CLOUGH, KIMBERLY MARIE

2025

1. Medium-High riskStandard 510/21/2025

   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 Kimberly Clough, Abigail Clough, Evelyn Clough, Darien Clough and Caden Clough 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).

   Not corrected
2. Medium-High riskStandard 510/8/2025

   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 Kimberly Clough, Abigail Clough, Evelyn Clough, Darien Clough and Caden Clough 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
3. Medium riskStandard 53/27/2025

   5 CSR 25-400.045 — The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

   The ages of children was/were exceeded as evidenced by one child was present and in the family home age 5. The provider's license specifies that the age range of children was 6 weeks through 4 year's old. Correction required: The provider shall maintain compliance with the specifications on the license. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
4. Medium riskStandard 53/13/2025

   5 CSR 25-400.045 — The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

   The ages of children was/were exceeded as evidenced by one child was present and in the family home age 5. The provider's license specifies that the age range of children was 6 weeks through 4 year's old. Correction required: The provider shall maintain compliance with the specifications on the license. Inspection type: SUPPLEMENTAL. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
5. Medium riskStandard 53/5/2025

   5 CSR 25-400.045 — The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

   The ages of children was/were exceeded as evidenced by one child was present and in the family home age 5. The provider's license specifies that the age range of children was 6 weeks through 4 year's old. Correction required: The provider shall maintain compliance with the specifications on the license. Inspection type: CLOSE SUPERVISION. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
6. Medium-High riskStandard 51/23/2025

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

   Not corrected
7. Medium-High riskStandard 51/23/2025

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

   Not corrected
8. High riskStandard 51/23/2025

   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 11/4/2024. 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).

   Not corrected
9. Medium-Low riskStandard 51/23/2025

   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 were no child attendance records. Correction required: Child attendance records shall be maintained and retained as required. Inspection type: COMPLIANCE VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

   Not corrected
10. Medium-High riskStandard 51/14/2025

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

    Not corrected
11. Medium-Low riskStandard 51/14/2025

    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 were no child attendance records. Correction required: Child attendance records shall be maintained and retained as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
12. High riskStandard 51/14/2025

    5 CSR 25-400.175 — If children are napped with no caregiver in the room, the door to the room cannot be closed.

    Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed. Correction required: A caregiver shall supervise napping children. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
13. High riskStandard 51/14/2025

    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 11/4/2024. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
14. Medium riskStandard 51/14/2025

    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 a stuffed animal and blanket was observed in the a pack-n-play with an infant that was 4 months old. 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: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
15. Medium-High riskStandard 51/14/2025

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

    Not corrected
16. Medium riskStandard 51/14/2025

    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 the potty chair was not emptied. Correction required: The facility shall provide and clean/sanitize potty training equipment as required. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
17. Medium riskStandard 51/14/2025

    5 CSR 25-400.045 — The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.

    The ages of children was/were exceeded as evidenced by upon arrival at 1:08pm, Abigail Clough was present with 10 children, one child 4 months old, three children age 1, three children age 2, one child age 3, one child age 4 and one child age 5. Correction required: The provider shall maintain compliance with the specifications on the license. Inspection type: REINSPECTION. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
18. Medium riskStandard 51/8/2025

    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 two children ages 1 year old and 2 years old were sleeping in a laundry room that was dark with the door closed. CI discussed approved space per diagram. The provider stated that those children would wake up the other children. Correction required: Caregivers shall restrict children to approved space. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
19. Medium-High riskStandard 51/8/2025

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

    Not corrected
20. Medium-High riskStandard 51/8/2025

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

    Not corrected
21. High riskStandard 51/8/2025

    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 11/4/2024. Correction required: Child medical requirements shall be completed and on file as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
22. High riskStandard 51/8/2025

    5 CSR 25-400.175 — Infants and toddlers shall have constant care and supervision.

    Infants and toddlers did not have constant care and supervision as evidenced by two children were sleeping in approved space to the right of the kitchen with the door closes. These children were ages 4 months and 1 year old. Two children were sleeping in the laundry room in the dark with the door closed. The children were ages 1 year old and 2 years old. Correction required: Infants/toddlers shall receive constant care and supervision as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected
23. High riskStandard 51/8/2025

    5 CSR 25-400.175 — If children are napped with no caregiver in the room, the door to the room cannot be closed.

    Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed. Correction required: A caregiver shall supervise napping children. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

    Not corrected