Valley Child Care

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

Medical examination reports, including TB testing, were not on file for C.G. (no longer employed), O.G. (no longer employed), and J.M. 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 November 26, 2025

Medical examination reports, including TB testing, were not on file for C.G. and O.G. (no longer employed) 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 25-300.090 (F) · Physical Plant, Space, Supplies and Equipment 1 · Correction due November 26, 2025

The walls located 3s bathroom was/were not in good condition as evidenced by holes in the wall where the toilet paper holder had been.

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 November 26, 2025

The facility's outdoor space was not safe for children's activities as evidenced by the presence of the two wood picnic tables have areas of rotting wood which are splintering.

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 C.G. and O.G. 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 · Health Requirements (1) (D) .

Medical examination reports, including TB testing, were not on file for C.G., O.G., and J.M. 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 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 1 · Correction due November 7, 2025

Hazardous items as follows were accessible to children: bottle of bleach water solution. The item(s) was/were located accessible to children in the 3s bathroom.

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 walls located 3s bathroom was/were not in good condition as evidenced by holes in the wall where the toilet paper holder had been.

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 the two wood picnic tables have areas of rotting wood which are splintering.

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 · Correction due November 21, 2024

The ceilings located infant room, both 2s rooms, 3s bathroom was/were not in good condition as evidenced by stained ceiling tiles.

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 November 21, 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 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due November 21, 2024

The facility's outdoor space was not safe for children's activities as evidenced by the presence of exposed landscaping material posing a tripping hazard.

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

5 CSR 25-300.090 (D) · Physical Plant, Space, Supplies and Equipment 4 · Correction due November 21, 2024

The equipment, a slide, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare ground visible at the end of the slide.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2 · Correction due November 21, 2024

The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due November 21, 2024

Requirements for sanitation 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 (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 (F) · Physical Plant, Space, Supplies and Equipment 1

The ceilings located infant room, both 2s rooms, 3s bathroom was/were not in good condition as evidenced by stained ceiling tiles.

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 exposed landscaping material posing a tripping hazard.

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

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

The equipment, a slide, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by bare ground visible at the end of the slide.

Required correction: Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.

5 CSR 25-300.110 (D) · Admission Procedures and Required Reports and Records 2

The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the name and phone number of the family physician, or hospital, or both.

Required correction: An individual file with required information for each child shall be maintained.

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

Requirements for sanitation 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 December 27, 2023

An approved Notice of Parental Responsibility was not on file for two 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) 3. · Health Requirements · Correction due December 27, 2023

TB reports on file were older than 24 months for Emily Campbell, Avree Hollis, Alyssa Spengler, Jennifer Williams, and Grace Sims. .

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due January 19, 2024

Medical examination reports, including TB testing, were not on file for A.E., T.W., and A.R. as evidenced by the medical examination was not signed by the required medical source.

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

5 CSR 25-300.050 · Health Requirements (1) (D) . · Correction due January 19, 2024

Medical examination reports, including TB testing, were not on file for A.R., E.C., T.W., B.G., and A.E. 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 25-300.090 (C) · Physical Plant, Space, Supplies and Equipment 4 · Correction due December 19, 2023

The facility's outdoor space was not safe for children's activities as evidenced by the presence of Weed fabric coming up through mulch throughout play area. .

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

5 CSR 25-600.020 (1) · General Requirements · Correction due December 21, 2023

Criminal background check results were not on file for E.C., J.C., R.M., M.B., and, J.S.

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

RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1. · Correction due December 19, 2023

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.

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 staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

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 on file for two 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) 3. · Health Requirements

TB reports on file were older than 24 months for Emily Campbell, Hollis Avnee, Alyssa Spengler, Jennifer Williams, and Grace Sims. .

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

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

Medical examination reports, including TB testing, were not on file for A.E., T.W., and A.R. as evidenced by the medical examination was not signed by the required medical source.

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

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

Medical examination reports, including TB testing, were not on file for A.R., E.C., T.W., B.G., and A.E. 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 25-300.090 (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 Weed fabric coming up through mulch throughout play area. .

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

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for E.C., J.C., R.M., M.B., and, J.S.

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

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.