Turner Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation Compliance Date: 8/13/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2023. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/25/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Makayla Turner, Cynthia Turner, and Jayvian Williams. 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: 8/26/2024 |
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| 2024-05-22 | COMPLIANCE MONITORING | 6 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Makayla Turner and Camryn Miller 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: Hazardous items as follows were accessible to children: one container of Clorox wipes, one bottle of air freshener, and one bottle of disinfectant spray. The item(s) was/were located in the handicap accessible stall in the girl's restroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 5/22/2024 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Makayla Turner, Debra Johnson-Sanders, Trinity Mason, Tromeka Turner, Robin Boone, Camryn Miller, and Howard Turner Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2023. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Makayla Turner, Cynthia Turner, and Jayvian Williams. 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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| 2023-08-15 | COMPLIANCE VERIFICATION | |
| 2023-05-02 | COMPLIANCE MONITORING | |
| 2023-03-30 | SUPPLEMENTAL | |
| 2023-01-02 | COMPLAINT INVESTIGATION | |
| 2022-11-02 | REINSPECTION | |
| 2022-11-01 | COMPLIANCE MONITORING | |
| 2022-08-19 | SUPPLEMENTAL | |
| 2022-05-11 | COMPLIANCE MONITORING | |
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