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CHILD CARE CENTER ✓ Licensed

Nestle Purina Child Development Center, Inc.

St Louis, MO
1000 S 9TH ST, St Louis, MO 63104
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Quick Facts

Capacity
76 children
Age Range
6 WEEKS - 6 YEARS
Subsidized Program
Does not participate

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Contact Information

📞 (314) 982-5437
1000 S 9TH ST
St Louis, MO 63104
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✓ Licensed CHILD CARE CENTER
Active License
License Number
000544085
License Holder
NESTLE PURINA CHILD DEVELOPMENT CENTER, INC.
Licensed Since
2026
License Issued
Mar 5, 2026
Issued By
Missouri Department of Health and Senior Services
Licensor
DENISE ELAYNE KOCH
License Conditions: 24 CHILDREN IN THE INFANT/TODDLER UNIT

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About the Provider

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NESTLE PURINA CHILD DEVELOPMENT CENTER, INC. is a CHILD CARE CENTER in ST LOUIS MO, with a maximum capacity of 76 children. This child care center helps with children in the age range of 6 WEEKS - 6 YEARS. It is open Monday - Friday, 6:00 AM- 9:00 PM. The provider does not participate in a subsidized child care program.

Hours of Operation

  • Monday6:00 AM- 9:00 PM
  • Tuesday6:00 AM- 9:00 PM
  • Wednesday6:00 AM- 9:00 PM
  • Thursday6:00 AM- 9:00 PM
  • Friday6:00 AM- 9:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Report Date Report Type Violations
2026-02-18 POST LICENSING 44 violations cited
Findings:

5 CSR 25-500.042 Licensing Process

Violation: The applicant has not completed the licensing orientation.

Rule Reference: 5 CSR 25-500.042 Licensing Process (1) states: An applicant shall complete the licensing orientation available on the department’s website to learn about the licensing process and rules.

Correction Required: The applicant shall complete the licensing orientation available on the department's website.

Correction Verification: Submit Documentation

5 CSR 25-500.042 Licensing Process

Violation: The equipment list was not submitted.

Rule Reference: 5 CSR 25-500.042 Licensing Process (4) (F) states: An itemized list of available materials and equipment to be used by children;

Correction Required: The licensee shall submit an equipment list that ensures the facility has the required amount of equipment.

Correction Verification: Submit Documentation

Compliance Date: 12/19/2025

5 CSR 25-500.042 Licensing Process

Violation: A written disaster and emergency plan was not submitted.

Rule Reference: 5 CSR 25-500.042 Licensing Process (4) (H) states: A written disaster and emergency plan;

Correction Required: The facility shall submit a written disaster and emergency plan.

Correction Verification: Submit Documentation

5 CSR 25-500.042 Licensing Process

Violation: The facility had no evidence of compliance with local building and zoning requirements.

Rule Reference: 5 CSR 25-500.042 Licensing Process (4) (L) states: Evidence of compliance, if applicable, with local building and zoning requirements;

Correction Required: The facility shall submit evidence of compliance with local building and zoning.

Correction Verification: Submit Documentation

Compliance Date: 1/8/2026

5 CSR 25-500.042 Licensing Process

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

Rule Reference: 5 CSR 25-500.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit.

Correction Required: The official license shall be posted.

Correction Verification: Submit Documentation

5 CSR 25-500.042 Licensing Process

Violation: The name, address and telephone number of the board chairperson was not prominently posted near the license.

Rule Reference: 5 CSR 25-500.042 Licensing Process (13) (C) states: Board president or chairperson;

Correction Required: The name, address, and board president or chairperson shall be posted near the license.

Correction Verification: Submit Documentation

5 CSR 25-500.042 Licensing Process

Violation: The license granted was no longer valid because of a change of address, as shown on the license.

Rule Reference: 5 CSR 25-500.042 Licensing Process (14) states: The license shall not be transferable and shall apply only to the person(s) and address shown on the license.

