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Home › MO › Lake Ozark › Kradle To Krayon Childcare, Llc
81 N SHORE DR, Lake Ozark MO 65049-7103 · License #002179851 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
Ages served
Ages not published.
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 Kari Johnson - a managing LLC Member and Janette Ashford (secondary place of work ). within thirty (30) days prior to the anniversary date.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.092 · 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (B) 2. B. states: With written parental consent on file, cots may be used for napping or sleeping for toddlers twelve (12) months and older.
A child was on a cot; no parental permission was on file.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Ralph Johnson who sometimes cares and supervises children.
Open Not marked corrected in the state record
Generated from this facility's specific inspection record
Data synced from Missouri Department of Elementary and Secondary Education, Office of Childhood on Jul 9, 2026 · Source records · Report an error
Open / not marked corrected.
5 CSR 25-500.122 · 5 CSR 25-500.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another child care facility for subsequent employment.
The medical examination report on file for Amy Cole, Janette Ashford, Kristen Davis and Tellia Gunn, Ralph Johnson was older than 12 months before the individual's begin date at the facility.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Ralph Johnson, Amy Cole , Janette Ashford, Davis Kristen , Tellia Gunn, Sarah Miller.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Kristen Davis - had more 180 day interruption of service between two day care facilities and needs to be re-fingerprinted.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 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.
The walls located in the Rainbow classroom downstairs was/were not in good condition as evidenced by the paint was pilling , creating possible choking, suffocating , and /or poisoning hazards to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
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 a large piece of a black tarp is showing in a planter by the tree that might pose a tripping hazard to the children.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
The provider did not provide resilient material necessary for the protection of children as evidenced by a large green single slide showed a bare soil under it. .
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
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 resilient material was not uniformly spread over the fall-zone area.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.087 · 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.
Open Not marked corrected in the state record
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5 CSR 25-500.087 · 5 CSR 25-500.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.
Open Not marked corrected in the state record
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5 CSR 25-500.092 · 5 CSR 25-500.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Furniture/equipment, a folding closet door, in Rainbow classroom was not in good condition as evidenced by broken and propped by the wall.
Open Not marked corrected in the state record
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5 CSR 25-500.102 · 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.
Safe sleep training was not completed within the past 3 years for the following staff Helen Black.
Open Not marked corrected in the state record
Open / not marked corrected.
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 one wooden board of the wooden climber had a spot that came off and was sticking up, it presented a potential tripping hazard .
Open Not marked corrected in the state record
Open / not marked corrected.
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 the board of the large wooden climber on a preschool playground had an exposed nail head.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.090 · 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;
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by a preschool classroom was missing emergency plan and diagrams for evacuation. During the inspection director posted them in the room.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.102 · 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.
Documentation of caregiver completion of the facility orientation was not on file for the following staff: Blackerby Brandi .
Open Not marked corrected in the state record
Open / not marked corrected.
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 Blackerby Brandi as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.122 · 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.
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 1/12/2024.
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5 CSR 25-500.182 · 5 CSR 25-500.182 Child Care Program (1) (E) 5. states: Wet or soiled diapers shall be placed in an airtight disposal container located in the diaper change area. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
The disposal of wet or soiled diapers did not meet requirements as evidenced by a wet or soiled diaper was not placed in an airtight disposal container.
Open Not marked corrected in the state record
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5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
A caregiver was not knowledgeable of the needs of children as evidenced by a five month old child was observed in a crib, on their stomach, wearing a swaddle sack which did not allow the infant to use their arms to move or raise their head/face off of the mattress.
Open Not marked corrected in the state record
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5 CSR 25-500.092 · 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.
Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by an infant under 12 months of age was observed in a crib with a thick blanket.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.112 · 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.
Staff/child ratio requirements were not met as evidenced by five children , ages 8 weeks to 3 months old, were cared for by one adult caregiver(s).
Open Not marked corrected in the state record
Open / not marked corrected.
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 Joy Jannette within thirty (30) days prior to the anniversary date.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 5. states: The facility shall be dry, temperature controlled, well-ventilated and free of drafts. Children shall not be overheated or chilled. The temperature of the rooms shall be no less than sixty-eight degrees Fahrenheit (68 F) and no more than eighty-five degrees Fahrenheit (85 F) when measured two feet (2') from the floor.
The temperature of rooms was less than 68 degrees F measured two feet from the floor as evidenced by two year old room was 65.7 degrees.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was not working.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
The facility did not conduct a Family Care Safety Registry screening for Anastesia Laplaint , who was hired on 10/31/2023.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Tara Gossen
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.102 · 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.
Safe sleep training was not completed within the past 3 years for the following staff Tara Gossen.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Tara Gossen as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Tara Gossen.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.132 · 5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Malysia Joiner-Gilber, Anastasia Laplaint, Tara Gossen and Skyler Towsand.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Children were not restricted to approved space as evidenced by the cabinet door in the 2's classroom was open , having open diapering packages that can present potential chocking hazards.
Open Not marked corrected in the state record
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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 (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that bathroom on the second floor near the office.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Joy Jannette within thirty (30) days prior to the anniversary date.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 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.
Hazardous items as follows were accessible to children: Walmart plastic bags, open diaper packaging( chocking hazard) , Toilet bowl cleaner and screwdriver. The item(s) was/were located in two bathrooms : 2's classroom bathroom and upstairs preschool bathroom.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.082 · 5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was not working.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.087 · 5 CSR 25-500.087 Fire Safety (2) (E) states: The evacuation/emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for infants and nonambulatory children.
The facility’s evacuation/emergency plan was not posted.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.090 · 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;
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by in 2's classroom and preschool classroom.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.102 · 5 CSR 25-500.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
The facility did not conduct a Family Care Safety Registry screening for Anastesia Laplaint , who was hired on 10/31/2023.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Tara Gossen
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.102 · 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.
Safe sleep training was not completed within the past 3 years for the following staff Tara Gossen.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Tara Gossen as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Open Not marked corrected in the state record
Open / not marked corrected.
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: Tara Gossen.
Open Not marked corrected in the state record
Open / not marked corrected.
5 CSR 25-500.132 · 5 CSR 25-500.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Open Not marked corrected in the state record
Open / not marked corrected.
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 Malysia Joiner-Gilber, Anastasia Laplaint, Tara Gossen and Skyler Towsand.
Open Not marked corrected in the state record
Open / not marked corrected.