Inspire Early Education Ltd.
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Contact Information
📞 (636) 447-4454Reviews
This school has done amazing things for my children. My kiddos are 3.5 and 1.5 years. They love going to school each day and come home talking about the fun they have had. My 3.5 year old knows her alphabet and is excelling in their Phonics program. My 1.5 year old knows sign language and his colors. I know they are loved by their teachers and it shows in how their daily report come home each day. ABC is not just a school, it is a community that I am proud for my family to be a part of. If you are looking for a loving environment, fun atmosphere and great academics, this is the place for you.
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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 |
|---|---|---|
| 2026-07-13 | COMPLAINT INVESTIGATION | |
| 2026-05-12 | COMPLIANCE MONITORING | 2 violations cited |
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Findings: 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Kelsi Conrath. Rule Reference: 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years. Correction Required: Required results of criminal background checks shall be on file. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Jessica Quick and Elizabeth Ratliff. 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 |
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| 2026-04-21 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 inches under the gate and the fence next to the gate on the playground out from the Two A room of the facility. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation Compliance Date: 4/21/2026 |
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| 2025-11-12 | COMPLIANCE MONITORING | 1 violation cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured approximately 5 inches under the gate and the fence next to the gate on the playground out from the Two A room of the facility. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required: The outdoor play area shall be accessible without hazard. Correction Verification: Submit Documentation |
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| 2025-10-12 | COMPLAINT INVESTIGATION | |
| 2025-08-29 | COMPLAINT INVESTIGATION | |
| 2025-08-28 | COMPLIANCE VERIFICATION | 1 violation cited |
|
Findings: 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation Compliance Date: 8/28/2025 |
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| 2025-08-26 | REINSPECTION | 18 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1 was/were not in good condition as evidenced by area of chipped/peeling paint located to the right of window measuring approximately 3". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/26/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 1 was/were not in good condition as evidenced by area of torn/peeling paint located underneath cubbies measuring approximately 2.5" and area of peeling paint located underneath handwashing sink measuring approximately 1". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 2 was/were not in good condition as evidenced by area of chipped/peeling paint located to the left of the number documentation board measuring approximately 2". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 8/26/2025 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, climber, in infant playground was not in good condition as evidenced by multiple areas of bird feces located on climber on areas accessible to children. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required: Outdoor play equipment shall be safe and in good repair. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Kylie Watkins Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.102 Personnel Violation: The caregiver was not 18 years of age or older and did not meet the definition of a Junior Aide as defined in 5 CSR 25-500.010, as evidenced by Kylie Watkins, caregiver DOB 9/8/2007, was working and counting in ratio in the toddler classroom (ages 14-months-old to 24-months-old) . Rule Reference: 5 CSR 25-500.102 Personnel (1) (C) . states: Caregivers eighteen (18) years of age or older shall be counted in meeting the required staff/child ratios. In addition, a Junior Aide as defined in 5 CSR 25-500.010, shall be counted in meeting the required staff/child ratios if the following requirements are met. Correction Required: Caregivers counted in staff/child ratio shall be 18 years of age or older or meet the definition of a Junior Aide. Correction Verification: Return Inspection Compliance Date: 8/26/2025 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Zoe Graham needs 1 hour, Marleigh Harper needs 4 hours, Dylan Hoffman needs 3.5 hours, Robyn Kelley needs 3 hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation Compliance Date: 8/26/2025 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation Compliance Date: 6/5/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kylie Watkins as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kylie Watkins. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were not listed. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include date care begins and ends. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include telephone number of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 6/11/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Kylie Watkins. 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: 6/11/2025 |
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| 2025-08-20 | SUPPLEMENTAL | 18 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1 was/were not in good condition as evidenced by area of chipped/peeling paint located to the right of window measuring approximately 3". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 1 was/were not in good condition as evidenced by area of torn/peeling paint located underneath cubbies measuring approximately 2.5" and area of peeling paint located underneath handwashing sink measuring approximately 1". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 2 was/were not in good condition as evidenced by area of chipped/peeling paint located to the left of the number documentation board measuring approximately 2". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, climber, in infant playground was not in good condition as evidenced by multiple areas of bird feces located on climber on areas accessible to children. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required: Outdoor play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Zoe Graham needs 1 hour, Marleigh Harper needs 4 hours, Dylan Hoffman needs 3.5 hours, Robyn Kelley needs 3 hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The caregiver was not 18 years of age or older and did not meet the definition of a Junior Aide as defined in 5 CSR 25-500.010, as evidenced by Kylie Watkins, caregiver DOB 9/8/2007, was working and counting in ratio in the toddler classroom (ages 14-months-old to 24-months-old) . Rule Reference: 5 CSR 25-500.102 Personnel (1) (C) . states: Caregivers eighteen (18) years of age or older shall be counted in meeting the required staff/child ratios. In addition, a Junior Aide as defined in 5 CSR 25-500.010, shall be counted in meeting the required staff/child ratios if the following requirements are met. Correction Required: Caregivers counted in staff/child ratio shall be 18 years of age or older or meet the definition of a Junior Aide. Correction Verification: Return Inspection 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Kylie Watkins Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were not listed. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kylie Watkins. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kylie Watkins as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include telephone number of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include date care begins and ends. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Kylie Watkins. 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 |
