Sims, Rebecca

5 CSR 25-400.055 (2) (B) · Annual Requirements · Correction due February 20, 2026

The annual sanitation inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due August 6, 2026

Hazardous items as follows were accessible to children: IcyHot with Lidocaine. The item(s) was/were located on bathroom sink.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due August 6, 2026

Hazardous items as follows were accessible to children: Cough Drops and Anit Ich Cream. The item(s) was/were located under bathroom sink unlocked.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Rebecca Sims and D.S.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.055 (2) (B) · Annual Requirements

The annual sanitation inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due February 18, 2026

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by lots of fallen leaves in the playground area.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 1 D · Correction due February 18, 2026

The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 2 C · Correction due February 18, 2026

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 2 D · Correction due February 18, 2026

Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that a blanket, sock, bottle and headband were in the playpen with a sleeping infant.

Required correction: Infant sleeping requirements shall be met.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Rebecca Sims and D.S.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.055 (2) (B) · Annual Requirements

The annual sanitation inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by lots of fallen leaves in the playground area.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 1 D

The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled.

Required correction: The facility shall provide sleeping equipment and bedding as required.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 2 C

Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-400.095 · Furniture, Equipment and Materials (1) (B) 2 D

Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that a blanket, sock, bottle and headband were in the playpen with a sleeping infant.

Required correction: Infant sleeping requirements shall be met.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Rebecca Sims and D.S.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due October 1, 2025

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due October 1, 2025

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (2) (A) · The Child Care Provider and Other Child Care Personnel · Correction due August 28, 2025

Staff/child ratio requirements were not met as evidenced by 4 children under age two and 4 children over age two were cared for by 1 caregiver(s).

Required correction: Staff/child ratios shall be maintained at all times.

5 CSR 25-400.085 (1) (J) · Physical Requirements of the Family Day Care Home · Correction due August 20, 2025

Hazardous items as follows were accessible to children: Oxi Clean Bathroom Cleaner. The item(s) was/were located under the sink in the bathroom.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (2) (A) · The Child Care Provider and Other Child Care Personnel

Staff/child ratio requirements were not met as evidenced by 4 children under age two and 4 children over age two were cared for by 1 caregiver(s).

Required correction: Staff/child ratios shall be maintained at all times.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel · Correction due May 21, 2025

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 CPR certification.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (4) (A) · The Child Care Provider and Other Child Care Personnel · Correction due May 28, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Rebecca Sims needs 3 more hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports · Correction due May 23, 2025

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 September 2024.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-400.105 (4) (A) · The Child Care Provider and Other Child Care Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2024, the staff listed need the following information: Rebecca Sims needs 3 more hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

The requirements for first aid and CPR certification were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.105 (1) (S) · The Child Care Provider and Other Child Care Personnel

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 CPR certification.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-400.125 (2) (A) · Medical Examination Reports

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 September 2024.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-400.085 (3) (A) 6. · Physical Requirements of the Family Day Care Home · Correction due August 19, 2024

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.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-400.085 (3) (A) 6. · Physical Requirements of the Family Day Care Home

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.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-400.175 · Child Care Program (1) (A) 6 · Correction due August 16, 2024

Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.

Required correction: A caregiver shall supervise napping children.

5 CSR 25-400.055 (2) (A) · Annual Requirements · Correction due April 1, 2024

The annual fire safety inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-400.055 (2) (B) · Annual Requirements · Correction due February 21, 2024

The annual sanitation inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home · Correction due February 20, 2024

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by shed door was unlocked and kiddie pool was full of dirty water and leaves.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.105 (4) (A) · The Child Care Provider and Other Child Care Personnel · Correction due June 13, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Rebecca needs 4 more hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-400.055 (2) (A) · Annual Requirements

The annual fire safety inspection was not conducted.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-400.055 (2) (B) · Annual Requirements

The annual sanitation inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual sanitation requirements.

5 CSR 25-400.085 (3) (A) 5. · Physical Requirements of the Family Day Care Home

The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by shed door was unlocked and kiddie pool was full of dirty water and leaves.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-400.105 (4) (A) · The Child Care Provider and Other Child Care Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: Rebecca needs 4 more hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-400.105 (5) (A) 3. · The Child Care Provider and Other Child Care Personnel · Correction due October 2, 2023 · No longer on the state’s site as of October 9, 2026

The assistant(s), D.S. and P.B., did not complete safe sleep training within 30 days of employment or volunteering.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.