WILLIAMS, DENISE LORRAINE

5 CSR 25-400.085 — An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protectio

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 loose board/exposed screw on porch gate . Correction required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted s

The floors located in between front and back rooms was/were not clean as evidenced by stickers peeling off. Correction required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead free paint shall be used.

Furniture/equipment, changing table, in bathroom was not in good condition as evidenced by broken cabinet door. Correction required: The facility shall provide safe and clean furniture/equipment as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Cloc

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Anna Bales-needs 12 hours. Correction required: Required training hours shall be documented for each caregiver. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.045 — Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Posting requirements were not met as evidenced by the posted license was outdated. Correction required: The official license shall be posted. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protectio

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 loose board/exposed screw on porch gate . Correction required: The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by standing water in car ramp and bin on retaining wall. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted s

The floors located in between front and back rooms was/were not clean as evidenced by stickers peeling off. Correction required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead free paint shall be used.

Furniture/equipment, changing table, in bathroom was not in good condition as evidenced by broken cabinet door. Correction required: The facility shall provide safe and clean furniture/equipment as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The child car

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Monique Liggins. Correction required: The provider shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Cloc

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Anna Bales-needs 12 hours. Correction required: Required training hours shall be documented for each caregiver. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — Every three (3) years the provider, assistant(s), and volunteers in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the Ameri

Safe sleep training was not completed within the past 3 years for the assistant(s), Anna Bales. Correction required: The child care provider and assistant(s) shall complete department-approved safe sleep training as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for assistant(s): Anna Bales. Correction required: Medical reports shall be on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before be

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: Anna Bales. Correction required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.045 — Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Posting requirements were not met as evidenced by the posted license was outdated. Correction required: The official license shall be posted. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted s

The floors located right outside bathroom was/were not clean as evidenced by sticker residue. Correction required: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children, that caregivers employed on or after August 30, 2019, receive a facility orientation. The child car

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Monique Liggins. Correction required: The provider shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant who works or volunteers more than five (5) hours per week shall meet the same training requirements. Cloc

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Anna Bales-needs 12 hours. Correction required: Required training hours shall be documented for each caregiver. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — Every three (3) years the provider, assistant(s), and volunteers in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the Ameri

Safe sleep training was not completed within the past 3 years for the assistant(s), Anna Bales. Correction required: The child care provider and assistant(s) shall complete department-approved safe sleep training as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home.

A medical examination report was not on file for assistant(s): Anna Bales. Correction required: Medical reports shall be on file as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before be

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: Anna Bales. Correction required: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.045 — Once granted, the license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit.

Posting requirements were not met as evidenced by the posted license was outdated. Correction required: The official license shall be posted. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.045 — The child care provider(s);

The name, address and telephone number of the child care provider(s) was not prominently posted near the license. Correction required: The name, address, and phone number of the provider shall be posted near the license. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.045 — Facility owner(s);

The name, address and telephone number of the owner(s) was not prominently posted near the license. Correction required: The name, address, and phone number of the owner shall be posted near the license. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by mushrooms and trash present. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).