Correction Required: The license shall not be transferable and shall apply only to the person(s) and address shown on the license.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Children were not restricted to approved space as evidenced by the wall was removed that separated the child care space from the break area accessed by Nestle Purina employees, not associated with the child care center. The door separating the hallway space from the public hallway was also removed, allowing children access the rest of the building.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Hazardous items as follows were accessible to children: construction tools in a tool belt and a ladder. The item(s) was/were located in the infant/toddler unit.

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 facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by previously approved required space was not being used.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.

Correction Required: The facility shall provide thirty-five square feet of usable space per child.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Individual storage space requirements were not met as evidenced by there was no space for each child's belongings.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. F. states: Each child shall be provided individual space, accessible to the child, for storage of each childs' clothing and other personal belongings.

Correction Required: The facility shall provide accessible, individual space for each child's belongings.

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 provide 45 square feet of usable floor space for each infant and toddler as evidenced by the infant/toddler unit is no longer being used for child care and was in the process of being converted back to office space/conference room space.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (I) states: For facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, at least forty-five (45) square feet of usable floor space shall be provided in the facility for each infant and toddler. Space occupied by napping equipment does not have to be deducted from usable floor space;

Correction Required: Forty-five square feet of usable floor space shall be provided for each infant/toddler. (GF)

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: The infant/toddler space had groups that were not separated by a partition.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room;

Correction Required: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Flooring did not meet requirements as evidenced by flooring was not made of tile, linoleum or wood. The flooring material is currently covered by a paper material on top of carpet.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (VI) states: Floors shall be tile, linoleum or wood and shall be mopped and sanitized daily. Washable area rugs that are laundered daily may be used. Centers initially licensed after the effective date of these rules or facilities adding new infant/toddler space shall not use carpet;

Correction Required: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: The ceilings located in the I/T unit was/were not in good condition as evidenced by 16 ceiling tiles were missing and were observed in a pile on the floor.

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

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 5. states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.

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

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: The facility did not have an adequate number of flush toilets and hand wash sinks in the infant/toddler unit as evidenced by there were no bathrooms located in the I/T unit.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 1. states: One (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit.

Correction Required: The facility shall provide one flush toilet and one adjacent hand wash sink for every 24 children in the infant/toddler unit.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: The diapering area requirements were not met as evidenced by warm running water was not adjacent to the diapering area.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (D) states: Diapering supplies and warm, running water shall be adjacent to the diapering area.

Correction Required: The facility shall supply the diapering area as required.

Correction Verification: Submit Documentation

5 CSR 25-500.090 Disaster and Emergency Preparedness

Violation: The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by there was no disaster and emergency plan available in the child care spaces.

Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;

Correction Required: The facilities disaster and emergency plan must be available in required locations.

Correction Verification: Submit Documentation

5 CSR 25-500.090 Disaster and Emergency Preparedness

Violation: The facility’s name, address and telephone number was not posted in each room.

Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility;

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

5 CSR 25-500.090 Disaster and Emergency Preparedness

Violation: The facility's list of emergency numbers are not posted in each room used for child care, specifically the fire department, police department, ambulance service, poison control center, and local 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 evacuation route diagram was not posted in each room.

Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;

Correction Required: Facility must post information as required.

Correction Verification: Submit Documentation

5 CSR 25-500.090 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: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was 65.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.

Correction Required: The facility shall provide sleeping equipment and bedding as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: Individual chairs and table spaces were not adequate for the facility's licensed capacity of children 12 months of age and older as evidenced by no chairs were available .

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 1. A. states: Individual chairs and table space for the licensed capacity of the facility shall be available for children twelve (12) months of age and older. Chairs shall be proportioned so children's feet are firm on the floor when they are sitting back as far as possible on the chair.

Correction Required: The facility shall provide appropriately sized, individual chairs and table spaces for all children 12 months or older.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by appropriate feeding equipment was not provided. The number of equipment needed was 6.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used.

