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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
Medical examination reports including TB testing were not on file for caregivers as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required
Correction Verification
Return Inspection
Compliance Date
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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
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-60.080 Fire Safety Requirements 5 states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building.
Correction Required
Fire and tornado drills shall be completed and recorded as required.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-60.090 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the hand wash sink was not working.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (B) states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.
Correction Verification
Return Inspection
Compliance Date
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Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no soap.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.
Correction Required
Soap, paper towels or air dryer, and toilet paper shall be accessible.
Correction Verification
Return Inspection
Compliance Date
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Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not located in the diaper change area.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (E) states: Wet or soiled disposable diapers shall be placed in an airtight disposal container located in the diaper change area and discarded daily. If cloth diapers are used, they shall be stored in airtight plastic bags and removed from the building daily.
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.
Correction Required
Soap, paper towels or air dryer, and toilet paper shall be accessible.
Correction Verification
Return Inspection
Compliance Date
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Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (C) states: Paper towels or a hot-air dryer that is installed and maintained properly, soap and toilet paper shall be provided and accessible so the children can reach them without assistance.
Correction Required
Soap, paper towels or air dryer, and toilet paper shall be accessible.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (B) states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by the closet containing hazardous supplies in the boys' bathroom was accessible to children.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for safety gates or doors were not met as evidenced by there was no barrier to prevent children from accessing the welcome center....unapproved space.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (C) states: Approved safety gates at stairways and doors shall be provided as needed.
Correction Required
Approved safety gates and doors shall be provided as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Hazardous items as follows were accessible to children: construction supplies throughout the facility. The item(s) was/were located throughout the facility.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Return Inspection
Compliance Date
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Violation
The floors located in the pathway to the stairs was/were not in good condition as evidenced by the new flooring has not yet completely been installed.....In addition, the baseboards have not yet been secured/put back in place.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by there are shelving units throughout the facility that are unstable.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Emergency numbers for the police, fire department, poison control, and ambulance were not posted near the telephone.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.
Correction Verification
Return Inspection
Compliance Date
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Violation
Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom stall.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 3 (C) states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.
Correction Required
Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of construction supplies, scaffolding, etc. I was unable to view the outdoor play space during this inspection. Another inspection will be conducted to view the outdoor play space.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for safety gates or doors were not met as evidenced by there is no barrier to prevent children from accessing stairs to the upper level...unapproved space.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (C) states: Approved safety gates at stairways and doors shall be provided as needed.
Correction Required
Approved safety gates and doors shall be provided as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by children had access to the room adjacent to the choir room....this is unapproved space.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by there is low glass in areas children walk through. There are no labels verifying it is tempered safety glass.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by the radiators throughout the facility are not covered to prevent children from accessing.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by outlets in the bathroom were not covered.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by there is one unstable television in the preschool space.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Not Observed
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Compliance
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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.
Compliance
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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 was not approved
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
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