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 ages of children was/were exceeded as evidenced by one child was present and in the family home age 5. The provider's license specifies that the age range of children was 6 weeks through 4 year's old.

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 (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.

Open Not marked corrected in the state record

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5 CSR 25-400.086 · 5 CSR 25-400.086 Fire Safety (2) (C) 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 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Open Not marked corrected in the state record

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5 CSR 25-400.090 · 5 CSR 25-400.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.

Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

Open Not marked corrected in the state record

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5 CSR 25-400.125 · 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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), 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 11/4/2024.

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 (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 two children ages 1 year old and 2 years old were sleeping in a laundry room that was dark with the door closed. CI discussed approved space per diagram. The provider stated that those children would wake up the other children.

Open Not marked corrected in the state record

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5 CSR 25-400.086 · 5 CSR 25-400.086 Fire Safety (2) (C) 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 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.090 · 5 CSR 25-400.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.

Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.125 · 5 CSR 25-400.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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), 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 11/4/2024.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.175 · 5 CSR 25-400.175 Child Care Program (1) (D) 1 states: Infants and toddlers shall have constant care and supervision.

Infants and toddlers did not have constant care and supervision as evidenced by two children were sleeping in approved space to the right of the kitchen with the door closes. These children were ages 4 months and 1 year old. Two children were sleeping in the laundry room in the dark with the door closed. The children were ages 1 year old and 2 years old.

Open Not marked corrected in the state record

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5 CSR 25-400.175 · 5 CSR 25-400.175 Child Care Program (1) (A) 6 states: If children are napped with no caregiver in the room, the door to the room cannot be closed.

Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.

Open Not marked corrected in the state record

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