Mccray, Stephanie C

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: bottle of dog probiotics and dog treats. The item(s) was/were located on the fireplace mantel.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 7/24/2026

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: can of Lysol and bottle of bleach water. The item(s) was/were located on the diaper table.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 4/29/2026

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by all play equipment was stored in a separate room from where the children are cared for.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (2) (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.

Correction Required: Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification: Submit Documentation

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for library and language activities. The facility needed an additional 4 items in this category.

Rule Reference: 5 CSR 25-400.095 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

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for music and rhythm activities. The facility needed an additional 4 items in this category.

Rule Reference: 5 CSR 25-400.095 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

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 3 items in this category.

Rule Reference: 5 CSR 25-400.095 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

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for push-pull toys. The facility needed an additional 2 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 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

Compliance Date: 9/5/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 3 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (2) (C) 1 C states: Blocks, stacking toys or other manipulatives.

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

Correction Verification: Submit Documentation

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 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

Compliance Date: 9/12/2025

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by all play equipment was stored in a separate room from where the children are cared for.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (2) (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.

Correction Required: Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for library and language activities. The facility needed an additional 4 items in this category.

Rule Reference: 5 CSR 25-400.095 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 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for music and rhythm activities. The facility needed an additional 4 items in this category.

Rule Reference: 5 CSR 25-400.095 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 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 3 items in this category.

Rule Reference: 5 CSR 25-400.095 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 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for push-pull toys. The facility needed an additional 2 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 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 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 3 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (2) (C) 1 C states: Blocks, stacking toys or other manipulatives.

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

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 2 item(s) in this category.

Rule Reference: 5 CSR 25-400.095 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 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. C. states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.

Correction Required: The facility shall provide required supplies accessible for children's use.

Correction Verification: Corrected on Site

Compliance Date: 7/18/2025

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom (one corrected - 6/25).

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

Compliance Date: 7/18/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

Compliance Date: 6/25/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: toilet bowl cleaner disks. The item(s) was/were located in an unlocked cabinet under the sink in the bathroom.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 6/25/2025

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom (one corrected - 6/25).

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.045 Licensing Process

Violation: The number of children was/were exceeded as evidenced by 12 children present. CI Barton explained to the provider that she needs to disenroll children immediately. The Provider stated she wasn’t sure what to tell the parents and the CI suggested she be honest with them.

Rule Reference: 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Correction Required: The provider shall maintain compliance with the specifications on the license.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: All floors of a building used for child care were not approved by the State Fire Marshall as evidenced by child found on the lower level that has not been approved by fire inspector.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 1. states: Any floor of a home used for child care shall be approved by the State Fire Marshal or his/her designee.

Correction Required: All floors shall be approved by the State Fire Marshal.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: 15+ prescription medications (with medication inside), rubbing alcohol, fingernail polish remover, adult purse, bleach, laundry detergent, multiple bottles of personal care items. The item(s) was/were located on the lower level unlicensed space where a child was unsupervised.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by children had access to provider's bedroom and a (non related) 5 year old child was found in unlicensed space by themselves (no adult present) on the lower level where the provider had put him. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. On May 21, 2025, CI Barton and Stephanie McCray spoke on the phone. Stephanie said he would arrive each morning at 5 a.m. (she is licensed for 24-hour care) and that her sister, who is a household member but not an assistant, would care for him in her living space downstairs until Bridget, Stephanie’s assistant, arrives at 6 a.m. Stephanie arrives at 7 a.m. from her other job. CI Barton explained that none of the children should be cared for by her sister since she is not an approved assistant and that children should not be in her sister’s living space since it is not approved childcare space. Her sister does have an eligibility letter since she is a household member.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by children had access to the kitchen, master bedroom, and lower level (all unapproved childcare space) - gate was put in place at CI Barton's insistence during inspection.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Corrected on Site

Compliance Date: 5/23/2025

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: An infant was observed sleeping in a/an 8-month-old infant found sleeping in a baby swing with a blanket. The provider denied the infant was asleep. Provider was told to remove the child and to place infant in approved sleeping equipment, the provider did not remove the child from the swing. Prior to the CI completing the inspection the child did wake up.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

Correction Required: Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Staff/child ratio requirements were not met as evidenced by 3 children under age two and 9 children over age two were cared for by 1 (Stephanie McCray) caregiver(s).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Correction Required: Staff/child ratios shall be maintained at all times.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Stephanie McCray lied to CI Barton repeatedly (upon arrival, when doing the initial count, and when CI began to look at unlicensed space) stating only 10 children were present in the home. CI Barton counted 10 children then an 11th child (age 4) entered the room needing assistance with toileting. Provider stated there were no other children present in the home. CI Barton did a walk-through of the unlicensed space of the home and found a 12th child (age 5) in the basement/lower level of the home alone. The Provider said multiple times to CI Barton I'm sorry and I know I am in trouble now.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Submit Documentation

Compliance Date: 5/23/2025

5 CSR 25-400.175 Child Care Program

Violation: Child(ren) was left without competent adult supervision as evidenced by one 5 year-old-child was found on the lower level in unlicensed space without any adult supervision. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. The child came upstairs and joined the children upstairs prior to CI completing the inspection.

