5 CSR 25-300.040 · 5 CSR 25-300.040 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.

A caregiver has not reviewed the rules of this chapter as evidenced by Kathy Brockland did not review the rules of this chapter.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-300.050 · 5 CSR 25-300.050 Health Requirements (10) (F) states: Unused medication shall be returned to the parent or disposed of immediately after it is no longer needed.

The facility's storage/disposal of medication was not proper as evidenced by medication was not disposed of or returned to the parent when no longer needed. The medication was located in the office.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-300.070 · 5 CSR 25-300.070 Fire Safety Requirements (5) states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.

Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-300.090 · 5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.

The walls located on the upper level in the turquoise room was/were not made of an approved material as evidenced by there is a small corner section by the cabinet that the baseboard is coming detached and there is a small area of chipping paint and plaster.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-300.110 · 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.

The facility's admitting procedure did not include an individualized special care plan for a child with special needs from a qualified professional source.

Open Not marked corrected in the state record

Open / not marked corrected.

5 CSR 25-300.110 · 5 CSR 25-300.110 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 10 children's records did not have the acknowledgement that the health and safety inspection forms are available for review.

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 Angelica Hunyar, Melissa Kornfeind and Meredith Schuh.

Open Not marked corrected in the state record

Open / not marked corrected.

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. 7. states: All public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child at the time of initial enrollment in or attendance at the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Beginning December 1, 2015, all public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child currently enrolled in or attending the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Any public, private, or parochial day care center, preschool, or nursery school shall notify the parent or guardian of a child enrolled in or attending the facility, upon request, of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.

Parent and/or guardian was not notified upon request of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.

Open Not marked corrected in the state record

Open / not marked corrected.