Red Roof Early Childhood Learning Center And Child Care Consulting, Llc
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About the Provider
Hours of Operation
- Monday6:00 AM- 9:00 PM
- Tuesday6:00 AM- 9:00 PM
- Wednesday6:00 AM- 9:00 PM
- Thursday6:00 AM- 9:00 PM
- Friday6:00 AM- 9:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Report Date | Report Type | Violations |
|---|---|---|
| 2026-03-04 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility's outdoor space was not safe for children's activities as evidenced by a drain pipe attached to the building on the I/T area of the playground was dented exposing sharp areas that could pose a safety hazard for children. 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: 3/4/2026 |
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| 2026-03-03 | COMPLIANCE MONITORING | 1 violation cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility's outdoor space was not safe for children's activities as evidenced by a drain pipe attached to the building on the I/T area of the playground was dented exposing sharp areas that could pose a safety hazard for children. 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 |
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| 2025-10-21 | COMPLIANCE VERIFICATION | 7 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 Lisa Floyd 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: 9/8/2025 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 tomato plants growing where children have access. The leaves, stems and unripe tomatoes contain toxic compounds. 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: 10/20/2025 5 CSR 25-500.102 Personnel Violation: A caregiver was not knowledgeable of the needs of children as evidenced by teacher Lisa Floyd did not know the number of two-year-old children in her classroom. Rule Reference: 5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care. Correction Required: Caregivers shall meet child care personnel requirements. Correction Verification: Submit Documentation Compliance Date: 9/18/2025 5 CSR 25-500.102 Personnel Violation: Documentation of caregiver completion of the facility orientation was not on file for the following staff: Joe Humphrey and Toriana Jones. Rule Reference: 5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department. Correction Required: Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required. Correction Verification: Submit Documentation Compliance Date: 9/18/2025 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Natalie Lopez needs 1.5 hours, Cassandra Lopez needs .5 training clock hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation Compliance Date: 9/23/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Joe Humphrey as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 10/15/2025 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: Joe Humphrey. 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: 10/15/2025 |
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| 2025-09-18 | COMPLIANCE MONITORING | 8 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 Lisa Floyd within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The bathroom was not clean and odor free as evidenced by the toilet was soiled. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free. Correction Required: Bathrooms shall be clean and odor free. Correction Verification: Corrected on Site Compliance Date: 9/18/2025 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 tomato plants growing where children have access. The leaves, stems and unripe tomatoes contain toxic compounds. 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 25-500.102 Personnel Violation: A caregiver was not knowledgeable of the needs of children as evidenced by teacher Lisa Floyd did not know the number of two-year-old children in her classroom. Rule Reference: 5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care. Correction Required: Caregivers shall meet child care personnel requirements. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: Documentation of caregiver completion of the facility orientation was not on file for the following staff: Joe Humphrey and Toriana Jones. Rule Reference: 5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department. Correction Required: Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Natalie Lopez needs 1.5 hours, Cassandra Lopez needs .5 training clock hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began. Correction Required: Required training hours shall be documented for each employee. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Joe Humphrey as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Joe Humphrey. 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 |
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| 2025-07-07 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-500.192 Health Care Violation: Information regarding the date and circumstance of accident or injury was not noted in the child's record. Rule Reference: 5 CSR 25-500.192 Health Care (5) (B) states: Information regarding the date and circumstance of any accident or injury shall be noted in the child's record. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation Compliance Date: 7/7/2025 |
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| 2025-06-30 | SUPPLEMENTAL | 3 violations cited |
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Findings: 5 CSR 25-500.182 Child Care Program Violation: Physical punishment was used as evidenced by caregiver Leona Davison slapped a one-year-old child on the hand after spilling his cereal on June 19, 2025. Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (C) 7. states: Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited. Correction Required: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted. Correction Verification: Submit Documentation Compliance Date: 6/23/2025 5 CSR 25-500.192 Health Care Violation: The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when a one-year-old child was slapped on the hand by caregiver Leona Davison for spilling his cereal on June 19, 2025. Rule Reference: 5 CSR 25-500.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation Compliance Date: 6/24/2025 5 CSR 25-500.192 Health Care Violation: Information regarding the date and circumstance of accident or injury was not noted in the child's record. Rule Reference: 5 CSR 25-500.192 Health Care (5) (B) states: Information regarding the date and circumstance of any accident or injury shall be noted in the child's record. Correction Required: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care. Correction Verification: Submit Documentation |
