DAYCARE ON THE HILL LLC

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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured there is a seven inch gap between the fence gate where it latches by the house. 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 25-400.055 — 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 Nakesha Hill, Alexis Hulsey and Laylah Lockett 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 25-600.020 — Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal back

Criminal background check results were not on file for Laylah Lockett. 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 25-400.210 — Daily child attendance records 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 child attendance record for three child(ren). Correction required: Child attendance records shall be maintained and retained as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.190 — The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.

The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by the lunch served did not meet all components. Lunch served was pizza, oranges, and milk. Correction required: Nourishing food shall be provided as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.185 — All medication shall be stored out of reach of children or in a locked container.

Medication was not stored out of children's reach. Correction required: Medication shall be inaccessible to children and handled as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.185 — All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time the medication may be given.

The requirements for administering medication were not met as follows: medication was available for administering to a child, however there was no written permission on file. Correction required: All medication shall be administered and recorded as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.175 — Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.

Constructive, age-appropriate methods of discipline were not used as evidenced by two preschool children were placed in a highchair for timeout. Correction required: Constructive, age-appropriate discipline shall be used; no physical punishment is permitted. Inspection type: COMPLIANCE MONITORING. 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), Laylah Lockett, 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 MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep posit

Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by there is a changing pad attached to the side of the playpen that folds over. Correction required: Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. 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 the mattress/pad was not in good condition in that the playpen netting had a hole approximately two inches wide . 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 — A crib, portable crib or playpen shall be provided and used for each infant. Stack cribs shall not be used.

Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not used for each infant in that assistants stated that the 8-month-old child is placed on a cot for naptime. Correction required: The facility shall provide approved sleeping equipment 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: soothing tablets. The item(s) was/were located on the floor next to the children's cubby. 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 — 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: air freshener and plastic bags. The item(s) was/were located on the bathroom sink and in the hallway closet. 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 — Concrete, asphalt, carpet or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.

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 slides were located on the concrete. 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 25-400.085 — 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 there was broken glass pieces in the rocks, a wire laying down on the ground in the back of the yard by the fence, and a large branch along the back fence with sharp points. 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 25-400.105 — The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.

The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers. Correction required: Assistant information shall be posted. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 back room to the left from the entrance, the large play room, and the room to the right from the entrance. 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).

5 CSR 25-400.090 — Any special instructions for infants and non-ambulatory children.

The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care. Correction required: Facility must post information as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.090 — A diagram of evacuation routes from the room.

The facility's evacuation route diagram was not posted in each room used for child care. Correction required: Facility must post information as required. Inspection type: COMPLIANCE MONITORING. 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 the resilient material used is unapproved as evidenced by there were two plastic slides observed standing on the concrete patio. 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).