5 CSR 25-400.085 · 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 7. 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 bare soil is showing so there is not enough resilient material is present to cushion the fall of a child by the blue and green slide and by the side of the bridge .

Open Not marked corrected in the state record

Open / not marked corrected.

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

Open / not marked corrected.

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 Marlenia Cook, Patricia Cook and Michael Cook within thirty (30) days prior to the anniversary date.

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 (3) (A) 1. states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 7 inches at the top on the right side of the playground when looking at the house. The fence in the back was not attached at the top on the middle panel.

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 (3) (A) 8. 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 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, medium size Firestone truck, in the playground was not in good condition as evidenced by the windshield and the hood were cracked.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.

Outdoor equipment, the bridge on the play structure, in the playground was not in good condition as evidenced by the bridge was cracked in the middle of the bridge.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-600.020 · 5 CSR 25-600.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.

Criminal background check results were older than five (5) years for Michael Cook, Patricia Cook and Marlenia Cook.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.045 · 5 CSR 25-400.045 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Posting requirements were not met as evidenced by the posted license was outdated.

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: 1 can of hairspray and 1 can of hair moose. The item(s) was/were located underneath the diapering table.

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: 2 tubes of diapering cream. The item(s) was/were located underneath the sink in the bathroom.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.095 · 5 CSR 25-400.095 Furniture, Equipment and Materials 1 (C) 2 states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall be served meals at a feeding table, high chair, infant seat or other safely designed infant seating equipment. Equipment shall be provided which will allow a child to sit comfortably and securely while being fed. Appropriate restraints shall be used.

Requirements for feeding equipment for infants and toddlers were not met as evidenced by no restraints were used.

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 (E) 6 states: Wet or soiled diapers shall be placed in an airtight disposal container. 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

Open / not marked corrected.

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

Open / not marked corrected.

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.

Open Not marked corrected in the state record

Open / not marked corrected.