Strawberry International Schools Of St. John
Quick Facts
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Contact Information
📞 (314) 427-7441Reviews
The staff & management have a lack of communication, unorganized, unprofessional.
https://healthapps.dhss.mo.gov/childcaresearch/Facility.aspx?LID=002002924
Management allow staff to talk down to children, yell at them and put hands on them.
Police and social services have been here numerous times. Management is known to delete videos of the abuse that happens inside.
Not enough staff and too many kids stacked on each other.
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About the Provider
We provide a structured curriculum time for both our morning and evening children. Even the infants participate in developmentally appropriate, fun and loving activities!
We provide school aged childcare during off hours, as well as camps during the summer, and on holiday breaks. These camps are geared toward the interest and abilities of older children.
In addition to providing transportation for our school aged students, International Schools also provides transportation for children to and from the home.
Each of our campuses are state licensed. We do accept state assistance toward the payment of weekly tuition.
Hours of Operation
- MondayOpen
- TuesdayOpen
- WednesdayOpen
- ThursdayOpen
- FridayOpen
- Saturday Open
- Sunday Open
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Report Date | Report Type | Violations |
|---|---|---|
| 2026-03-13 | REINSPECTION | 6 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation Compliance Date: 3/13/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation Compliance Date: 3/13/2026 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 3-4 Classroom was/were not in good condition as evidenced by peeling paint. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation Compliance Date: 3/13/2026 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a child age 8-months-old was observed sleeping with a blanket. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Correction Verification: Return Inspection Compliance Date: 3/13/2026 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: An infant was observed sleeping in a/an in an swing. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time. Correction Required: Infants shall only sleep in a crib, portable crib, or playpen. Correction Verification: Return Inspection Compliance Date: 3/13/2026 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Darlene Pate, Rashonda Pate, Erica Olham, Jodi Enloe, Ashley Flakes, and Julia Enloe. 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 Compliance Date: 3/13/2026 |
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| 2026-03-04 | COMPLIANCE MONITORING | 11 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 3-4 Classroom was/were not in good condition as evidenced by peeling paint. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlet covers were missing in the Toddler Classroom. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 3/4/2026 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a child age 8-months-old was observed sleeping with a blanket. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Correction Verification: Return Inspection 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: An infant was observed sleeping in a/an in an swing. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time. Correction Required: Infants shall only sleep in a crib, portable crib, or playpen. Correction Verification: Return Inspection 5 CSR 25-500.102 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: Jodi Enloe needs .5 hours and Nikiel Grandberry needs 2 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: 10/9/2025 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Cire Lindsay, Lalaih Paulachak, Ashley Thompson, and Julia Enloe. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation Compliance Date: 3/4/2026 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Cire Lindsay, Lailah Paulachak, and Ashley Thompson 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: 11/19/2025 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: Cire Lindsay, Lailah Paulachak, and Ashley Thompson. 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: 11/19/2025 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Darlene Pate, Rashonda Pate, Erica Olham, Jodi Enloe, Ashley Flakes, and Julia Enloe. 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 |
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| 2026-02-02 | COMPLAINT INVESTIGATION | |
| 2025-09-11 | COMPLIANCE MONITORING | 12 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: 9/11/2025 5 CSR 25-500.052 Annual Requirements Violation: The equipment list was not submitted. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required: The facility shall submit an equipment list as required. Correction Verification: Corrected on Site Compliance Date: 9/11/2025 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Corrected on Site Compliance Date: 9/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there was no outlet cover in an infant room. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 9/11/2025 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: can of Lysol spray. The item(s) was/were located on a low shelf in a preschool room. 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: 9/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the 3-year-old classroom and 2-year-old classroom was/were not in good condition as evidenced by the 3-year-old classroom had a partial hole in the wall that measured approximately 3 inches by 2 inches and a separation in the dry wall that was a vertical line approximately 3 feet long. The two-year-old classroom a section of chipped paint approximately 3 inches by 2 inches. 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: Corrected on Site Compliance Date: 9/11/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility's outdoor space was not safe for children's activities as evidenced by a railroad tie was broken, not connected to the ground and splintering. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Corrected on Site Compliance Date: 9/11/2025 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: Jodi Enloe needs .5 hours and Nikiel Grandberry needs 2 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: Safe sleep training was not completed within the past 3 years for the following staff Cire Lindsay, Lalaih Paulachak, Ashley Thompson, and Julia Enloe. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training 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 Cire Lindsay, Lailah Paulachak, and Ashley Thompson 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: Cire Lindsay, Lailah Paulachak, and Ashley Thompson. 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 25-600.020 General Requirements Violation: Criminal background check results were older than five (5) years for Darlene Pate, Rashonda Pate, Erica Olham, Jodi Enloe, Ashley Flakes, and Julia Enloe. 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 |
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| 2025-08-13 | COMPLIANCE VERIFICATION | 3 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation Compliance Date: 6/2/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility has not met the requirements for fire and safety as evidenced by the facility removed two 1/2 walls without prior notification. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required: The facility shall comply with fire and safety/zoning/sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 3/31/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility has not met the requirements for state or local sanitation as evidenced by the facility removed two 1/2 walls without prior notification. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required: The facility shall comply with fire and safety/zoning/sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 7/24/2025 |
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| 2025-03-18 | COMPLIANCE MONITORING | 7 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local building approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility has not met the requirements for state or local sanitation as evidenced by the facility removed two 1/2 walls without prior notification. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required: The facility shall comply with fire and safety/zoning/sanitation requirements. Correction Verification: Submit Documentation 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 3 outlets were missing covers in the I/T room. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 3/18/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the girls bathroom were was/were not in good condition as evidenced by the first stall door was separating from the wall, exposing a sharp metal edge. 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: Corrected on Site Compliance Date: 3/18/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located facing the wall. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required: The facility shall provide a safe and clean diapering table as required. Correction Verification: Corrected on Site Compliance Date: 3/18/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The walls located in the boys bathroom was/were not in good condition as evidenced by the stall wall was separated from the frame exposing a sharp, rusty metal edge. 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: Corrected on Site Compliance Date: 3/18/2025 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The facility has not met the requirements for fire and safety as evidenced by the facility removed two 1/2 walls without prior notification. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required: The facility shall comply with fire and safety/zoning/sanitation requirements. Correction Verification: Submit Documentation |
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| 2025-01-16 | COMPLIANCE VERIFICATION | 5 violations cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: The director was not approved as evidenced by the variance for her approval has expired.. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 1. . states: An approved certificated group child care home provider or center director shall be an adult who is responsible for planning, monitoring, and managing the facility’s daily program. Correction Required: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program. Correction Verification: Submit Documentation Compliance Date: 1/15/2025 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 2023, the staff listed need the following information: Shawiesha White needs, 1 hour, Annabella Perry needs 1 hours, JoAnn Black needs 12 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: 12/8/2024 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: Ashley Flakes and Imani Stanford. 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: 11/5/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kayla Burton, Ashley Flakes, Rhonda Rainey and Imani Stanford 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: 11/5/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Rashondra Pate, JaAnn Black, Nikiel Grandberry, Jodi Enloe, Erica Oldham, Edjuan Elbert, Darlene Pate, Ashley Flakes. 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: 11/5/2024 |