Correction Required: Safe and secure feeding equipment shall be provided as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. A. states: Blocks, construction and transportation toys;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for manipulatives. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for creative arts. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. C. states: Creative arts;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for large muscle activities. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. D. states: Large muscle activities;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for library and language activities. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. E. states: Library and language activities;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for music and rhythm activities. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 16 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences.

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility had an insufficient amount of equipment and materials. The facility need an additional 32 items.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (B) 2. . states: A minimum of forty (40) approved items shall be required for every ten (10) children in the licensed capacity of the facility. The forty (40) items shall include at least four (4) items from each of the following categories:

Correction Required: The facility shall provide appropriate equipment for children as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for push-pull toys. The facility needed an additional 24 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. A. states: Push-pull toys;

Correction Required: The facility shall provide approved equipment as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for balls or other large muscle. The facility needed an additional 24 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. B. states: Balls or other large muscle equipment;

Correction Required: The facility shall provide approved equipment as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 24 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. C. states: Blocks, stacking toys or other manipulatives; and

Correction Required: The facility shall provide approved equipment as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 24 items in this category.

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (C) 1. D. states: Cloth or plastic coated books.

Correction Required: The facility shall provide approved equipment as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: Individual chairs and table spaces were not adequate for the facility's licensed capacity of children 12 months of age and older as evidenced by no table spaces were available .

Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (C) 1. A. states: Individual chairs and table space for the licensed capacity of the facility shall be available for children twelve (12) months of age and older. Chairs shall be proportioned so children's feet are firm on the floor when they are sitting back as far as possible on the chair.

Correction Required: The facility shall provide appropriately sized, individual chairs and table spaces for all children 12 months or older.

Correction Verification: Submit Documentation

5 CSR 25-500.102 Personnel

Violation: An individual was present on the premises that presented a threat to the health, safety or welfare of the children as evidenced by construction workers and Nestle Purina employees were observed in the approved child care space. Employees were observed using the restrooms and construction workers were observed in the I/T classrooms.

Rule Reference: 5 CSR 25-500.102 Personnel (1) (R) states: Any person present at the facility during the hours in which child care is provided shall not present a threat to the health, safety, or welfare of the children.

Correction Required: No person who presents a threat to children shall be on the premises during child care hours.

Correction Verification: Submit Documentation

5 CSR 25-500.102 Personnel

Violation: The facility has not submitted the approval request for proposed director.

Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 1. B. states: Once the center director or group child care home provider is certificated by the department, the Center Director/Group Child Care Home Provider Approval Request form shall be submitted to the department and maintained on file at the facility. See Center Director/Group Child Care Home Provider Approval Request form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions.

Correction Required: An approval request form shall be submitted to the department.

Correction Verification: Submit Documentation

Compliance Date: 12/8/2025

5 CSR 25-500.222 Records and Reports

Violation: Enrollment, medical and attendance records were removed from the facility during hours the facility is open and operating.

Rule Reference: 5 CSR 25-500.222 Records and Reports (7) states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the facility during the hours the facility is open and operating.

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

Correction Verification: Submit Documentation

5 CSR 25-500.222 Records and Reports

Violation: Records were not available for inspection by the department upon request as evidenced by all records have been removed from the facility.

Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.

Correction Required: Records shall be available at the facility for inspection.

Correction Verification: Submit Documentation

2025-10-23 COMPLIANCE VERIFICATION 1 violation cited
Findings:

5 CSR 25-500.122 Medical Examination Reports

Violation: Medical examination report form did not contain all required information as evidenced by the medical report for Olivia Bernardelli not have the box checked indicating that the teacher is in good physical and emotional health and free of contagious disease.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form 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 Medical Examination Report for Caregivers and Staff 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: Medical reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 10/23/2025

2025-08-04 COMPLIANCE MONITORING 1 violation cited
Findings:

5 CSR 25-500.122 Medical Examination Reports

Violation: Medical examination report form did not contain all required information as evidenced by the medical report for Olivia Bernardelli not have the box checked indicating that the teacher is in good physical and emotional health and free of contagious disease.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (D) states: The medical examination report form 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 Medical Examination Report for Caregivers and Staff 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: Medical reports shall be on file as required.

