United Methodist Church Of Nevada, Missouri

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 4/1/26, 6/16/25, and 8/13/25.

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 Amy Bruce, Tammy Pugh, Taylor Bruce, Riley Essenpries, and Ashton Pursley 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 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: Bleach Bottles. The item(s) was/were located in school age room and breakfast room.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 7/9/2026

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: The equipment, a slides, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by wood chips not evenly distributed at the bottom of the slides.

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

5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: Diaper Cream. The item(s) was/were located in cubbies in the bathroom in 3 year old room within child reach.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 7/9/2026

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 Child A 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: 8/12/2025

5 CSR 25-300.040 Staffing Requirements

Violation: Supervision and basic care were not provided as evidenced by child was left outside unsupervised for 31 minutes.

Rule Reference: 5 CSR 25-300.040 Staffing Requirements (1) states: Supervision and basic care shall be provided at all license-exempt facilities.

Correction Required: Caregivers shall provide basic care and supervision.

Correction Verification: Corrected on Site

Compliance Date: 7/15/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Amy Bruce and Deborah Erusbarger 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: 7/15/2025

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 Child A 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 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Amy Bruce and Deborah Erusbarger 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 25-300.090 Physical Plant, Space, Supplies and Equipment

Violation: Hazardous items as follows were accessible to children: staff purse. The item(s) was/were located on Pre-K classroom floor.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.

Correction Required: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

Correction Verification: Corrected on Site

Compliance Date: 7/11/2025

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 Child A 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