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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Initial Licensing Information
Violation
| | Provider Comments |
Violation
The provider did not meet requirements for requests/results of background reviews for personnel as evidenced by there was no request/result of a current background check on file. Reviews were missing/out of date for the following personnel/volunteers Alex Greiwe, Justin Hyde, and Alexis Valentine.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (K) states: The child abuse/neglect screening request form shall be submitted to the department for all personnel employed during child care hours, with a copy on file at the facility.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, person(s) employed or volunteer(s) counted in staff/child ratio: Alexis Valentine, Justin Hyde and Alex Greiwe.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (L) states: Prior to initial issuance of the license, the child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, the owner(s), board president or chairperson, the center director or group day care home provider, all persons employed by the child care provider, and all volunteers counted in staff/child ratios. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.052 License Renewal
Not Observed
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Alex Greiwe, Alexis Valentine, and Justin Hyde.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ration: Alex Greiwe, Alexis Valentine and Justin Hyde.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (O) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification and approved by the department. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by there is no director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 1. states: The group day care home provider or the individual designated as the center director shall be responsible for planning, monitoring, and managing the facility's daily program.
Correction Required
Group Day Care Home provider or center director shall be responsible for the daily planning, monitoring and managing of the facilities daily operations.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The director is not routinely on duty as required, as evidenced by there is no approved director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The center director was not certified by the Section for Child Care Regulation.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (B) 1. F. states: Official verification of the education and experience of the group day care home provider or center director shall be on file with the Child Care Licensing Unit prior to beginning employment.
Correction Required
The director of the facility shall be certified by the Section for Child Care Regulation.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Caregiver-child ratio requirements were not met as evidenced by 18 children ages 5 and up were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (D) states: Ages Five (5) and Up. Groups composed solely of five (5)-year olds and older shall have no less than one (1) adult to every sixteen (16) children;
Correction Required
Correct caregiver-child ratios shall be maintained.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Alex Greiwe, Alexis Valentine, & Justin Hyde 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 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
Discussion of the plan for the care of the child when the provider is ill and care of school-age children on scheduled school closing days was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (D) states: Discussion of the parental plan for providing for the care of the school-age child on scheduled days of school closings;
Correction Required
The provider's admission procedure shall include plans for care of school-age children on scheduled school closing days.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
Discussion of the plan for the care of the child when the provider is ill and care of school-age children on scheduled school closing days was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (D) states: Discussion of the parental plan for providing for the care of the school-age child on scheduled days of school closings;
Correction Required
The provider's admission procedure shall include plans for care of school-age children on scheduled school closing days.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 1 record.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
A personal interview with the parent and child was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (A) states: A personal interview with the parent(s) and child to exchange information and arrive at a mutual decision about admitting a child;
Correction Required
The provider's admission procedure shall include a personal interview with parent(s)/child as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
A personal interview with the parent and child was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (A) states: A personal interview with the parent(s) and child to exchange information and arrive at a mutual decision about admitting a child;
Correction Required
The provider's admission procedure shall include a personal interview with parent(s)/child as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
The facility does not have a plan for continued communication with the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (B) states: A plan for continuing communication between the child care provider and the parent(s);
Correction Required
The provider's admission procedure shall include plans for communication with parents.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
The facility does not have a plan for continued communication with the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (B) states: A plan for continuing communication between the child care provider and the parent(s);
Correction Required
The provider's admission procedure shall include plans for communication with parents.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
Discussion of the plan for providing for the care of the ill child was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (C) states: Discussion of the plan for providing for the care of the ill child as required by 19 CSR 30-62.192 Health Care;
Correction Required
The provider's admission procedure shall include plans for care of ill children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Discussion of the plan for providing for the care of the ill child was not completed as part of the admission process.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (C) states: Discussion of the plan for providing for the care of the ill child as required by 19 CSR 30-62.192 Health Care;
Correction Required
The provider's admission procedure shall include plans for care of ill children.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Violation
| | Provider Comments |
Violation
Caregiver did not provide frequent, direct contact as evidenced by one child was observed waking out of the program and returning without staff knowledge.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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19 CSR 30-62.202 Nutrition and Food Service
Not Observed
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by children's records and staff records were incomplete or not available.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
5 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
1/10/2017
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Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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