Correction Verification: Submit Documentation

2025-07-10 SUPPLEMENTAL No violations cited
2025-07-02 COMPLIANCE VERIFICATION 12 violations cited
Findings:

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: a bottle of screen cleaner, a bottle of hair detangler and a open jar of thumb tacks. The item(s) was/were located in unlocked drawers in the 2-year-old 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: Submit Documentation

Compliance Date: 4/18/2025

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: three bottles of bleach, two containers of cleaning detergent and the water heater. The item(s) was/were located in the unlocked closet in the preschool age room.

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: 4/18/2025

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: The walls located on the bottom edge of the cubbies in the 2-year-old classroom was/were not in good condition as evidenced by the foam on the edge was missing in sections and detached.

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: 4/18/2025

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the back left corner of the Busy Bee (toddler room) on top of cabinets, facing the wall and there was no mirror in place to allow for supervision while diapering.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.

Correction Required: The facility shall provide a safe and clean diapering table as required.

Correction Verification: Submit Documentation

Compliance Date: 4/18/2025

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.

Correction Required: The facility shall provide a safe and clean diapering table as required.

Correction Verification: Submit Documentation

Compliance Date: 4/18/2025

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: Furniture/equipment, specifically the cubbies , in the 2-year old classroom was not in good condition as evidenced by the edge of the cubbies had foam lining that was missing in sections and detached.

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: 4/18/2025

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: 7/2/2025

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 written permission.

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: 7/2/2025

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 in a zip lock bag.

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: 4/18/2025

5 CSR 25-500.192 Health Care

Violation: The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name, and instructions for administration, including the times and amounts for dosages.

Correction Required: Medications shall be stored and labeled as required.

Correction Verification: Submit Documentation

Compliance Date: 7/2/2025

5 CSR 25-500.192 Health Care

Violation: Medication was not disposed of or returned to the parent when no longer needed as evidenced 2 children had medication that was not returned after it expired.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (H) states: Medication shall be returned to the parent(s) or disposed of immediately when no longer needed.

Correction Required: Medication shall be inaccessible to children and handled as required.

Correction Verification: Submit Documentation

Compliance Date: 4/17/2025

5 CSR 25-500.192 Health Care

Violation: The requirements for administering medication were not met as follows: information was not filed in the child's record after the medication is no longer necessary.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (I) states: The date and time(s) of administration, the name of the individual giving the medication and the quantity of any medication given shall be recorded promptly after administration. This information shall be filed in the child's record after the medication is no longer necessary.

Correction Required: All medication shall be administered and recorded as required.

Correction Verification: Submit Documentation

Compliance Date: 4/17/2025

2025-03-24 COMPLIANCE MONITORING 12 violations cited
Findings:

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: three bottles of bleach, two containers of cleaning detergent and the water heater. The item(s) was/were located in the unlocked closet in the preschool age room.

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 on the bottom edge of the cubbies in the 2-year-old classroom was/were not in good condition as evidenced by the foam on the edge was missing in sections and detached.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.

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

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.

Correction Required: The facility shall provide a safe and clean diapering table as required.

Correction Verification: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Hazardous items as follows were accessible to children: a bottle of screen cleaner, a bottle of hair detangler and a open jar of thumb tacks. The item(s) was/were located in unlocked drawers in the 2-year-old 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: Submit Documentation

5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers

Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the back left corner of the Busy Bee (toddler room) on top of cabinets, facing the wall and there was no mirror in place to allow for supervision while diapering.

Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.

Correction Required: The facility shall provide a safe and clean diapering table as required.