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| 2025-05-12 | COMPLIANCE MONITORING | 19 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Corrected on Site Compliance Date: 5/12/2025 5 CSR 25-500.052 Annual Requirements Violation: The annual fire safety inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required: The facility shall submit evidence of compliance with annual fire safety requirements. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Hazardous items as follows were accessible to children: powder laundry detergent. The item(s) was/were located in open laundry room closet. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required: Hazardous items shall be inaccessible to children. Correction Verification: Corrected on Site Compliance Date: 5/12/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Infant 1 was/were not in good condition as evidenced by area of chipped/peeling paint located to the right of window measuring approximately 3". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 2 was/were not in good condition as evidenced by area of chipped/peeling paint located to the left of the number documentation board measuring approximately 2". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located Toddler 1 was/were not in good condition as evidenced by area of torn/peeling paint located underneath cubbies measuring approximately 2.5" and area of peeling paint located underneath handwashing sink measuring approximately 1". Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Outdoor equipment, climber, in infant playground was not in good condition as evidenced by multiple areas of bird feces located on climber on areas accessible to children. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required: Outdoor play equipment shall be safe and in good repair. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Kylie Watkins Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Zoe Graham needs 1 hour, Marleigh Harper needs 4 hours, Dylan Hoffman needs 3.5 hours, Robyn Kelley needs 3 hours. Rule Reference: 5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required: Required training hours shall be documented for each caregiver. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kylie Watkins as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Kylie Watkins. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were not listed. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. The provider may use the department’s medical assessment form or the provider may use its own form if it contains all the information on the department’s form. The Child Medical Examination Report (Infant/Toddler/Pre-School)form, revised 2021, is incorporated by reference in this rule, as published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and available by the department at https://dese.mo.gov/childhood/forms. This rule does not incorporate any subsequent amendments or additions. Correction Required: Child medical requirements shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include date care begins and ends. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include address of another individual who might be reached in an emergency. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include telephone number of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Kylie Watkins. 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 |
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| 2025-03-04 | SUPPLEMENTAL | 1 violation cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation |
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| 2025-01-30 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation Compliance Date: 1/30/2025 |
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| 2024-11-20 | REINSPECTION | 3 violations cited |
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Findings: 5 CSR 25-500.032 Organization and Administration Violation: The department did not receive notification of a change of board president or chairperson. Rule Reference: 5 CSR 25-500.032 Organization and Administration (3) states: When the responsibility for the operation of a facility rests with a board of directors, the department shall be notified in writing immediately if there is a change of the board president or chairperson. Correction Required: The facility shall notify the department immediately when there is a change of board president or chairperson. Correction Verification: Submit Documentation Compliance Date: 11/8/2024 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the provided breakfast was missing two food components: a fruit or vegetable and a bread or bread alternative. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required: Nourishing food shall be provided as required. Correction Verification: Return Inspection Compliance Date: 11/20/2024 |
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| 2024-11-07 | COMPLIANCE MONITORING | 5 violations cited |
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Findings: 5 CSR 25-500.032 Organization and Administration Violation: The department did not receive notification of a change of board president or chairperson. Rule Reference: 5 CSR 25-500.032 Organization and Administration (3) states: When the responsibility for the operation of a facility rests with a board of directors, the department shall be notified in writing immediately if there is a change of the board president or chairperson. Correction Required: The facility shall notify the department immediately when there is a change of board president or chairperson. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The space for infants and toddlers is not separated by floor-to-ceiling walls. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF) Correction Verification: Return Inspection Compliance Date: 11/7/2024 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 28 children , ages 15-months-old to 5-years-old, were cared for by 3 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection Compliance Date: 11/7/2024 5 CSR 25-500.202 Nutrition and Food Service Violation: The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the provided breakfast was missing two food components: a fruit or vegetable and a bread or bread alternative. Rule Reference: 5 CSR 25-500.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required: Nourishing food shall be provided as required. Correction Verification: Return Inspection |
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| 2024-10-30 | SUPPLEMENTAL | 3 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The space for infants and toddlers is not separated by floor-to-ceiling walls. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls; Correction Required: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF) Correction Verification: Return Inspection 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 28 children , ages 15-months-old to 5-years-old, were cared for by 3 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection |
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| 2024-10-28 | SUPPLEMENTAL | 2 violations cited |
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Findings: 5 CSR 25-500.032 Organization and Administration Violation: The department did not receive notification of a change of board president or chairperson. Rule Reference: 5 CSR 25-500.032 Organization and Administration (3) states: When the responsibility for the operation of a facility rests with a board of directors, the department shall be notified in writing immediately if there is a change of the board president or chairperson. Correction Required: The facility shall notify the department immediately when there is a change of board president or chairperson. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation |
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| 2024-10-08 | SUPPLEMENTAL | 1 violation cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: The facility does not have an approved director on staff. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required: The facility shall have an approved director/group home provider. Correction Verification: Submit Documentation |
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| 2024-05-09 | COMPLIANCE VERIFICATION | 2 violations cited |
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Findings: 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Alexis Jordan as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation Compliance Date: 5/8/2024 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Alexis Jordan. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation Compliance Date: 5/8/2024 |
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| 2024-05-03 | COMPLIANCE MONITORING | 2 violations cited |
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Findings: 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Alexis Jordan as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required: Medical reports shall be on file as required. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Alexis Jordan. Rule Reference: 5 CSR 25-500.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required. Correction Verification: Submit Documentation |
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| 2023-08-22 | COMPLIANCE VERIFICATION | |
| 2023-08-16 | POST LICENSING | |
| 2023-06-20 | COMPLIANCE VERIFICATION | |
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