First Baptist Church Child Care

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Haleigh Migues as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: Requirements for children's medical examination reports were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 06/05/2023, 12/29/2025, 11/18/2025.

Rule Reference: 5 CSR 25-300.050 Health Requirements (2) states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.

Correction Required: Children's physical assessment reports shall be on file as required.

Correction Verification: Submit Documentation

5 CSR 25-300.060 Responsibilities of Caregivers

Violation: The diapering surface used for changing diapers was not located within or adjacent to the infant/toddler group so the caregiver using the diapering surface can maintain supervision of the group at all times as evidenced by .

Rule Reference: 5 CSR 25-300.060 Responsibilities of Caregivers 1 (F) 1 states: A safe, waterproof and washable diapering surface shall be used for changing diapers. The diapering area shall be located within or adjacent to the infant/toddler group so the caregiver using the diapering surface can maintain supervision of his/her group of children at all times.

Correction Required: Diapering surfaces shall be provided as required.

Correction Verification: Submit Documentation

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Submit Documentation

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name and phone number of the family physician, or hospital, or both.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.

Correction Required: An individual file with required information for each child shall be maintained.

Correction Verification: Submit Documentation

5 CSR 25-600.020 General Requirements

Violation: Criminal background check results were not on file for Rylee Dutton.

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

Subsidy Requirements

Violation: Joy Beary did not complete age-appropriate pediatric CPR/First Aid certification within 90 days of employment or before providing unsupervised direct care to children.

Rule Reference: Subsidy Requirements G. 4. states: The provider and staff have age-appropriate pediatric CPR/First Aid certification within ninety (90) days of employment and before a staff member or volunteer provides unsupervised direct care to children.

Correction Required: Age-appropriate pediatric CPR/First Aid certification shall be completed for all staff and volunteers as required.

Correction Verification: Submit Documentation

Subsidy Requirements

Violation: Six hours of annual training was not completed and documented in DESE's professional development system for the following staff: Joy Beary, Rylee Dutton, Sawyer Hays, Emma Lopez, Crystal Miller, Mary Sage, Brandy Wallace, Destiny Wheaton, Jade Irvin, Brenda Keigh, Johann Wurtz, Jersey Smith, Haleigh Migues, Chasity Hedeen, Tailynn Klien.

Rule Reference: Subsidy Requirements H. 1. states: The provider and staff involved in the care of children have completed six hours of annual training as approved by DESE and documentation of training is viewable in DESE’s designated professional development system.

Correction Required: Training requirements shall be completed and documented as required.

Correction Verification: Submit Documentation

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Jaiden Dehghani as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

Compliance Date: 6/23/2025

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

Compliance Date: 6/23/2025

5 CSR 25-300.050 Health Requirements

Violation: Medical examination reports, including TB testing, were not on file for Jaiden Dehghani as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Rule Reference: 5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.

Correction Required: Medical/TB reports shall be on file as required.

Correction Verification: Submit Documentation

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

Violation: The space for infants and toddlers is not separated by floor-to-ceiling walls.

Rule Reference: 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 2 (F) 2 states: A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor to- ceiling walls with separate play, sleeping and bathroom space.

Correction Required: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

Correction Verification: Corrected on Site

Compliance Date: 6/20/2025

5 CSR 25-300.110 Admission Procedures and Required Reports and Records

Violation: The facility's admitting procedure did not include an individualized special care plan for a child with special needs.

Rule Reference: 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

Correction Required: The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.

Correction Verification: Submit Documentation

5 CSR 25-600.020 General Requirements

Violation: The facility is operated by a religious organization that recieves federal funds for providing child care and criminal background check results were older than five (5) years for Kelly Wooster.

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: 6/24/2024

5 CSR 25-600.020 General Requirements

Violation: The facility is operated by a religious organization that recieves federal funds for providing child care and criminal background check results were older than five (5) years for Kelly Wooster.

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