Teddy Bears and Rainbows Learning Center LLC

5 CSR 25-400.085 (2) (B) 1. · Physical Requirements of the Family Day Care Home · Correction due July 13, 2026

The facility did not provide at least 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by space was reduced by utilizing her basement room licensed for child care for storage and pets and only utilizing her upstairs area. Currently has no children but when she has children, she can only have as many as the room upstairs holds.

Required correction: The facility shall provide thirty-five square feet of usable space per child.

5 CSR 25-600.020 (1) · General Requirements · Correction due June 30, 2026

Criminal background check results were not on file for S.P.

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 S.P.

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

5 CSR 25-400.055 (2) (C) · Annual Requirements · Correction due January 29, 2026

The Family Care Safety Registry check was not conducted for S.P. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-400.085 (2) (B) 1. · Physical Requirements of the Family Day Care Home

The facility did not provide at least 35 square feet of usable floor space for each child coming into the facility for day care as evidenced by space was reduced by utilizing her basement room licensed for child care for storage and pets and only utilizing her upstairs area. Currently has no children but when she has children, she can only have as many as the room upstairs holds.

Required correction: The facility shall provide thirty-five square feet of usable space per child.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due December 2, 2025

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 9/4/25.

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

5 CSR 25-400.135 · Admission Policies and Procedures (6) (E) 7 A · Correction due December 2, 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 December 2, 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 25-400.055 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for S.P. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

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 9/4/25.

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

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 25-600.020 (1) · General Requirements

Criminal background check results were not on file for S.P., L.B. and M.B.

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

Violation substantiated · 5 CSR 25-400.085 (1)(E)

Children shall have no access to areas not approved for child care.

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 25-400.085 (2) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due February 25, 2025

The temperature of rooms was less than 68 degrees F meaured two feet from the floor as evidenced by temperature taken inside the childcare space was 58 degrees when taken two feet from the floor.

Required correction: Facility shall meet temperature, humidity and ventilation requirements.

5 CSR 25-400.085 (2) (A) 5. · Physical Requirements of the Family Day Care Home

The temperature of rooms was less than 68 degrees F meaured two feet from the floor as evidenced by temperature taken inside the childcare space was 58 degrees when taken two feet from the floor.

Required correction: Facility shall meet temperature, humidity and ventilation requirements.

5 CSR 25-400.210 (2) (A) · Records and Reports · Correction due January 8, 2025

1 child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

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 8, 2025

1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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 8, 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 8, 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 25-400.210 (2) (A) · Records and Reports

1 child(ren) records did not include child's full name, address, date of birth and date care begins and ends.

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 full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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 25-400.045 (4) (P) · Licensing Process · Correction due July 31, 2024

Additional information is required to make a determination regarding licensure, specifically LLC's Operating Agreement

Required correction: The provider shall submit information as requested by the department.

5 CSR 25-400.045 (4) (M) · Licensing Process · Correction due July 31, 2024

A written disaster and emergency plan did not contain information as required in 5 CSR 25-400.090, as evidenced by Needs to put her emergency responses in the emergency plan.

Required correction: The provider shall submit a written disaster and emergency plan.

5 CSR 25-400.045 (4) (M) · Licensing Process · Correction due July 31, 2024

A written disaster and emergency plan did not contain information as required in 5 CSR 25-400.090, as evidenced by needs a diagram of safe location inside the facility.

Required correction: The provider shall submit a written disaster and emergency plan.

5 CSR 25-400.045 (4) (G) · Licensing Process · Correction due July 31, 2024

The written policies and procedures did not include job responsibilities or the lines of administrative authority.

Required correction: The provider shall submit written policies to include job responsibilities or the lines of administrative authority.

5 CSR 25-400.210 (2) (B) · Records and Reports · Correction due June 6, 2024

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 25-400.045 (4) (C) 3. · Licensing Process · Correction due April 29, 2024

The written policies did not include a description of the provider's child care practices and concepts.

Required correction: The provider shall submit updated written policies to include a description of child care practices and concepts.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due September 23, 2024

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 8/24/2022, 9/9/2021, 9/4/19, 4/29/2024, 12/4/23, 4/8/2024.

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

5 CSR 25-400.125 · Medical Examination Reports (1) (E) . · Correction due April 30, 2024

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: S.P.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.

5 CSR 25-400.125 (1) (D) · Medical Examination Reports · Correction due April 30, 2024

A medical examination report was not on file for assistant(s): Shonda Payne.

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

5 CSR 25-400.185 (4) (A) · Health Care · Correction due September 20, 2024

Requirements for immunization reports on file were not met as evidenced by 2 immunization record(s) was/were not on file .

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

5 CSR 25-400.210 (2) (C) · Records and Reports · Correction due August 9, 2024

2 child(ren) records did not include address 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) (B) · Records and Reports · Correction due June 6, 2024

1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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 June 6, 2024

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

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

5 CSR 25-600.020 (1) · General Requirements · Correction due April 30, 2024

Criminal background check results were not on file for S.P.

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