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| 2025-01-17 | COMPLIANCE VERIFICATION | 2 violations cited |
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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: Christine Storms, Christina Wirth, Diamond Davis and Payton Rivard. 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: 9/27/2024 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: Tamara Youngblood. 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: 10/1/2024 |
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| 2024-09-23 | REINSPECTION | 5 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not fully completed as evidenced by evidence by all current staff were not listed. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Submit Documentation Compliance Date: 9/17/2024 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: Christine Storms, Christina Wirth, Diamond Davis and Payton Rivard. 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 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 5 children , ages 3-5, were cared for by 0 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection Compliance Date: 9/23/2024 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: Tamara Youngblood. 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 25-500.182 Child Care Program Violation: A child was left without competent supervision as evidenced by five children ages 3-5 years old were observed napping without a caregiver in the classroom. Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision. Correction Required: The facility shall provide competent supervision for each child as required. Correction Verification: Submit Documentation Compliance Date: 9/23/2024 |
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| 2024-09-13 | COMPLIANCE MONITORING | 6 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not fully completed as evidenced by evidence by all current staff were not listed. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Payton Rivard within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Corrected on Site Compliance Date: 9/13/2024 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: Christine Storms, Christina Wirth, Diamond Davis and Payton Rivard. 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 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 5 children , ages 3-5, were cared for by 0 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection 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: Tamara Youngblood. 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 25-500.182 Child Care Program Violation: A child was left without competent supervision as evidenced by five children ages 3-5 years old were observed napping without a caregiver in the classroom. Rule Reference: 5 CSR 25-500.182 Child Care Program (1) (A) 1. states: Caregivers shall not leave any child without competent supervision. Correction Required: The facility shall provide competent supervision for each child as required. Correction Verification: Submit Documentation |
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| 2024-04-23 | 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 facility's outdoor space was not safe for children's activities as evidenced by the wooden half door at the end of the I/T ramp has a latch that is stuck and is not able to be opened to exit the play yard incase of an emergency. 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: 4/19/2024 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: Christen Storms (volunteer). 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: 2/14/2024 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Joe Humphrey one clock hour. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation Compliance Date: 2/14/2024 |
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| 2024-02-14 | COMPLIANCE MONITORING | 8 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 facility's outdoor space was not safe for children's activities as evidenced by the wooden half door at the end of the I/T ramp has a latch that is stuck and is not able to be opened to exit the play yard incase of an emergency. 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 25-500.102 Personnel Violation: A caregiver was not knowledgeable of the needs of children as evidenced by caregiver Meghan Bruner did not know the ages of the children in her care. Rule Reference: 5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care. Correction Required: Caregivers shall meet child care personnel requirements. Correction Verification: Submit Documentation Compliance Date: 1/17/2024 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: Christen Storms (volunteer). 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 2023, the staff listed need the following information: Joe Humphrey one clock hour. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Sadie Short and Meghan Bruner as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 1/17/2024 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: Meghan Bruner. 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: 1/17/2024 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 10-16-23 for two children. 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: 1/17/2024 5 CSR 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by two immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 1/17/2024 |