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| 2024-11-05 | SUPPLEMENTAL | 6 violations cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Pamela Collins, Keyaria Robbins, Annabella Perry, Kayla Burton, Sheyenne Rounds. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation Compliance Date: 11/5/2024 5 CSR 25-500.102 Personnel Violation: The director was not approved as evidenced by the variance for her approval has expired.. Rule Reference: 5 CSR 25-500.102 Personnel (2) (A) 1. . states: An approved certificated group child care home provider or center director shall be an adult who is responsible for planning, monitoring, and managing the facility’s daily program. Correction Required: The director or group home provider shall be an approved, certificated adult who is responsible for the daily program. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Shawiesha White needs, 1 hour, Annabella Perry needs 1 hours, JoAnn Black needs 12 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 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kayla Burton, Ashley Flakes, Rhonda Rainey and Imani Stanford 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: Ashley Flakes and Imani Stanford. 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 25-600.020 General Requirements Violation: Criminal background check results were not on file for Rashondra Pate, JaAnn Black, Nikiel Grandberry, Jodi Enloe, Erica Oldham, Edjuan Elbert, Darlene Pate, Ashley Flakes. 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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| 2024-09-12 | REINSPECTION | 8 violations cited |
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Findings: 5 CSR 25-500.102 Personnel Violation: Safe sleep training was not completed within the past 3 years for the following staff Pamela Collins, Keyaria Robbins, Annabella Perry, Kayla Burton, Sheyenne Rounds. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Shawiesha White needs, 1 hour, Erica Oldham needs 2 hours, Annabella Perry needs 2.5 hours, Pamela Collins and JoAnn Black needs 12 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: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Imani Stanford Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation Compliance Date: 9/12/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kayla Burton, Ashley Flakes, Rhonda Rainey and Imani Stanford 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: Ashley Flakes and Imani Stanford. 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 25-500.222 Records and Reports Violation: 1 child(ren) records did not include employers' name 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: 9/12/2024 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include field trip and transportation authorization. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization. Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 9/12/2024 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Rashondra Pate, JaAnn Black, Nikiel Grandberry, Jodi Enloe, Erica Oldham, Edjuan Elbert, Darlene Pate, Ashley Flakes. 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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| 2024-09-05 | COMPLIANCE MONITORING | 13 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The staff sheet was not fully completed as evidenced by multiple staff and managing members were missing. Also, no start dates or MOPD were listed. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required: The facility shall submit a current staff sheet as required. Correction Verification: Corrected on Site Compliance Date: 9/5/2024 5 CSR 25-500.052 Annual Requirements Violation: Evidence of local zoning approval was not received. Rule Reference: 5 CSR 25-500.052 Annual Requirements (1) (B) states: Evidence of compliance with local building and zoning requirements, if applicable. Correction Required: The facility shall submit evidence of local building/zoning approval as required. Correction Verification: Corrected on Site Compliance Date: 9/5/2024 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: a spray can of Lysol. The item(s) was/were located a bottom open shelf in a 2-year-old classroom. 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: 9/5/2024 5 CSR 25-500.102 Personnel Violation: A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Ashley Flakes and Imani Stanford Rule Reference: 5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering, and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The facility orientation shall include-- Correction Required: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Shawiesha White needs, 2 hours, Erica Oldham needs 2 hours, Annabella Perry needs 2.5 hours, Pamela Collins needs 12 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: Safe sleep training was not completed within the past 3 years for the following staff Shawieshea White, Pamela Collins, Keyaria Robbins, Annabella Perry, Kayla Burton, Sheyenne Rounds. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) . states: Every three (3) years, the child care provider, group child care home provider, child care staff members, and volunteers in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Policy Statement on sleep-related infant deaths. The Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment, July 2022, is incorporated by reference in this rule, as published by the American Academy of Pediatrics and available at https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022 or as published in PEDIATRICS Volume 150, Issue 1, July 2022. A copy can also be obtained from the Department of Elementary and Secondary Education, Office of Childhood, 205 Jefferson Street, PO Box 480, Jefferson City, MO 65102-0480 and at https://dese.mo.gov/governmental-affairs/deseadministrativerules/incorporated-reference-materials. This rule does not incorporate any subsequent amendments or additions. Correction Required: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required. Correction Verification: Submit Documentation 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 18 children , ages 2-years-old through 4-years-old (seven were 2-years-old), were cared for by 2 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: Corrected on Site Compliance Date: 9/5/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Kayla Burton, Ashley Flakes, Rhonda Rainey and Imani Stanford 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: Ashley Flakes and Imani Stanford. 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 25-500.222 Records and Reports Violation: 1 child(ren) records did not include employers' name 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 telephone number of family physician or hospital. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Corrected on Site Compliance Date: 9/5/2024 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include field trip and transportation authorization. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization. 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 Rashondra Pate, JaAnn Black, Nikiel Grandberry, Jodi Enloe, Erica Oldham, Edjuan Elbert, Darlene Pate, Ashley Flakes. 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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| 2024-08-06 | COMPLIANCE VERIFICATION | 1 violation cited |
