SIMS, REBECCA

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 lots of fallen leaves in the playground area. Correction required: The outdoor play area shall be clean, safe and well-maintained as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All bedding shall be clean with sheets laundered at least once a week. Once bedding has been used by a child, it shall not be used by another child until it has been laundered.

The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such th

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used. Correction required: Sleeping equipment shall meet safety and sanitation requirements. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tight fitting and

Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that a blanket, sock, bottle and headband were in the playpen with a sleeping infant. Correction required: Infant sleeping requirements shall be met. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-600.020 — Criminal background checks shall be completed for each child care staff member every five (5) years.

Criminal background check results were older than five (5) years for Rebecca Sims and Donald Sims. Correction required: Required results of criminal background checks shall be on file. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.055 — Evidence of compliance with local, state, or both, sanitation requirements.

The annual sanitation inspection was not conducted. Correction required: The facility shall submit evidence of compliance with annual sanitation requirements. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.055 — Evidence of compliance with local, state, or both, sanitation requirements.

The annual sanitation inspection was not conducted. Correction required: The facility shall submit evidence of compliance with annual sanitation requirements. 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 lots of fallen leaves in the playground area. 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 25-400.095 — All bedding shall be clean with sheets laundered at least once a week. Once bedding has been used by a child, it shall not be used by another child until it has been laundered.

The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such th

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used. Correction required: Sleeping equipment shall meet safety and sanitation requirements. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tight fitting and

Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that a blanket, sock, bottle and headband were in the playpen with a sleeping infant. Correction required: Infant sleeping requirements shall be met. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-600.020 — Criminal background checks shall be completed for each child care staff member every five (5) years.

Criminal background check results were older than five (5) years for Rebecca Sims and Donald Sims. Correction required: Required results of criminal background checks shall be on file. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

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. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

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. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 ch

Staff/child ratio requirements were not met as evidenced by 4 children under age two and 4 children over age two were cared for by 1 caregiver(s). Correction required: Staff/child ratios shall be maintained at all times. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.

Hazardous items as follows were accessible to children: Oxi Clean Bathroom Cleaner. The item(s) was/were located under the sink in the bathroom. Correction required: Hazardous items shall be inaccessible to children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

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. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 ch

Staff/child ratio requirements were not met as evidenced by 4 children under age two and 4 children over age two were cared for by 1 caregiver(s). Correction required: Staff/child ratios shall be maintained at all times. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.125 — The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of lice

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 September 2024. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

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. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, s

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. Correction required: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).