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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Compliance
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19 CSR 30-60.060 Health Requirements
Violation
| | Provider Comments |
Violation
The requirements for medications to be in the original container with proper labeling were not met as evidenced by a nonprescription medication was not labeled by the parent with the child's name.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (B) states: Prescription and nonprescription medication shall be in the original container and labeled with the child's name, instructions for administration, including the times and amounts for dosages, and the physician's name. Sample medication provided by a physician may be used.
Correction Required
Medications shall be in its original container and labeled as required.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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Violation
The facility's storage/disposal of medication was not proper as evidenced by medication was not disposed of or returned to the parent when no longer needed. The medication was located throughout the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (F) states: Unused medication shall be returned to the parent or disposed of immediately after it is no longer needed.
Correction Required
Medication shall be inaccessible to children and handled as required.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Compliance
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19 CSR 30-60.090 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The facility did not meet the requirements for diapering surfaces. The diapering surface was not cleaned and sanitized after each use.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (C) states: The diapering surface, after each use, shall be cleaned and sanitized with a sanitizer approved by the department.
Correction Required
The facility shall provide diapering surfaces as required.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Requirements for indoor play equipment and materials were not as evidenced by a crib/playpen was not in good condition as evidenced by two cribs were present which did not have a Certificate of Compliance available for review.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
10/1/2013
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Violation
The facility failed to meet requirements for children rest or nap on mats placed directly on a sticky-tile, linoleum floor.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by three child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
9/23/2013
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
| | Provider Comments |
Violation
An approved Notice of Parental Responsibility was not on file for each child in care.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 1 states: Child-care facilities operated by religious organizations pursuant to the exempt status recognized in subdivision (5) of section 210.211 shall upon enrollment of any child provided the parent or guardian enrolling the child two copies of notice of parental responsibility, one copy of which shall be retained in the files of the facility after the enrolling parent acknowledges, by signature, having read and accepted the information contained therein.
Correction Required
The Notice of Parental Responsibility shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/25/2013
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Violation
| | Provider Comments |
Violation
Requirements for fire/safety inspection were not met as evidenced by the inspection has not been conducted
Licensing Rule Reference
RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification
Submit Documentation
Compliance Date
9/25/2013
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Violation
Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted
Licensing Rule Reference
RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification
Submit Documentation
Compliance Date
9/25/2013
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