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| 2023-12-21 | POST LICENSING | 7 violations cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: A caregiver was not knowledgeable of the needs of children as evidenced by caregiver Meghan Bruner did not know the ages of the children in her care. Rule Reference: 5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care. Correction Required: Caregivers shall meet child care personnel requirements. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Sadie Short and Meghan Bruner as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Meghan Bruner. 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 25-500.122 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 10-16-23 for two children. 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 25-500.192 Health Care Violation: Requirements for immunization reports on file were not met as evidenced by two immunization record(s) was/were not on file. Rule Reference: 5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration. Correction Required: Child immunization requirements shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: Two 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: Corrected on Site Compliance Date: 12/21/2023 5 CSR 25-500.222 Records and Reports Violation: Two child(ren) records did not include name of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Corrected on Site Compliance Date: 12/21/2023 |
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| 2023-11-15 | COMPLIANCE VERIFICATION | 21 violations cited |
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Findings: 5 CSR 25-500.042 Licensing Process Violation: The sanitation inspection was not approved. Rule Reference: 5 CSR 25-500.042 Licensing Process (4) (K) states: Evidence of compliance with local or state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 9/27/2023 5 CSR 25-500.042 Licensing Process Violation: The facility's staff sheet did not contain the required information, as evidenced by the only information on the staff list was the names of staff. Rule Reference: 5 CSR 25-500.042 Licensing Process (4) (G) states: A staff sheet; Correction Required: The facility shall submit a staff sheet. Correction Verification: Submit Documentation Compliance Date: 8/7/2023 5 CSR 25-500.042 Licensing Process Violation: The equipment list did not contain information as required in 5 CSR 25-500.092, as evidenced by some items and sets did not indicate the number of the items/sets. 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 facility shall submit an equipment list that ensures the home has the required amount of equipment. Correction Verification: Submit Documentation Compliance Date: 7/2/2023 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: 7/2/2023 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 the AC unit is not fenced in. 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: 8/14/2023 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 there is an opening below the deck creating a hiding place. 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: 8/11/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in all four classrooms was/were not finished with material which can be cleaned easily as evidenced by the doors are bare wood. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/6/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The floors located in two classrooms was/were not in good condition as evidenced by rusted floor vents. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/27/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in all four classrooms was/were not in good condition as evidenced by doors don't have door knobs, just a circle opening exposing wood splinters. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/6/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the preschool classroom was/were not finished with material which can be cleaned easily as evidenced by an old fire placed covered by bare wood. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/27/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 2-3 year old classroom was/were not finished with material which can be cleaned easily as evidenced by the base board has a small section that is bare wood. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/27/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 2-3 years old classroom was/were not finished with material which can be cleaned easily as evidenced by a small section of the wall by the electrical out has chipped 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: 8/27/2023 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: A stairwell with a drop-off of more than 24 inches had a railing/barrier was not constructed safely as evidenced by a board on the railing has come apart exposing a nail. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (E) states: Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing or barrier shall be constructed to prevent the child from crawling or falling through or becoming entrapped. Correction Required: The facility shall provide an approved railing or barrier as required. Correction Verification: Submit Documentation Compliance Date: 8/11/2023 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 door to the kitchen that has direct access to the preschool classroom was unlocked. 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 Compliance Date: 8/5/2023 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 door to the garage was unlocked. 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 Compliance Date: 8/5/2023 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation Compliance Date: 8/4/2023 5 CSR 25-500.102 Personnel Violation: The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification for the requested/licensed capacity. Rule Reference: 5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. Correction Required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Correction Verification: Submit Documentation Compliance Date: 8/16/2023 5 CSR 25-500.102 Personnel Violation: The requirements for first aid/CPR were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification for the requested/licensed capacity. Rule Reference: 5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. Correction Required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Correction Verification: Submit Documentation Compliance Date: 8/16/2023 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: Julie Humphrey. 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: 8/17/2023 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Julie Humphrey as evidenced by a medical examination was not on file at the facility at the time of initial licensure. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 8/17/2023 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Julie Humphrey and Joe Humphrey. 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: 8/10/2023 |
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