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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Initial Licensing Information
Compliance
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19 CSR 30-62.052 License Renewal
Compliance
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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19 CSR 30-62.102 Personnel
Compliance
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Compliance
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility's written policies were not provided to parents at the time of enrollment.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The facility's written policies did not contain information pertaining to discharge.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The facility's written policies did not contain information pertaining to care of children.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The facility's written policies did not contain information pertaining to admission.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The facility's written policies did not contain program goals.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The facility's written policies did not contain information pertaining to safe sleep practices for children less than 1 year of age.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include expectations regarding how and when caregivers are to be trained on safe sleep.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 1. states: The policy shall list the licensee’s expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Required
The policy shall include expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Required
The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include a requirement that the facility receive a written statement from the infant’s licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 3. states: A requirement that the facility shall receive a written statement from the infant’s licensed health care provider stating that the infant requires alternative sleep positions or special sleeping arrangements that differ from those set forth in 19 CSR 30-62.182(2)(C) prior to allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Required
The policy shall include a requirement that the facility receive a written statement from the infant's licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 4. a. states: Positioning of staff.
Correction Required
The policy shall include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include information about lighting in the nap room to ensure supervision of infants during nap/sleep times.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 4. b. states: Lighting in the nap room.
Correction Required
The policy shall include information about lighting in the nap room to ensure supervision of infants during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 4. c. states: Physical checks of the child to ensure he or she is not overheated or in distress.
Correction Required
The policy shall include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 4. d. states: Prohibitions against the use of any equipment such as a sound machine that may interfere with the caregiver’s ability to see or hear a child who may be distressed.
Correction Required
The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys in that no safe to sleep policy was on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 1. states: The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys.
Correction Required
The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not state that infants’ heads shall be uncovered during nap/sleep times.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 2. states: Shall require infants’ heads be uncovered during nap/sleep times.
Correction Required
The policy shall require infants' heads be uncovered during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not prohibit covering cribs or playpens with blankets or bedding.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding.
Correction Required
The policy shall prohibit covering cribs or playpens with blankets or bedding.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not prohibit smoking in the child care home during the hours children are in care.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 4. states: Shall prohibit smoking in the child care home during the hours children are in care.
Correction Required
The policy shall prohibit smoking in the child care home during the hours children are in care.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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Violation
The policy did not state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider’s safe sleep policy upon the child’s enrollment.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 5. states: Shall require giving the parent(s) or guardian(s) of each infant in care a copy of the provider’s safe sleep policy upon the child’s enrollment.
Correction Required
The policy shall state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider's safe sleep policy upon the child's enrollment.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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19 CSR 30-62.192 Health Care
Compliance
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by child A did not have hospital name and phone number listed child(s) file did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Violation
| | Provider Comments |
Violation
Parent and/or guardian was not notified upon request of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.
Licensing Rule Reference
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. 7. states: All public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child at the time of initial enrollment in or attendance at the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Beginning December 1, 2015, all public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child currently enrolled in or attending the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Any public, private, or parochial day care center, preschool, or nursery school shall notify the parent or guardian of a child enrolled in or attending the facility, upon request, of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.
Correction Required
Parent and/or guardian shall be notified upon request of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.
Correction Verification
Submit Documentation
Compliance Date
2/8/2016
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