ITSY BITSY HEARTS LLC

2025

1. Medium-Low riskStandard 511/17/2025

   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 volunteer(s): Maimuna Sayba. Correction required: Medical reports shall be on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
2. Medium riskStandard 511/17/2025

   5 CSR 25-400.055 — A current list of available equipment.

   The equipment list was not submitted. Correction required: The child care provider shall submit an equipment list as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
3. Medium riskStandard 511/17/2025

   5 CSR 25-400.210 — Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year.

   Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record for the following staff: Katie Gavali. Correction required: Caregiver/Volunteer attendance records shall be maintained and retained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
4. Medium-High riskStandard 511/17/2025

   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: Maimuna Sayba. 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).

   Not corrected
5. Medium riskStandard 511/17/2025

   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, Katie Gavali. 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).

   Not corrected
6. Medium riskStandard 511/17/2025

   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: July Abdeen, Katie Gavali, and Jinee Jaouni need 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).

   Not corrected
7. Medium riskStandard 511/17/2025

   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 documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Hyesjin Choi, Maimuna Sayba, and Katie Gavali. 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).

   Not corrected
8. Medium-Low riskStandard 511/17/2025

   5 CSR 25-400.105 — The provider routinely shall be present during the hours of highest attendance a minimum of forty (40) hours per week.

   The provider was not present 40 hours a week during the hours of highest attendance as evidenced by lack of provider attendance records. Correction required: The provider shall be routinely on duty as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
9. Medium-High riskStandard 511/17/2025

   5 CSR 25-400.090 — At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.

   The facility's disaster and emergency plan was not available in each room used for child care as evidenced by the living room did not have a copy available. Correction required: The facilities disaster and emergency plan must be available in required locations. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
10. Medium riskStandard 511/17/2025

    5 CSR 25-400.086 — Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.

    The requirements for protective outlet covers were not met as evidenced by two outlets missing protective covers. Correction required: The facility shall use protective outlet covers as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
11. Medium-High riskStandard 511/17/2025

    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: one lighter, one bottle of isopropyl alcohol, one bottle of yard treatment spray, and one bottle of bug spray. The item(s) was/were located on the outdoor table. Correction required: Hazardous items shall be inaccessible to children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
12. Medium riskStandard 511/17/2025

    5 CSR 25-400.055 — A listing of household members and assistant(s).

    The listing of household members and assistants was not submitted. Correction required: The child care provider shall submit a listing of all household members and assistants. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
13. High riskStandard 511/17/2025

    5 CSR 25-400.055 — An Annual Declaration for Licensed Facility form, revised 2021 and incorporated by reference in this rule. As published by the Missouri Department of Elementary and Secondary Education, PO Box 480, Jefferson City, MO 65102-0480 and avai

    The Annual Declaration was not submitted. Correction required: The child care provider shall submit the Annual Declaration as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
14. Medium-High riskStandard 511/17/2025

    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 July Abdeen, Hyejin Choi, Katie Gavali, Jinee Jaouni, and Maimuna Sayba 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).

    Not corrected
15. Medium-High riskStandard 511/17/2025

    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 corner of the wooden fence located by the back gate was detached at the top exposing rusty nails. 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).

    Not corrected
16. Medium-High riskStandard 511/17/2025

    5 CSR 25-400.086 — Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility o

    Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Correction required: Fire, tornado, and other disaster drills shall be completed and recorded as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
17. Medium-High riskStandard 511/17/2025

    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: one bottle of hand sanitizer and one container of sanitizing wipes. The item(s) was/were located on the shelf in the living room. Correction required: Hazardous items shall be inaccessible to children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
18. Medium-High riskStandard 511/17/2025

    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: four containers of sanitizing wipes. The item(s) was/were located in the restroom on the bottom of the diapering table. Correction required: Hazardous items shall be inaccessible to children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
19. Medium-High riskStandard 511/17/2025

    5 CSR 25-400.085 — The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel,

    The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present. Correction required: The facility shall maintain approved resilient material in all fall-zone areas. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
20. Medium-Low riskStandard 56/10/2025

    5 CSR 25-400.105 — The provider routinely shall be present during the hours of highest attendance a minimum of forty (40) hours per week.

    The provider was not present 40 hours a week during the hours of highest attendance as evidenced by lack of provider attendance records. Correction required: The provider shall be routinely on duty as required. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
21. Medium riskStandard 56/10/2025

    5 CSR 25-400.210 — Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year.

    Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record for the following staff: Katie Gavali. Correction required: Caregiver/Volunteer attendance records shall be maintained and retained as required. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
22. Medium-High riskStandard 55/27/2025

    5 CSR 25-400.090 — The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and

    Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months. Correction required: Fire, tornado, or other disaster drills shall be completed and recorded as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
23. Medium-High riskStandard 55/27/2025

    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 on the right side of the backyards chain-link fence it is bent and curved, leaning inward. 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).

    Not corrected
24. Medium-High riskStandard 55/27/2025

    5 CSR 25-400.085 — The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel,

    The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by the resilient material used is unapproved as evidenced by one Little Tykes slide in the backyard is on very sparse grass. Correction required: The facility shall maintain approved resilient material in all fall-zone areas. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
25. Medium-High riskStandard 54/23/2025

    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 on the right side of the backyards chain-link fence it is bent and curved, leaning inward. 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: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected