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.

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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 two outlets without electrical plates in bathroom (one corrected - 6/25).

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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 12 children present. CI Barton explained to the provider that she needs to disenroll children immediately. The Provider stated she wasn’t sure what to tell the parents and the CI suggested she be honest with them.

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 1. states: Any floor of a home used for child care shall be approved by the State Fire Marshal or his/her designee.

All floors of a building used for child care were not approved by the State Fire Marshall as evidenced by child found on the lower level that has not been approved by fire inspector.

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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: 15+ prescription medications (with medication inside), rubbing alcohol, fingernail polish remover, adult purse, bleach, laundry detergent, multiple bottles of personal care items. The item(s) was/were located on the lower level unlicensed space where a child was unsupervised.

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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 children had access to provider's bedroom and a (non related) 5 year old child was found in unlicensed space by themselves (no adult present) on the lower level where the provider had put him. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. On May 21, 2025, CI Barton and Stephanie McCray spoke on the phone. Stephanie said he would arrive each morning at 5 a.m. (she is licensed for 24-hour care) and that her sister, who is a household member but not an assistant, would care for him in her living space downstairs until Bridget, Stephanie’s assistant, arrives at 6 a.m. Stephanie arrives at 7 a.m. from her other job. CI Barton explained that none of the children should be cared for by her sister since she is not an approved assistant and that children should not be in her sister’s living space since it is not approved childcare space. Her sister does have an eligibility letter since she is a household member.

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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 children had access to the kitchen, master bedroom, and lower level (all unapproved childcare space) - gate was put in place at CI Barton's insistence during inspection.

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).

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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 two outlets without electrical plates in bathroom.

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

An infant was observed sleeping in a/an 8-month-old infant found sleeping in a baby swing with a blanket. The provider denied the infant was asleep. Provider was told to remove the child and to place infant in approved sleeping equipment, the provider did not remove the child from the swing. Prior to the CI completing the inspection the child did wake up.

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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 3 children under age two and 9 children over age two were cared for by 1 (Stephanie McCray) caregiver(s).

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.

A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Stephanie McCray lied to CI Barton repeatedly (upon arrival, when doing the initial count, and when CI began to look at unlicensed space) stating only 10 children were present in the home. CI Barton counted 10 children then an 11th child (age 4) entered the room needing assistance with toileting. Provider stated there were no other children present in the home. CI Barton did a walk-through of the unlicensed space of the home and found a 12th child (age 5) in the basement/lower level of the home alone. The Provider said multiple times to CI Barton I'm sorry and I know I am in trouble now.

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5 CSR 25-400.175 · 5 CSR 25-400.175 Child Care Program (1) (A) 1 states: Child care providers shall not leave any child without competent adult supervision.

Child(ren) was left without competent adult supervision as evidenced by one 5 year-old-child was found on the lower level in unlicensed space without any adult supervision. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. The child came upstairs and joined the children upstairs prior to CI completing the inspection.

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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 two outlets without electrical plates in bathroom.

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5 CSR 25-400.055 · 5 CSR 25-400.055 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 McMeria Robins (household member) within thirty (30) days prior to the anniversary date.

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.

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5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.

The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate first aid certification.

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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 2023, the staff listed need the following information: Bridgett Turner needs 1.5 hours and Stephanie McCray needs 0.5 hour (compliant 11/22/24).

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5 CSR 25-600.020 · 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.

Criminal background check results were not on file for household member McMeria Robins.

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by one broken outlet plate.

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5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by two outlet covers missing from an outlet.

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

The ceilings located in the daycare room was/were not clean as evidenced by dust/dirt build-up on two ceiling fans.

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5 CSR 25-400.055 · 5 CSR 25-400.055 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 McMeria Robin within thirty (30) days prior to the anniversary date.

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