Correction Verification: Submit Documentation

5 CSR 25-500.092 Furniture, Equipment and Materials

Violation: Furniture/equipment, specifically the cubbies , in the 2-year old classroom was not in good condition as evidenced by the edge of the cubbies had foam lining that was missing in sections and detached.

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 25-500.192 Health Care

Violation: The requirements for administering medication were not met as follows: medication was given to a child without written permission.

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 in a zip lock bag.

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 25-500.192 Health Care

Violation: The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with instructions for administration including times and dosage amounts.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (D) states: All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name, and instructions for administration, including the times and amounts for dosages.

Correction Required: Medications shall be stored and labeled as required.

Correction Verification: Submit Documentation

5 CSR 25-500.192 Health Care

Violation: Medication was not disposed of or returned to the parent when no longer needed as evidenced 2 children had medication that was not returned after it expired.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (H) states: Medication shall be returned to the parent(s) or disposed of immediately when no longer needed.

Correction Required: Medication shall be inaccessible to children and handled as required.

Correction Verification: Submit Documentation

5 CSR 25-500.192 Health Care

Violation: The requirements for administering medication were not met as follows: information was not filed in the child's record after the medication is no longer necessary.

Rule Reference: 5 CSR 25-500.192 Health Care (3) (I) states: The date and time(s) of administration, the name of the individual giving the medication and the quantity of any medication given shall be recorded promptly after administration. This information shall be filed in the child's record after the medication is no longer necessary.

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 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

2024-10-24 COMPLIANCE VERIFICATION 3 violations cited
Findings:

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: Aide Aldame, Jordan Esch, Beverly Hicks, Samantha Hicks, Kim Malpocker, Asia McElmurry, Charles Murray, Nancy Smith, Michelle Sullens, Caroline Sullivan, Eirin Townsend, Hannah Weber, Stacy Woods and Bonnie Young

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: 9/9/2024

5 CSR 25-500.122 Medical Examination Reports

Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kourtney Shelton.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification: Submit Documentation

Compliance Date: 10/21/2024

5 CSR 25-500.222 Records and Reports

Violation: Records were not available for inspection by the department upon request as evidenced by a copy of the current business license from the City of St. Louis.

Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.

Correction Required: Records shall be available at the facility for inspection.

Correction Verification: Submit Documentation

Compliance Date: 9/9/2024

2024-09-03 COMPLAINT INVESTIGATION
2024-08-28 COMPLIANCE MONITORING 3 violations cited
Findings:

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: Aide Aldame, Jordan Esch, Beverly Hicks, Samantha Hicks, Kim Malpocker, Asia McElmurry, Charles Murray, Nancy Smith, Michelle Sullens, Caroline Sullivan, Eirin Townsend, Hannah Weber, Stacy Woods and Bonnie Young

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: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kourtney Shelton.

Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.

Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

Correction Verification: Submit Documentation

5 CSR 25-500.222 Records and Reports

Violation: Records were not available for inspection by the department upon request as evidenced by a copy of the current business license from the City of St. Louis.

Rule Reference: 5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.

Correction Required: Records shall be available at the facility for inspection.

Correction Verification: Submit Documentation

2024-03-25 COMPLIANCE VERIFICATION 1 violation cited
Findings:

5 CSR 25-500.090 Disaster and Emergency Preparedness

Violation: Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.

Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

Compliance Date: 3/4/2024

2024-02-08 COMPLIANCE MONITORING 1 violation cited
Findings:

5 CSR 25-500.090 Disaster and Emergency Preparedness

Violation: Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.

Correction Required: Fire, tornado, and other disaster drills shall be completed and recorded as required.

Correction Verification: Submit Documentation

2023-09-14 COMPLIANCE VERIFICATION
2023-08-18 COMPLIANCE MONITORING
2023-04-13 COMPLIANCE VERIFICATION
2023-02-07 COMPLIANCE MONITORING
2022-11-02 COMPLAINT INVESTIGATION
2022-08-18 COMPLIANCE VERIFICATION
2022-08-08 COMPLIANCE MONITORING

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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