CHANDRA'S CHILD CARE LLC

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 overgrown grass observed, a large branch with sharp edges was observed in the middle of the backyard, the uncovered AC unit . 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 25-400.085 — 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 5.5'' to the left of the house in the corner of the fence at the bottom between the ground and the fence, the opening to the right between the post and the right side of gate measured 6'' causing the gate stayed open and could not be closed. 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 25-400.175 — Wet or soiled diapers shall be placed in an airtight disposal container. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).

The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not airtight. Correction required: Caregivers shall dispose of wet or soiled diapers as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead free paint shall be used.

Furniture/equipment, diaper changing pad , in the changing table was not in good condition as evidenced by there cracks and tears on the top of the surface. Correction required: The facility shall provide safe and clean furniture/equipment as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Infants and toddlers. Infants and toddlers who are unable to sit at a table shall be served meals at a feeding table, high chair, infant seat or other safely designed infant seating equipment. Equipment shall be provided which will allo

Requirements for feeding equipment for infants and toddlers were not met as evidenced by no restraints were used. Correction required: The facility shall provide and use infant/toddler feeding equipment, with appropriate restraints, as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.

Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels. Correction required: The facility shall provide required supplies accessible for children's use. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use.

The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chair(s) were not located in a bathroom. Correction required: The facility shall provide and clean/sanitize potty training equipment as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

There was evidence of dirt/debris in the hallway next to the door to Play Room. Correction required: The facility shall be clean and pest free. 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: garden rake, charcoal lighter fluid. The item(s) was/were located outside next to the door, and outside on the patio table. 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 — Approved safety gates at stairways and doors shall be provided and used as needed.

Stairways in the facility did not meet requirements as evidenced by the safety gate was not physically secure. Correction required: Stairways shall meet safety standards as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing

A stairwell with a drop-off of more than 24 inches had a railing/barrier with openings of more than four inches (4). The measurement of railing/barrier openings is 5'', 6'', 13'' to the left of stairs leading down to the basement and to the back door leading to the back yard. Correction required: The facility shall provide an approved railing or barrier as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.085 — Children shall have no access to areas not approved for child care.

Children were not restricted to approved space as evidenced by the gate to the right of the house is not latched allowing access to the street. The latch is too far from the post and the gate can't be latched. Correction required: Caregivers shall restrict children to approved space. 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 VERIFICATION. 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 Brenda Brown. Correction required: Required results of criminal background checks shall be on file. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

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 the construction netting was detached in multiple spots. 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 25-600.020 — 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 Brenda Brown. 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 — All records shall be available in the home for inspection by the department upon request.

Records were not available for inspection by the department upon request as evidenced by one child did not have a file available. Correction required: All required records shall be kept on file at the facility and accessible at all time. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.185 — No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in

Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file . Correction required: Child immunization requirements shall be completed and on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.090 — 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 25-400.086 — 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).

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 the disaster and tornado drill was not held at least one time every three months. 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).

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: cleaning supplies. The item(s) was/were located in the unlocked cabinet 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 25-400.085 — Children shall have no access to areas not approved for child care.

Children were not restricted to approved space as evidenced by three children and the assistant were observed sitting at the table in the room that was previously not approved as a child care space. Correction required: Caregivers shall restrict children to approved space. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 the construction netting was detached in multiple spots. 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: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

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: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).