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Findings: 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Submit Documentation Compliance Date: 8/6/2024 |
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| 2024-06-05 | COMPLAINT INVESTIGATION | |
| 2024-05-10 | REINSPECTION | 6 violations cited |
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Findings: 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: Lysol Spray, and bleach spray. The item(s) was/were located on the 1/2 wall surrounding the infant/toddler unit. 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: Submit Documentation Compliance Date: 5/10/2024 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Submit Documentation 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 23 children , ages 2-years-old through 4-years-old, including four who were 2-years-old, were cared for by 1 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: 5/10/2024 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 10 children , ages 2-years-old through 3-years-old, including eight who were 2-years-old, were cared for by 1 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: 5/10/2024 5 CSR 25-500.112 Staff/Child Ratios Violation: Group size requirements were not met as evidenced by 23 children, ages 2-years-old through 4-years-old, including four who were 2-years-old. , were cared for by 1 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: 5/10/2024 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 19 children , ages 5-years-old, were cared for by 1 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: 5/10/2024 |
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| 2024-04-30 | COMPLIANCE MONITORING | 8 violations cited |
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Findings: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers Violation: The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that the outlets in the pre-k . Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required: The facility shall use outlet covers or twist-lock outlets as required. Correction Verification: Corrected on Site Compliance Date: 4/30/2024 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: Lysol Spray, and bleach spray. The item(s) was/were located on the 1/2 wall surrounding the infant/toddler unit. 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: Submit Documentation 5 CSR 25-500.090 Disaster and Emergency Preparedness Violation: The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by a toddler classroom and an infant classroom. Rule Reference: 5 CSR 25-500.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required: The facilities disaster and emergency plan must be available in required locations. Correction Verification: Corrected on Site Compliance Date: 4/30/2024 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment. Correction Verification: Submit Documentation 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 10 children , ages 2-years-old through 3-years-old, including eight who were 2-years-old, were cared for by 1 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection 5 CSR 25-500.112 Staff/Child Ratios Violation: Group size requirements were not met as evidenced by 23 children, ages 2-years-old through 4-years-old, including four who were 2-years-old. , were cared for by 1 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 23 children , ages 2-years-old through 4-years-old, including four who were 2-years-old, were cared for by 1 adult caregiver(s). Rule Reference: 5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group. Correction Required: Staff/child ratios and group sizes shall be maintained at all times. Correction Verification: Return Inspection 5 CSR 25-500.112 Staff/Child Ratios Violation: Staff/child ratio requirements were not met as evidenced by 19 children , ages 5-years-old, were cared for by 1 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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| 2024-01-10 | COMPLIANCE VERIFICATION | 13 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Darlene Pate, Patricia White-Bolden, Jeanee Bradley, Jodi Enloe, Michael Daugherty, Cecil Sampson, Donald Gazaway, within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation Compliance Date: 1/10/2024 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation Compliance Date: 10/2/2023 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: 6/7/2023 5 CSR 25-500.102 Personnel Violation: Documentation of caregiver completion of the facility orientation was not on file for the following staff: Patricia White-Bolden and Rhonda Rainey. Rule Reference: 5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department. Correction Required: Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required. Correction Verification: Submit Documentation Compliance Date: 11/1/2023 5 CSR 25-500.102 Personnel Violation: Patricia White-Bolden, Shanaye Johnson, Jeanee Bradley, Cecil Sampson, and Donald Gazaway did not complete safe sleep training within 30 days of employment or volunteering at the facility. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility. Correction Required: The department-approved safe sleep training must be completed within 30 days of employment or volunteering. Correction Verification: Submit Documentation Compliance Date: 1/9/2024 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Patricia White-Bolden (yes/no box), Shanaye Johnson, Erica Oldham (yes/no), Cecil Sampson, Tatiana Lester, and Donald Gazaway (yes/no box) 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: 12/6/2023 5 CSR 25-500.122 Medical Examination Reports Violation: A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Shanaye Johnson, Cecil Sampson, Tatiana Lester. 