SISSY & ME DAYCARE

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 8-22-2025. 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 25-400.185 — All nonprescription medication shall be in the original container and labeled by the parent(s) with the child's name and instructions for administration, including the times and amounts for dosages.

The requirements for nonprescription medications were not met as evidenced by a medication was not labeled by the parent with the child's name. Correction required: Medications shall be stored and labeled as required. Inspection type: COMPLIANCE MONITORING. 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: Zout cleaning and stain remover. The item(s) was/were located on top of a cubby shelf that was low enough to be in reach of children. Correction required: Hazardous items shall be inaccessible to children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by the first room on the left of the facility was being used for storage and the nursery was being used as an office which both were not appropriate for child care as they contained items that could fall on the children or is not appropriate for children's use. The children had access to both rooms. Correction required: The premises shall be safe and suitable for the care of children. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by one child(ren) 12 months or older, who nap or sleep, did not have a sheet. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by one child(ren) 12 months or older, who nap or sleep, did not have a blanket. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by five child(ren) 12 months or older was/were sleeping/napping on child size cloth sleeping bags with attached pillow directly on the floor. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The premises shall be safe and suitable for the care of children.

The premises were not safe and suitable as evidenced by the first room on the left of the facility was being used for storage and the nursery was being used as an office which both were not appropriate for child care as they contained items that could fall on the children or is not appropriate for children's use. The children had access to both rooms. Correction required: The premises shall be safe and suitable for the care of children. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by one child(ren) 12 months or older, who nap or sleep, did not have a blanket. 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 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by five child(ren) 12 months or older was/were sleeping/napping on child size cloth sleeping bags with attached pillow directly on the floor. 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 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by one child(ren) 12 months or older, who nap or sleep, did not have a sheet. 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 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by one of the child(ren) 12 months or older, who nap or sleep, did not have a sheet. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of b

The requirements for sleeping materials were not met as evidenced by five of the child(ren) 12 months or older was/were sleeping/napping on the floor using sleeping bags. Correction required: The facility shall provide sleeping equipment and bedding as required. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

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 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: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

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).

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).