5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (3) (B) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.

The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers.

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 Cristina Davis and Yessica Torres 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) 5. 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/well-maintained for children's activities as evidenced by the fence had excessive overgrowth on it and around the play space.

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 Cristina Davis and Yessica Torres.

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 Candida Nunez, Marcela Torres, Karmeliza Rodríguez, Christina Davis (Ortiz), Pamela Ozuna, Patricia Argotta, and Oscar Argotte 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 (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. The item(s) was/were located in an unlocked cabinet under the bathroom sink.

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) (G) states: Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing or barrier shall be constructed to prevent the child from crawling or falling through, or becoming entrapped.

A deck with a drop-off of more than 24 inches had a railing/barrier with openings of more than four inches (4). The measurement of railing/barrier openings is one-foot and seven-inches.

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 two outlets in the room near the bathroom, did not have any protective covers.

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 one outlet did not have a protective cover near a children's cot, in a bedroom.

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 (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.

The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.

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 (2) (B) 2. states: A diagram of evacuation routes from the room.

The facility's evacuation route diagram was not posted in each room used for child care.

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 (2) (B) 1. C. states: When a facility operates at more than one (1) site, the name and telephone number of the facility's principal place of business.

The facility's name and phone number of the owner's principal place of business was not posted in each room used for child care.

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 (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.

The facility's list of emergency numbers are not posted in each room used for child care, specifically one of the rooms used for nap-time.

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 (2) (B) 1. A. states: The name, address, and telephone number of the facility.

The facility's name, address and telephone number was not posted in each room used for child care.

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) (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by the mattress/pad was not sized correctly.

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) (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by the mattress/pad was not in good condition in that one pack-n-play had a hole in the netting.

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 (2) (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by there were no child-size shelving, nor storage and no toys/equipment that were within reach of children. All supplies were stored in closets and cabinets that were above child-height.

Open Not marked corrected in the state record

Open / not marked corrected.

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 at least one caregiver certified in first aid/CPR was not on site.

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 Pamela Ozuna (Maretenez), Candida Nunez, Cristina Davis (Ortiz), Patricia Argotte, Oscar Argotte, or Marcela Torres.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (J) . 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 child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:

A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Karmeliza Rodridgez, Candida Nunez, Pamela Ozuna, and Cristina Davis (Ortiz) .

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 (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for assistant(s): Pamela Ozuna and Cristina Davis (Ortiz).

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 (2) (B) 1 states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children.

The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by there were two children age 2 years old and seven children ages 3 years old napping in a play pen. During the 3/19/2024 inspection a child was observed scooting the pack-n-play from one corner of the room, to the other Staff confirmed children are able to climb out of the pack-n-plays.

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 (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.

One child(ren) records did not include date care begins and ends.

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 Cristina Davis.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.025 · 5 CSR 25-400.025 Organization and Administration (2) states: If a family child care home is owned by a legal entity, the legal entity shall designate a person to be responsible for the daily operation of the facility and to meet the requirements of the child care provider. The department shall be notified in writing immediately if there is a change of the person designated to be responsible for the daily operation of the facility and to meet the requirements of the child care provider.

The family child care home is owned by a legal entity and did not immediately notify the department in writing of a change in the person designated to be responsible for the daily operation of the facility.

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 Candida Nunez, Marcela Torres, Karmeliza Rodríguez, Christina Davis (Ortiz), Pamela Ozuna, Patricia Argotta, and Oscar Argotte 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 (1) (G) states: Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing or barrier shall be constructed to prevent the child from crawling or falling through, or becoming entrapped.

A deck with a drop-off of more than 24 inches had a railing/barrier with openings of more than four inches (4). The measurement of railing/barrier openings is one-foot and seven-inches.

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: a plug-in, liquid air freshener. The item(s) was/were located a low-level electrical outlet that was within reach of children.

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 two outlets in the room near the bathroom, did not have any protective covers.

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 (2) (B) 1. A. states: The name, address, and telephone number of the facility.

The facility's name, address and telephone number was not posted in each room used for child care.

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 (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.

The facility's list of emergency numbers are not posted in each room used for child care, specifically one of the rooms used for nap-time.

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 (2) (B) 1. C. states: When a facility operates at more than one (1) site, the name and telephone number of the facility's principal place of business.

The facility's name and phone number of the owner's principal place of business was not posted in each room used for child care.

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 (2) (B) 2. states: A diagram of evacuation routes from the room.

The facility's evacuation route diagram was not posted in each room used for child care.

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 (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.

The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.

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 (2) (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by there were no child-size shelving, nor storage and no toys/equipment that were within reach of children. All supplies were stored in closets and cabinets that were above child-height.

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) (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by the mattress/pad was not sized correctly.

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) (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by the mattress/pad was not in good condition in that one pack-n-play had a hole in the netting.

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 (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for assistant(s): Pamela Ozuna and Cristina Davis (Ortiz).

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.105 · 5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (J) . 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 child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:

A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Karmeliza Rodridgez, Candida Nunez, Pamela Ozuna, and Cristina Davis (Ortiz) .

Open Not marked corrected in the state record

Open / not marked corrected.

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 at least one caregiver certified in first aid/CPR was not on site.

Open Not marked corrected in the state record

Open / not marked corrected.

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: Karmeliza Rodríguez needs one clock-hour and Pamela Ozuna needs four clock-hours.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

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 (1) (E) . 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: Pamela Ozuna.

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 (2) (B) 1 states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children.

The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by there were two children age 2 years old and seven children ages 3 years old napping in a play pen. During the 3/19/2024 inspection a child was observed scooting the pack-n-play from one corner of the room, to the other Staff confirmed children are able to climb out of the pack-n-plays.

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 (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.

One child(ren) records did not include date care begins and ends.

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 Karmeliza Rodriguez and Pamela Martenez.

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 Pamela Ozuna (Maretenez), Candida Nunez, Cristina Davis (Ortiz), Patricia Argotte, Oscar Argotte, or Marcela Torres.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-400.025 · 5 CSR 25-400.025 Organization and Administration (2) states: If a family child care home is owned by a legal entity, the legal entity shall designate a person to be responsible for the daily operation of the facility and to meet the requirements of the child care provider. The department shall be notified in writing immediately if there is a change of the person designated to be responsible for the daily operation of the facility and to meet the requirements of the child care provider.

The family child care home is owned by a legal entity and did not immediately notify the department in writing of a change in the person designated to be responsible for the daily operation of the facility.

Open Not marked corrected in the state record

Open / not marked corrected.

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 at least one caregiver certified in first aid/CPR was not on site.

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 2 (B) 1 states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children.

The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by there were two children age 2 years old and seven children ages 3 years old napping in a play pen.

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 Karmeliza Rodriguez and Pamela Martenez.

Open Not marked corrected in the state record

Open / not marked corrected.