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: 12/6/2023 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 8.28.23 (Child I). 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: 11/1/2023 5 CSR 25-500.222 Records and Reports Violation: 1 child(ren) records did not include child's address. 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: 11/1/2023 5 CSR 25-500.222 Records and Reports Violation: 5 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: 11/1/2023 5 CSR 25-500.222 Records and Reports Violation: 2 child(ren) records did not include name, address and telephone number 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: 11/1/2023 5 CSR 25-500.222 Records and Reports Violation: 4 child(ren) records did not include field trip and transportation authorization. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization. Correction Required: Child enrollment information shall be completed and on file as required. Correction Verification: Submit Documentation Compliance Date: 11/1/2023 5 CSR 25-600.020 General Requirements Violation: Criminal background check results were not on file for Rhonda Rainey and Cedric Bonds. 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: 1/10/2024 |
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| 2023-09-22 | COMPLIANCE MONITORING | 15 violations cited |
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Findings: 5 CSR 25-500.052 Annual Requirements Violation: The Family Care Safety Registry check was not conducted for Darlene Pate, Patricia White-Bolden, Jeanee Bradley, Jodi Enloe, Michael Daugherty, Cecil Sampson, Donald Gazaway, within thirty (30) days prior to the anniversary date. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date. Correction Verification: Submit Documentation 5 CSR 25-500.052 Annual Requirements Violation: The annual sanitation inspection was not approved. Rule Reference: 5 CSR 25-500.052 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements. Correction Required: The facility shall submit evidence of compliance with annual sanitation requirements. Correction Verification: Submit Documentation 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 facility's outdoor space was not safe for children's activities as evidenced by in the outdoor play space under the wooden wall, there was over a 6 inch gap between the wood and ground on the left end. Rule Reference: 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required: The outdoor play area shall be clean, safe and well-maintained as required. Correction Verification: Corrected on Site Compliance Date: 9/22/2023 5 CSR 25-500.092 Furniture, Equipment and Materials Violation: The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the purple foam shape climber mats were torn and frayed along the edges. Rule Reference: 5 CSR 25-500.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required: Indoor play equipment, clean and in good repair, shall be accessible to children. Correction Verification: Corrected on Site Compliance Date: 9/22/2023 5 CSR 25-500.102 Personnel Violation: Documentation of caregiver completion of the facility orientation was not on file for the following staff: Patricia White-Bolden and Rhonda Rainey. Rule Reference: 5 CSR 25-500.102 Personnel (1) (L) states: The child care provider shall ensure that documentation of caregiver completion of the facility orientation is maintained and on file for review by the department. Correction Required: Documentation of caregiver completion of the facility orientation shall be maintained and on file for review by the department as required. Correction Verification: Submit Documentation 5 CSR 25-500.102 Personnel Violation: Patricia White-Bolden, Shanaye Johnson, Jeanee Bradley, Cecil Sampson, and Donald Gazaway did not complete safe sleep training within 30 days of employment or volunteering at the facility. Rule Reference: 5 CSR 25-500.102 Personnel (4) (A) 3. states: The child care provider, group child care home provider, child care staff members, and volunteers shall complete safe sleep training described in subsection (4)(A) of this rule within thirty (30) days of employment or volunteering at the facility. Correction Required: The department-approved safe sleep training must be completed within 30 days of employment or volunteering. Correction Verification: Submit Documentation 5 CSR 25-500.122 Medical Examination Reports Violation: Medical examination report(s) was/were not on file for Patricia White-Bolden (yes/no box), Shanaye Johnson, Erica Oldham (yes/no), Cecil Sampson, Tatiana Lester, and Donald Gazaway (yes/no box) 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: 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 8.28.23 (Child I). 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: Shanaye Johnson, Cecil Sampson, Tatiana Lester. 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 25-500.222 Records and Reports Violation: 1 child(ren) records did not include child's address. 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: 5 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 name, address and telephone number 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: 4 child(ren) records did not include field trip and transportation authorization. Rule Reference: 5 CSR 25-500.222 Records and Reports (2) (F) states: Field trip and transportation authorization. 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 Rhonda Rainey and Cedric Bonds. 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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| 2023-07-11 | REINSPECTION | |
| 2023-03-07 | COMPLIANCE MONITORING | |
| 2022-12-13 | COMPLIANCE VERIFICATION | |
| 2022-09-19 | COMPLIANCE MONITORING | |
| 2022-08-11 | REINSPECTION | |
| 2022-08-02 | COMPLIANCE VERIFICATION | |
| 2022-08-02 | SUPPLEMENTAL | |
| 2022-03-15 | COMPLIANCE MONITORING | |
| 2022-02-15 | COMPLIANCE VERIFICATION | |
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