Grace Baptist Day Care

5 CSR 25-300.050 (1) (D) 2. · Health Requirements

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Rylee Johnston's medical form not completely filled out.

Required correction: Medical/TB reports shall be on file as required.

5 CSR 25-300.050 (2) · Health Requirements

Requirements for children's medical examination reports 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 7/29/2025.

Required correction: Children's physical assessment reports shall be on file as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located in twos room and boys bathroom near kitchen was/were not easily cleanable as evidenced by hole and stained ceiling tile and dusty vent.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.020 (6) (D) · Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures · Correction due November 3, 2025

A copy of the Notice of Parental Responsibility form was not fully completed, in that NPR was not submitted on correct form.

Required correction: The Notice of Parental Responsibility form shall be filed annually, during the month of August, with the department.

5 CSR 25-300.020 (6) (D) · Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures

A copy of the Notice of Parental Responsibility form was not fully completed, in that NPR was not submitted on correct form.

Required correction: The Notice of Parental Responsibility form shall be filed annually, during the month of August, with the department.

5 CSR 25-300.050 (1) (D) 2. · Health Requirements · Correction due April 3, 2025

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that incomplete medical exams for Lakota Lasley, Alexandria Millis, and Adrianna Liberty.

Required correction: Medical/TB reports shall be on file as required.

5 CSR 25-300.070 (5) · Fire Safety Requirements · Correction due April 3, 2025

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.

Required correction: Fire and tornado drills shall be completed and recorded as required.

5 CSR 25-300.080 (1) · Sanitation Requirements · Correction due April 3, 2025

The facility was not clean, free of unsanitary conditions and free of pests as evidenced by sticky residue on doors in toddler room.

Required correction: The facility shall be clean, sanitary and pest free.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due June 2, 2025

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.050 (1) (D) 2. · Health Requirements

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that incomplete medical exams for Lakota Lasley, Alexandria Millis, and Adrianna Liberty.

Required correction: Medical/TB reports shall be on file as required.

5 CSR 25-300.070 (5) · Fire Safety Requirements

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.

Required correction: Fire and tornado drills shall be completed and recorded as required.

5 CSR 25-300.080 (1) · Sanitation Requirements

The facility was not clean, free of unsanitary conditions and free of pests as evidenced by sticky residue on doors in toddler room.

Required correction: The facility shall be clean, sanitary and pest free.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1.

Requirements for fire safety inspection were not met as evidenced by the inspection was not approved.

Required correction: An approved sanitation and fire/safety inspection shall be kept on file and be available as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 30, 2024

The walls located in pre-k room was/were not easily cleanable as evidenced by stains.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 23, 2024

The floors located in toddler room was/were not in good condition as evidenced by carpet separating in two areas.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due May 23, 2024

The ceilings located in toddler and preschool bathrooms was/were not easily cleanable as evidenced by dusty vents and holes in tiles.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 7 · Correction due May 23, 2024

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by carpet on toy stairs torn .

Required correction: The facility shall provide play equipment and materials as required.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 9, 2024

Hazardous items as follows were accessible to children: thumb tacks. The item(s) was/were located in unlocked drawer.

Required correction: Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located in toddler and preschool bathrooms was/were not easily cleanable as evidenced by dusty vents and holes in tiles.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 2 (F) 2 · Correction due April 9, 2024

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls.

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 7

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by carpet on toy stairs torn .

Required correction: The facility shall provide play equipment and materials as required.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The walls located in pre-k room was/were not easily cleanable as evidenced by stains.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1

The floors located in toddler room was/were not in good condition as evidenced by carpet separating in two areas.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.