Rule Reference: 5 CSR 25-400.175 Child Care Program (1) (A) 1 states: Child care providers shall not leave any child without competent adult supervision.

Correction Required: The facility shall provide competent adult supervision for each child as required.

Correction Verification: Return Inspection

Compliance Date: 5/23/2025

5 CSR 25-400.045 Licensing Process

Violation: The number of children was/were exceeded as evidenced by 12 children present. CI Barton explained to the provider that she needs to disenroll children immediately. The Provider stated she wasn’t sure what to tell the parents and the CI suggested she be honest with them.

Rule Reference: 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Correction Required: The provider shall maintain compliance with the specifications on the license.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by children had access to provider's bedroom and a (non related) 5 year old child was found in unlicensed space by themselves (no adult present) on the lower level where the provider had put him. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. On May 21, 2025, CI Barton and Stephanie McCray spoke on the phone. Stephanie said he would arrive each morning at 5 a.m. (she is licensed for 24-hour care) and that her sister, who is a household member but not an assistant, would care for him in her living space downstairs until Bridget, Stephanie’s assistant, arrives at 6 a.m. Stephanie arrives at 7 a.m. from her other job. CI Barton explained that none of the children should be cared for by her sister since she is not an approved assistant and that children should not be in her sister’s living space since it is not approved childcare space. Her sister does have an eligibility letter since she is a household member.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: 15+ prescription medications (with medication inside), rubbing alcohol, fingernail polish remover, adult purse, bleach, laundry detergent, multiple bottles of personal care items. The item(s) was/were located on the lower level unlicensed space where a child was unsupervised.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: All floors of a building used for child care were not approved by the State Fire Marshall as evidenced by child found on the lower level that has not been approved by fire inspector.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 1. states: Any floor of a home used for child care shall be approved by the State Fire Marshal or his/her designee.

Correction Required: All floors shall be approved by the State Fire Marshal.

Correction Verification: Return Inspection

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: An infant was observed sleeping in a/an 8-month-old infant found sleeping in a baby swing with a blanket. The provider denied the infant was asleep. Provider was told to remove the child and to place infant in approved sleeping equipment, the provider did not remove the child from the swing. Prior to the CI completing the inspection the child did wake up.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

Correction Required: Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Stephanie McCray lied to CI Barton repeatedly (upon arrival, when doing the initial count, and when CI began to look at unlicensed space) stating only 10 children were present in the home. CI Barton counted 10 children then an 11th child (age 4) entered the room needing assistance with toileting. Provider stated there were no other children present in the home. CI Barton did a walk-through of the unlicensed space of the home and found a 12th child (age 5) in the basement/lower level of the home alone. The Provider said multiple times to CI Barton I'm sorry and I know I am in trouble now.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Staff/child ratio requirements were not met as evidenced by 3 children under age two and 9 children over age two were cared for by 1 (Stephanie McCray) caregiver(s).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Correction Required: Staff/child ratios shall be maintained at all times.

Correction Verification: Return Inspection

5 CSR 25-400.175 Child Care Program

Violation: Child(ren) was left without competent adult supervision as evidenced by one 5 year-old-child was found on the lower level in unlicensed space without any adult supervision. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. The child came upstairs and joined the children upstairs prior to CI completing the inspection.

Rule Reference: 5 CSR 25-400.175 Child Care Program (1) (A) 1 states: Child care providers shall not leave any child without competent adult supervision.

Correction Required: The facility shall provide competent adult supervision for each child as required.

Correction Verification: Return Inspection

5 CSR 25-400.045 Licensing Process

Violation: The number of children was/were exceeded as evidenced by 12 children present. CI Barton explained to the provider that she needs to disenroll children immediately. The Provider stated she wasn’t sure what to tell the parents and the CI suggested she be honest with them.

Rule Reference: 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Correction Required: The provider shall maintain compliance with the specifications on the license.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: All floors of a building used for child care were not approved by the State Fire Marshall as evidenced by child found on the lower level that has not been approved by fire inspector.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 1. states: Any floor of a home used for child care shall be approved by the State Fire Marshal or his/her designee.

Correction Required: All floors shall be approved by the State Fire Marshal.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: 15+ prescription medications, rubbing alcohol, fingernail polish remover, adult purse, bleach, laundry detergent, multiple bottles of personal care items. The item(s) was/were located on the lower level unlicensed space where a child was unsupervised.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by children had access to provider's bedroom and a 5 year old child was found in unlicensed space on the lower level where provider had put him. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Return Inspection

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.095 Furniture, Equipment and Materials

Violation: An infant was observed sleeping in a/an 8-month-old infant found sleeping in a baby swing with a blanket. The provider denied the infant was asleep. Provider was told to remove the child and to place infant in approved sleeping equipment, the provider did not remove the child from the swing. Prior to the CI completing the inspection the child did wake up.

