5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Children were not restricted to approved space as evidenced by the child was observed walking into the Room #2 which was not considered an approved child care space during the initial licensing..

Open Not marked corrected in the state record

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5 CSR 25-400.055 · 5 CSR 25-400.055 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.

The annual fire safety inspection was not approved.

Open Not marked corrected in the state record

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. C. states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.

Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.

Open Not marked corrected in the state record

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).

Staff/child ratio requirements were not met as evidenced by three children under age two and seven children over age two were cared for by one caregiver(s).

Open Not marked corrected in the state record

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Clock hour training shall be approved by the department.

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: Breiona Jackson needs 4 clock hours, and Rhonda Pheal needs 2 clock hours.

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5 CSR 25-400.045 · 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

The number of children was/were exceeded as evidenced by there were eleven children present in the family home.

Open Not marked corrected in the state record

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 2. states: Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other non-breakable material.

Window and door requirements were not met as evidenced by there was no barrier on window that was less than 24 inches from the floor.

Open Not marked corrected in the state record

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5 CSR 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 E 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.

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by two blankets were hanging on the hooks above the Pack 'n Play touching its side.

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5 CSR 25-400.135 · 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 A states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Open Not marked corrected in the state record

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5 CSR 25-400.135 · 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 B states: They have been informed that the Licensing Rules for Family Day Care Homes in Missouri are available in the home for their review.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review.

Open Not marked corrected in the state record

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5 CSR 25-400.135 · 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 C states: They and the provider have agreed on a plan for continuing communication regarding the child’s development, behavior and individual needs.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Open Not marked corrected in the state record

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5 CSR 25-400.135 · 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 D states: They understand and agree that the child may not be accepted for care when ill.

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Open Not marked corrected in the state record

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5 CSR 25-400.135 · 5 CSR 25-400.135 Admission Policies and Procedures (6) (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility

The facility did not meet requirements for child enrollment and health information on file as evidenced by two child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

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5 CSR 25-400.210 · 5 CSR 25-400.210 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year.

Daily attendance records were not maintained on file as required as evidenced by there were no child attendance records.

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5 CSR 25-400.210 · 5 CSR 25-400.210 Records and Reports (6) states: Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year.

Daily attendance records were not maintained on file as required as evidenced by there were no caregiver/volunteer attendance records.

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5 CSR 25-400.210 · 5 CSR 25-400.210 Records and Reports (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.

Two child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

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5 CSR 25-400.210 · 5 CSR 25-400.210 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.

Two 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.

Open Not marked corrected in the state record

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5 CSR 25-400.210 · 5 CSR 25-400.210 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.

Two child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

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5 CSR 25-400.210 · 5 CSR 25-400.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.

Two child(ren) records did not include name and phone number of the family physician or hospital.

Open Not marked corrected in the state record

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5 CSR 25-400.210 · 5 CSR 25-400.210 Records and Reports (2) (F) states: Field trip and transportation authorization.

Two child(ren) records did not include field trip and transportation authorization.

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5 CSR 25-400.045 · 5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

The number of children was/were exceeded as evidenced by there were sixteen children present in the family home.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.

Children were not restricted to approved space as evidenced by the back gate leading to the street was opened.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) 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.

Hazardous items as follows were accessible to children: Lysol disinfectant spray, and wipes. The item(s) was/were located on the cart in the hallway within children's reach.

Open Not marked corrected in the state record

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 6. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material.

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved as evidenced by the small slide was sitting on bare concrete.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 2. states: Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other non-breakable material.

Window and door requirements were not met as evidenced by there was no barrier on window that was less than 24 inches from the floor.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (C) 1. C. states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.

Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.086 · 5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

The requirements for protective outlet covers were not met as evidenced by there were two outlet covers missing in the front area near the entrance.

Open Not marked corrected in the state record

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (4) (E) 1. states: Caregivers shall obtain a Missouri Professional Development Identification (MOPD ID) number from the department.

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The caregivers listed need a MOPD ID: Rhonda Pheal.

Open Not marked corrected in the state record

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