LITTLE BEAR DAYCARE

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 Kaili Saxton and Mackenzie Shoop 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).

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 Mackenzie Shoop. 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 25-400.055 — 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 VERIFICATION. Source: Missouri Child Care Search (DESE Office of Childhood).

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).

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 Kaili Saxton and Mackenzie Shoop 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 25-400.085 — 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: lotion and white out. The item(s) was/were located on top of a desk 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 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

one child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached.

one child(ren) records did not include address of another individual who might be reached in an emergency. Correction required: Child enrollment information shall be completed and on file as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.210 — Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.

one child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Correction required: Child enrollment information shall be completed and on file 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 Mackenzie Shoop. 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 25-400.175 — The diapering area and hand washing area shall be separate from any food service area and any food-related materials.

Separation requirements of diapering/hand wash areas from food service were not met as evidenced by the diapering table was in the dining room where the children eat and next to the kitchen. Kaili stated that she had been changing diapers on the diaper table in the dining room and using the kitchen sink to wash her hands after diaper changes as it is the only sink within 8 feet. Correction required: Caregivers shall keep food items/supplies separate from diapering items. 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 instructions for administration including times and dosage amounts. 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 25-400.185 — 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 25-400.185 — 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 — Diapering supplies and warm, running water shall be adjacent to the diapering area.

Warm, running water was not adjacent to the diapering area. Correction required: The facility shall supply the diapering area as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 9-30-2024. 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 25-400.095 — Sleeping equipment shall be arranged to provide at least a two-foot (2') aisle on one (1) long side of the equipment.

Arrangement of sleeping equipment was not met as evidenced by no aisle was provided on the long side of napping equipment. Correction required: The facility shall maintain a two-foot (2') aisle as required. Inspection type: COMPLIANCE MONITORING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 4 outlets did not have 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).

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: POST LICENSING. 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: 2 cans of paint. The item(s) was/were located underneath the kitchen sink. Correction required: Hazardous items shall be inaccessible to children. Inspection type: POST LICENSING. 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 an extension cord was in reach of the children along with 2 vacuums with the cords pulled out. Also, there were 4 small chairs stacked on top of a table which the children could have pulled off onto themselves and gotten hurt. Correction required: The premises shall be safe and suitable for the care of children. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 one outlet did not have a protective cover. Correction required: The facility shall use protective outlet covers as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

5 CSR 25-400.095 — Sleeping equipment shall be arranged to provide at least a two-foot (2') aisle on one (1) long side of the equipment.

Arrangement of sleeping equipment was not met as evidenced by no aisle was provided on the long side of napping equipment. Correction required: The facility shall maintain a two-foot (2') aisle as required. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).

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 9-30-2024. 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).

5 CSR 25-400.175 — The diapering area and hand washing area shall be separate from any food service area and any food-related materials.

Separation requirements of diapering/hand wash areas from food service were not met as evidenced by the diapering table was in the dining room where the children eat and next to the kitchen. Kaili stated that she had been changing diapers on the diaper table in the dining room and using the kitchen sink to wash her hands after diaper changes as it is the only sink within 8 feet. Correction required: Caregivers shall keep food items/supplies separate from diapering items. Inspection type: POST LICENSING. Source: Missouri Child Care Search (DESE Office of Childhood).