St. Paul's U.M.C./Little Blessings Preschool

Violation substantiated · RSMo 252.1.

All buildings and premises used by a child-care facility to care for more than six children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1) to (15) of subsection 1 of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-300.090 (2)(F)2.

A facility with a capacity of more than twenty (20) children or more than four (4) infants and toddlers shall have infant and toddler space separate from the older children. The space shall be separated by floor-to-ceiling walls with separate play, sleeping and bathroom space;

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 23, 2025

Children were not restricted to approved space as evidenced by no lock on storage room door across from kitchen.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due April 24, 2025

Medical examination reports, including TB testing, were not on file for L.C. and S.H. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due April 23, 2025

Medical examination reports, including TB testing, were not on file for K.B. and S.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.050 (10) (A) · Health Requirements · Correction due April 23, 2025

The requirements for administering medication were not met as follows: medication was given to a child without the end date of permission specified in writing.

Required correction: All medication shall be administered and recorded as required.

5 CSR 25-300.080 (1) · Sanitation Requirements · Correction due April 23, 2025

The facility was not clean, free of unsanitary conditions and free of pests as evidenced by cabinet in the toddler room rusted around the bottom.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 1, 2025

Hazardous items as follows were accessible to children: Clorox wipes and purse. The item(s) was/were located in an unlocked cabinet in Pandas room .

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 · Correction due April 23, 2025

The walls located in Penguins and Zebras was/were not in good condition as evidenced by paper peeling off bulletin board and chipping paint.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due April 23, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black ground covering exposed, creating a tripping hazard.

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

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

Medical examination reports, including TB testing, were not on file for K.B. and S.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

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

5 CSR 25-300.050 (10) (A) · Health Requirements

The requirements for administering medication were not met as follows: medication was given to a child without the end date of permission specified in writing.

Required correction: All medication shall be administered and recorded as required.

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

Medical examination reports, including TB testing, were not on file for L.C. and S.H. as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.

Required correction: Medical/TB reports shall be on file 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 cabinet in the toddler room rusted around the bottom.

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

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

Children were not restricted to approved space as evidenced by no lock on storage room door across from kitchen.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 1, 2025

Hazardous items as follows were accessible to children: hand sanitizer, scissors, purses, bleach spray, Clorox wipes, staple removers, thumbtacks, Gold Bond lotion, white out, antacid, Febreze air freshener, screwdrivers and a hammer. The item(s) was/were located on low shelves and in unlocked cabinets and drawers.

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 · Correction due April 1, 2025

The ceilings located in Whales and Seals bathroom was/were not easily cleanable as evidenced by dusty vent.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black ground covering exposed, creating a tripping hazard.

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

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

The walls located in Penguins and Zebras was/were not in good condition as evidenced by paper peeling off bulletin board and chipping paint.

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 April 1, 2025

The floors located in Chimps was/were not in good condition as evidenced by carpet curled.

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

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

Hazardous items as follows were accessible to children: Clorox wipes and purse. The item(s) was/were located in an unlocked cabinet in Pandas room .

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

5 CSR 25-300.050 (1) (D) 1. · Health Requirements · Correction due April 25, 2024

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility.

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

5 CSR 25-300.050 (1) (D) 1. · Health Requirements · Correction due April 26, 2024

Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due May 7, 2024

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.

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 25-300.020 (6) (C) · Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures · Correction due April 23, 2024

An approved Notice of Parental Responsibility was not provided to the parent or guardian of enrolled child(ren).

Required correction: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility.

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

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.

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

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

Children were not restricted to approved space as evidenced by no lock on kitchen.

Required correction: Caregivers shall restrict children to approved space.

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

The walls located in elephants was/were not in good condition as evidenced by contact paper peeling off in nook.

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 April 23, 2024

The floors located in whales, chimps and gorillas was/were not easily cleanable as evidenced by dirty puzzle piece mats and tape peeling/sticky residue.

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 April 23, 2024

The ceilings located in Lions, Dolphins was/were not in good condition as evidenced by tiles stained/hole & dusty vents.

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 2 · Correction due April 23, 2024

Lighting requirements for rooms used by children were not met as evidenced by the lighting was inadequate.

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

5 CSR 25-300.090 (E) · Physical Plant, Space, Supplies and Equipment 2 · Correction due April 23, 2024

The facility did not provide 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by ten children were present in a space that measures for nine.

Required correction: The facility shall provide adequate square feet of usable space per child.

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

Requirements for indoor play equipment and materials were not met. Toys/materials were not in good condition as evidenced by sticky residue on shelf in zebras room.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due April 23, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black ground covering exposed, creating a tripping hazard.

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

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4 · Correction due April 23, 2024

Equipment in the outdoor play area, the chains on swings, was not in good condition as evidenced by rusting.

Required correction: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4

Equipment in the outdoor play area, the chains on swings, was not in good condition as evidenced by rusting.

Required correction: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

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

The floors located in whales, chimps and gorillas was/were not easily cleanable as evidenced by dirty puzzle piece mats and tape peeling/sticky residue.

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 walls located in elephants was/were not in good condition as evidenced by contact paper peeling off in nook.

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

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

An approved Notice of Parental Responsibility was not provided to the parent or guardian of enrolled child(ren).

Required correction: The Notice of Parental Responsibility shall be provided to the parent or guardian upon enrollment, on file, and signed by the parent or guardian as required.

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 12 months before the individual's begin date at the facility.

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

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

Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical examination on file is older than 12 months before the individual's begin date at the facility.

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

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

Children were not restricted to approved space as evidenced by no lock on kitchen.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due April 11, 2024

Hazardous items as follows were accessible to children: scissors, staple removers, Aquaphor, Vaseline, Bath and Body Works lotion, bleach spray. The item(s) was/were located on low shelves and in unlocked drawers.

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 Lions, Dolphins was/were not in good condition as evidenced by tiles stained/hole & dusty vents.

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

5 CSR 25-300.090 (A) · Physical Plant, Space, Supplies and Equipment 2

Lighting requirements for rooms used by children were not met as evidenced by the lighting was inadequate.

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

5 CSR 25-300.090 (E) · Physical Plant, Space, Supplies and Equipment 2

The facility did not provide 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by ten children were present in a space that measures for nine.

Required correction: The facility shall provide adequate square feet of usable space per child.

5 CSR 25-300.090 · Physical Plant, Space, Supplies and Equipment 2 (F) 2 · Correction due April 11, 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 sticky residue on shelf in zebras room.

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

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4

The facility's outdoor space was not safe for children's activities as evidenced by the presence of black ground covering exposed, creating a tripping hazard.

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

5 CSR 25-300.090 (G) · Physical Plant, Space, Supplies and Equipment 4 · Correction due April 11, 2024

Equipment in the outdoor play area, the tricycles, was not in good condition as evidenced by missing pedals and paint chipping.

Required correction: Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.

5 CSR 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 5 · Correction due April 11, 2024

Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 1".

Required correction: Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.