Rule Reference: 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.

Correction Required: Infants shall only sleep in a crib, portable crib, or playpen.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: Staff/child ratio requirements were not met as evidenced by 3 children under age two and 9 children over age two were cared for by 1 (Stephanie McCray) caregiver(s).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Correction Required: Staff/child ratios shall be maintained at all times.

Correction Verification: Return Inspection

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Stephanie McCray lied to CI Barton repeatedly (upon arrival, when doing the initial count, and when CI began to look at unlicensed space) stating only 10 children were present in the home. CI Barton counted 10 children then an 11th child (age 4) entered the room needing assistance with toileting. Provider stated there were no other children present in the home. CI Barton did a walk-through of the unlicensed space of the home and found a 12th child (age 5) in the basement/lower level of the home alone. The Provider said multiple times to CI Barton I'm sorry and I know I am in trouble now.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

Correction Required: Caregivers shall meet child care personnel requirements.

Correction Verification: Submit Documentation

5 CSR 25-400.175 Child Care Program

Violation: Child(ren) was left without competent adult supervision as evidenced by one 5 year-old-child was found on the lower level in unlicensed space without any adult supervision. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. The child came upstairs and joined the children upstairs prior to CI completing the inspection.

Rule Reference: 5 CSR 25-400.175 Child Care Program (1) (A) 1 states: Child care providers shall not leave any child without competent adult supervision.

Correction Required: The facility shall provide competent adult supervision for each child as required.

Correction Verification: Return Inspection

5 CSR 25-400.086 Fire Safety

Violation: The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom.

Rule Reference: 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

Correction Required: The facility shall use protective outlet covers as required.

Correction Verification: Submit Documentation

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for McMeria Robins (household member) within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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: 1/31/2025

5 CSR 25-400.105 The Child Care Provider and Other Child Care 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: Bridgett Turner needs 1.5 hours and Stephanie McCray needs 0.5 hour (compliant 11/22/24).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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: 2/4/2025

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for household member McMeria Robins.

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: 2/4/2025

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for McMeria Robins (household member) within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. 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. 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. First aid/CPR training may count toward the annual clock hour training requirement.

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: 11/22/2024

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. 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. 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. First aid/CPR training may count toward the annual clock hour training requirement.

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: 11/22/2024

5 CSR 25-400.105 The Child Care Provider and Other Child Care 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: Bridgett Turner needs 1.5 hours and Stephanie McCray needs 0.5 hour (compliant 11/22/24).

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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 25-600.020 General Requirements

Violation: Criminal background check results were not on file for household member McMeria Robins.

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

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for McMeria Robins (household member) within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Children were not restricted to approved space as evidenced by gate was not in place to keep children out of living room, kitchen, and the rest of the house.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Correction Required: Caregivers shall restrict children to approved space.

Correction Verification: Corrected on Site

Compliance Date: 8/15/2024

5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. 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. 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. First aid/CPR training may count toward the annual clock hour training requirement.

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

5 CSR 25-400.105 The Child Care Provider and Other Child Care 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: Bridgett Turner needs 1.5 hours and Stephanie McCray needs 0.5 hour.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. 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 25-400.105 The Child Care Provider and Other Child Care Personnel

Violation: The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

Rule Reference: 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. 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. 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. First aid/CPR training may count toward the annual clock hour training requirement.

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

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for household member McMeria Robins.

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

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by one broken outlet plate.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

Compliance Date: 6/13/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by two outlet covers missing from an outlet.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

Compliance Date: 6/13/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The ceilings located in the daycare room was/were not clean as evidenced by dust/dirt build-up on two ceiling fans.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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: 6/13/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by two outlet covers missing from an outlet.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: spray disinfectant. The item(s) was/were located on the changing table.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 2/21/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The ceilings located in the daycare room was/were not clean as evidenced by dust/dirt build-up on two ceiling fans.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (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 25-400.085 Physical Requirements of the Family Day Care Home

Violation: Hazardous items as follows were accessible to children: prescription medication . The item(s) was/were located in baggie on couch.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Correction Required: Hazardous items shall be inaccessible to children.

Correction Verification: Corrected on Site

Compliance Date: 2/21/2024

5 CSR 25-400.085 Physical Requirements of the Family Day Care Home

Violation: The premises were not safe and suitable as evidenced by one broken outlet plate.

Rule Reference: 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

Correction Required: The premises shall be safe and suitable for the care of children.

Correction Verification: Submit Documentation

5 CSR 25-400.055 Annual Requirements

Violation: The Family Care Safety Registry check was not conducted for McMeria Robin within thirty (30) days prior to the anniversary date.

Rule Reference: 5 CSR 25-400.055 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: 11/28/2023