Hinton, Rhonda L

5 CSR 25-400.185 (4) (D) · Health Care · Correction due June 9, 2026

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

5 CSR 25-600.020 (1) · General Requirements · Correction due June 9, 2026

Criminal background check results were not on file for M.E.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.185 (4) (D) · Health Care

Facility did not submit the 2026 annual summary report showing immunization status of each child enrolled by January 15.

Required correction: Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.E.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.E.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.095 (3) (A) · Furniture, Equipment and Materials · Correction due October 10, 2025

Outdoor equipment, bus slide, in playground was not in good condition as evidenced by labels peeling off.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.105 (1) (P) · The Child Care Provider and Other Child Care Personnel · Correction due October 10, 2025

The provider did not conduct a Family Care Safety Registry screening for Marvin Ensworth (new household member), who was hired on 10/28/2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due October 10, 2025

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due October 10, 2025

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.E.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.095 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, bus slide, in playground was not in good condition as evidenced by labels peeling off.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.105 (1) (P) · The Child Care Provider and Other Child Care Personnel

The provider did not conduct a Family Care Safety Registry screening for Marvin Ensworth (new household member), who was hired on 10/28/2025.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.E.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.095 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, bus slide, in playground was not in good condition as evidenced by labels peeling off.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.105 · The Child Care Provider and Other Child Care Personnel (5) (A) . · Correction due January 30, 2025

Safe sleep training was not completed within the past 3 years for the assistant(s), Kathy Rowden.

Required correction: The child care provider and assistant(s) shall complete department-approved safe sleep training as required.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 A · Correction due January 30, 2025

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 B · Correction due January 30, 2025

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 C · Correction due January 30, 2025

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 D · Correction due January 30, 2025

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 E · Correction due January 30, 2025

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 F. · Correction due January 30, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due January 30, 2025

1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due January 30, 2025

1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due January 30, 2025

1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (C) · Records and Reports · Correction due January 30, 2025

1 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (D) · Records and Reports · Correction due January 30, 2025

1 child(ren) records did not include name and phone number of the family physician or hospital.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.095 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, bus slide, in playground was not in good condition as evidenced by labels peeling off.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.105 · The Child Care Provider and Other Child Care Personnel (5) (A) .

Safe sleep training was not completed within the past 3 years for the assistant(s), Kathy Rowden.

Required correction: The child care provider and assistant(s) shall complete department-approved safe sleep training as required.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 A

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 B

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 C

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 D

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 E

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports

1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (C) · Records and Reports

1 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (D) · Records and Reports

1 child(ren) records did not include name and phone number of the family physician or hospital.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports

1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.210 (2) (B) · Records and Reports

1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due July 1, 2024

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by hole under turf creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.045 (18) · Licensing Process · Correction due June 5, 2024

The number of children was/were exceeded as evidenced by eleven children in care.

Required correction: The provider shall maintain compliance with the specifications on the license.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by hole under turf creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.175 · Child Care Program (1) (A) 5 · Correction due June 5, 2024

Requirements for supervision of napping children were not met as evidenced by home monitors and commercial devices were used in place of supervision while children were napping or sleeping.

Required correction: A caregiver shall supervise napping children.

5 CSR 25-400.045 (18) · Licensing Process

The number of children was/were exceeded as evidenced by eleven children in care.

Required correction: The provider shall maintain compliance with the specifications on the license.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by hole under turf creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.085 (2) (A) 4. · Physical Requirements of the Family Day Care Home · Correction due May 30, 2024

Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in bedroom.

Required correction: Rooms used by children shall be equipped with required lighting.

5 CSR 25-400.175 · Child Care Program (1) (A) 5

Requirements for supervision of napping children were not met as evidenced by home monitors and commercial devices were used in place of supervision while children were napping or sleeping.

Required correction: A caregiver shall supervise napping children.

5 CSR 25-400.085 (3) (A) 1. · Physical Requirements of the Family Day Care Home · Correction due November 21, 2023

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 was not in good condition in that some boards were cracked/broken.

Required correction: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

5 CSR 25-400.095 (A) · Furniture, Equipment and Materials 3 · Correction due November 21, 2023

Outdoor equipment, pink, blue and green playhouse, in backyard was not in good condition as evidenced by broken.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due November 29, 2023

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 8/28/2019.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-400.085 (3) (A) 1. · Physical Requirements of the Family Day Care Home

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 was not in good condition in that some boards were cracked/broken.

Required correction: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.

5 CSR 25-400.095 (A) · Furniture, Equipment and Materials 3

Outdoor equipment, pink, blue and green playhouse, in backyard was not in good condition as evidenced by broken.

Required correction: Outdoor equipment shall have no exposed hazards.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports

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 8/28/2019.

Required correction: Child medical requirements shall be completed and on file as required.