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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 medical examination was not on file within 30 days of an individual beginning to work with children. 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 Submit Documentation
Compliance Date 11/30/2016
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Violation Requirements for children's medical examination reports 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 4/1/16, 8/30/16, 9/23/16. 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 11/30/2016
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Violation Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 2 children needed updated immunizations on file. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 3 states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo. Correction Required Child immunization requirements shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 11/30/2016
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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
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 Submit Documentation
Compliance Date 11/28/2016
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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
Violation
| Provider Comments |
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 Submit Documentation
Compliance Date 11/28/2016
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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 5 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 11/30/2016
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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 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 11/28/2016
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 1. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review. Correction Required An individual file with required information for each child shall be maintained.
Correction Verification Submit Documentation
Compliance Date 11/30/2016
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 1. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill. Correction Required An individual file with required information for each child shall be maintained.
Correction Verification Submit Documentation
Compliance Date 11/30/2016
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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.
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 11/28/2016
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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 11/28/2016
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