The Nest At Central Reform Congregation
Quick Facts
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Missouri Department of Health and Senior Services lists this provider as LICENSE EXEMPT PROGRAM, so it does not hold a child care license. Providers in this category are exempt from state licensing requirements, which means they are not inspected or monitored the way licensed providers are. Ask the provider what oversight it does operate under, and check with Missouri Department of Health and Senior Services before enrolling.
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About the Provider
Hours of Operation
- Monday6:00 AM- 6:00 PM
- Tuesday6:00 AM- 6:00 PM
- Wednesday6:00 AM- 6:00 PM
- Thursday6:00 AM- 6:00 PM
- Friday6:00 AM- 6:00 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 |
|---|---|---|
| 2025-09-29 | COMPLIANCE VERIFICATION | 6 violations cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 11/28/2022 and 7/18/22. Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required: Children's physical assessment reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 9/25/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Sharron Ross, Sawyer Stein, Michala Lewis and Charlene Ehll as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 9/25/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Charlene Ehll, Michaela Lewis, Sawyer Stein as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 9/29/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 9/25/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name of the individual(s) authorized to take the child. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (E) states: The name of the individual(s) authorized to take the child from the premises. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 9/25/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 9/25/2025 |
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| 2025-09-22 | REINSPECTION | 13 violations cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Sharron Ross's and Natasha Westbrook's medical did not have the physical examination box checked indicating the patient is in good physical and emotional health and free of contagious disease, Natasha Westbrook's medical also was missing the date of the exam. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 8/4/2025 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Sharron Ross, Sawyer Stein, Michala Lewis and Charlene Ehll as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Charlene Ehll, Michaela Lewis, Sawyer Stein as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 11/28/2022 and 7/18/22. Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required: Children's physical assessment reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: The facility's evacuation/emergency plan is not posted. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children. Correction Required: Evacuation/emergency plan must be posted/complete as required. Correction Verification: Submit Documentation Compliance Date: 9/22/2025 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by the date and/or type of drill were not recorded. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (B) states: A written record shall be kept of the dates and types of drills conducted. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation Compliance Date: 9/22/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured approximately 5 inches. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2"). Correction Required: The outdoor play area shall be on or adjoining the property and fenced as required. Correction Verification: Submit Documentation Compliance Date: 9/22/2025 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Emergency numbers for the police, fire department, poison control, and ambulance were not posted. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone. Correction Required: Emergency numbers shall be posted near the telephone. Correction Verification: Submit Documentation Compliance Date: 9/22/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name of the individual(s) authorized to take the child. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (E) states: The name of the individual(s) authorized to take the child from the premises. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation Compliance Date: 7/23/2025 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Violation: Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted. Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required. Correction Verification: Submit Documentation Compliance Date: 7/28/2025 |
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| 2025-07-03 | ANNUAL | 13 violations cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 11/28/2022 and 7/18/22. Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required: Children's physical assessment reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Michala Lewis, Charlene Ehll and Sawyer Stein as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Sharron Ross's and Natasha Westbrook's medical did not have the physical examination box checked indicating the patient is in good physical and emotional health and free of contagious disease, Natasha Westbrook's medical also was missing the date of the exam. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Bridget Barni, Sharron Ross, Sawyer Stein, Michala Lewis and Charlene Ehll as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by the date and/or type of drill were not recorded. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (B) states: A written record shall be kept of the dates and types of drills conducted. Correction Required: Fire and tornado drills shall be completed and recorded as required. Correction Verification: Submit Documentation 5 CSR 25-300.070 Fire Safety Requirements Violation: The facility's evacuation/emergency plan is not posted. Rule Reference: 5 CSR 25-300.070 Fire Safety Requirements (5) (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children. Correction Required: Evacuation/emergency plan must be posted/complete as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Emergency numbers for the police, fire department, poison control, and ambulance were not posted. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone. Correction Required: Emergency numbers shall be posted near the telephone. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured approximately 5 inches. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2"). Correction Required: The outdoor play area shall be on or adjoining the property and fenced as required. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name of the individual(s) authorized to take the child. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (E) states: The name of the individual(s) authorized to take the child from the premises. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation 5 CSR 25-300.110 Admission Procedures and Required Reports and Records Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both. Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. Correction Required: An individual file with required information for each child shall be maintained. Correction Verification: Submit Documentation RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Violation: Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted. Rule Reference: RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. states: All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of elementary and secondary education pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of elementary and secondary education or the department's designee, including officials of the department of health and senior services, or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required: An approved sanitation and fire/safety inspection shall be kept on file and be available as required. Correction Verification: Submit Documentation |
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| 2024-09-12 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by 17 children were present in the infant/toddler unit and the facility is only approved for 16 children. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler. Correction Required: The facility shall provide adequate square feet of usable space per child. Correction Verification: Return Inspection Compliance Date: 9/11/2024 |
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| 2024-07-30 | REINSPECTION | 5 violations cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 01/02/2024. Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required: Children's physical assessment reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 7/26/2024 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Natasha Westbrook and Alexis Williams as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 7/26/2024 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Emily Bowman, Sawyer Stein, Natasha Westbrook and Alexis Williams as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 7/26/2024 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the form was not completed with the date of the exam and did not state whether the employee was in good mental and physical health. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 7/26/2024 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by 17 children were present in the infant/toddler unit and the facility is only approved for 16 children. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler. Correction Required: The facility shall provide adequate square feet of usable space per child. Correction Verification: Return Inspection |
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| 2024-07-02 | ANNUAL | 5 violations cited |
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Findings: 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that the form was not completed with the date of the exam and did not state whether the employee was in good mental and physical health. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Natasha Westbrook and Alexis Williams as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Emily Bowman, Sawyer Stein, Natasha Westbrook and Alexis Williams as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.050 Health Requirements Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 01/02/2024. Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required: Children's physical assessment reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The facility did not provide 45 square feet of usable floor space for each child coming into the facility for day care as evidenced by 17 children were present in the infant/toddler unit and the facility is only approved for 16 children. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (E) states: At least thirty-five (35) square feet of usable floor space for each preschool and school-age child, and at least forty-five (45) square feet of usable floor space for each infant/toddler. Correction Required: The facility shall provide adequate square feet of usable space per child. Correction Verification: Return Inspection |
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| 2023-11-07 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The equipment, a swing and a bridge, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is no resilient material present to impact a fall. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high. Correction Verification: Submit Documentation Compliance Date: 11/5/2023 |
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| 2023-10-04 | REINSPECTION | 3 violations cited |
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Findings: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures Violation: A copy of the Notice of Parental Responsibility form was not filed annually, during the month of August, with the department. Rule Reference: 5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures (6) (D) states: A child care facility operated by a religious organization shall file the Notice of Parental Responsibility form with the department annually during the month of August. Correction Required: The Notice of Parental Responsibility form shall be filed annually, during the month of August, with the department. Correction Verification: Submit Documentation Compliance Date: 9/8/2023 5 CSR 25-300.050 Health Requirements Violation: Medical examination reports, including TB testing, were not on file for Nylia Idhen, Alisa Lovan, Bailee Rousso and Kelly Kaufenberg as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. Correction Required: Medical/TB reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 9/8/2023 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment Violation: The equipment, a swing and a bridge, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is no resilient material present to impact a fall. Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high. Correction Verification: Submit Documentation |
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| 2023-09-06 | SUPPLEMENTAL | |
| 2023-07-20 | ANNUAL | |
| 2022-10-13 | COMPLIANCE VERIFICATION | |
| 2022-07-28 | ANNUAL | |
If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.
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