5 CSR 25-500.052 · 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.

The Family Care Safety Registry check was not conducted for Donna Showe within thirty (30) days prior to the anniversary date.

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5 CSR 25-500.082 · 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.

The facility's outdoor space was not safe for children's activities as evidenced by missing fence panel in order to let construction equipment into playground and pieces of playground equipment under construction as well as tools.

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5 CSR 25-500.102 · 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--

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 1. states: A tour of the facility, indoors and outdoors.

The facility orientation did not include a tour of the facility for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. A. states: Licensing rules;

The facility orientation did not include a review of the licensing rules for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. B. states: The facility’s license and its limitations, if any;

The facility orientation did not include a review of the facility’s license and its limitations for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. D. states: The daily schedule;

The facility orientation did not include a review of the daily schedule for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;

The facility orientation did not include a review of the names and ages of the children for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. G. states: The location of children’s records;

The facility orientation did not include a review of the location of children’s records for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. H. states: The facility’s safe sleep policy, if applicable;

The facility orientation did not include a review of the safe sleep policy for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (K) 2. I. states: The facility’s disaster emergency plan and the location of emergency information;

The facility orientation did not include a review of the disaster plan or location of emergency information for the following staff: Makayla Bedrosian, Tea Bemis, Summer Desnoyer, Erin Placeway, Kaelynn Rowkoske, and Emily Schmitz.

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5 CSR 25-500.122 · 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.

Medical examination report(s) was/were not on file for Summer Desnoyer as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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5 CSR 25-500.122 · 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.

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: Summer Desnoyer.

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