RUGRATS DAYCARE L.L.C.

5 CSR 25-400.055 — The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.

The Family Care Safety Registry check was not conducted for Shelby Howard within thirty (30) days prior to the anniversary date. Correction required: 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. 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: Theresa Spencer needs 8.75 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 25-400.125 — The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.

A school-age child's health report was not on file at the time of enrollment as evidenced by two children did not have a school-age child health report on file. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.055 — Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.

The annual fire safety inspection was not approved. Correction required: The facility shall submit evidence of compliance with annual fire safety requirements. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.055 — Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee.

The annual fire safety inspection was not approved. Correction required: The facility shall submit evidence of compliance with annual fire safety requirements. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.055 — The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.

The Family Care Safety Registry check was not conducted for Shelby Howard within thirty (30) days prior to the anniversary date. Correction required: 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. 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: Theresa Spencer needs 8.75 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 25-400.125 — The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.

A school-age child's health report was not on file at the time of enrollment as evidenced by two children did not have a school-age child health report on file. Correction required: Child medical requirements shall be completed and on file as required. 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 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: 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 2023, the staff listed need the following information: Theresa needs 6 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 25-400.105 — 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 provider, Theresa Spencer. Correction required: The child care provider and assistant(s) shall complete department-approved safe sleep training as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.105 — The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in subsection (5)(A) of this rule within thirty (30) days of employment or volunteering at the

The assistant(s), Shelby Howard, did not complete safe sleep training within 30 days of employment or volunteering. Correction required: The department-approved safe sleep training must be completed within 30 days of employment or volunteering. Inspection type: COMPLIANCE VERIFICATION. 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 January 2024. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).