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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 Requirements for children's medical examination reports were not met as evidenced by the medical form did not contain all required information in that it did not clarify that a child was clear to participate in a child care program. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 2 states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission. Correction Required Children's physical assessment reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 5/11/2016
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Violation Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 24 months. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 1 (D) 3 states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician. Correction Required Medical/TB reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 5/12/2016
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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
Compliance
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Compliance
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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 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached. Correction Required An individual file with required information for each child shall be maintained.
Correction Verification Submit Documentation
Compliance Date 5/16/2016
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 children's files did not have authorization for emergency medical care child files did not have the information concerning any accident or injury to a child while in care or any emergency medical care given. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (F) states: Information concerning any accident or injury to a child while in care or any emergency medical care given. Correction Required An individual file with required information for each child shall be maintained.
Correction Verification Submit Documentation
Compliance Date 5/16/2016
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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RSMo 210.115 Reports of abuse, neglect, and under age eighteen deaths--persons required to report--supervisors and administrators not to impede reporting--deaths required to be reported to the division or child fatality review panel, when.
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.
Compliance
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