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19 CSR 30-61.025 Organization and Administration
Not Observed
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19 CSR 30-61.045 Initial Licensing Information
Not Observed
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19 CSR 30-61.055 License Renewal
Not Observed
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation Stairways in the facility did not meet requirements as evidenced by there was no safety gate. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (H) states: Approved safety gates at stairways and doors shall be provided and used as needed. Correction Required Stairways shall meet safety standards as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The premises were not safe and suitable as evidenced by electrical cords are hanging down and accessible to children from TV in entertainment center which is not located against a wall. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (A) states: The premises 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 1/25/2017
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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the fire drill record was not available on the premises. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for child care as evidenced by no emergency plan was on site. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children. Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's name, address and telephone number was not posted in each room used for child care. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 A states: The name, address, and telephone number of the facility. Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The facility's list of emergency numbers were not posted in each room used for child care. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 B states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station. Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 3 states: Any special instructions for infants and non-ambulatory children. Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not review with staff their duties and responsibilities in the event of an emergency. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (B) 1 states: Staff duties and responsibilities in the event of an emergency. Correction Required Facility must review emergency plan with staff as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The facility did not review with staff disaster procedures in the various possible emergency situations. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (B) 2 states: Disaster drill procedures such as fire drill, tornado drill, carbon monoxide exposure, power failure, bomb threat, chemical spill, intruder training, and CPR or other medical procedures. Correction Required Facility must review emergency plan with staff as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The facility did not review with staff use of and response to fire alarms. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (B) 3 states: The use of and response to fire alarms. Correction Required Facility must review emergency plan with staff as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The facility did not review with staff use of fire extinguishers. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (B) 4 states: The use of fire extinguishers. Correction Required Facility must review emergency plan with staff as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan. Correction Required Fire, tornado, or other disaster drills shall be completed and recorded as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, high chair , in main room was not in good condition as evidenced by torn seat cover. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (A) 1 states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead free paint shall be used. Correction Required The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation Arrangement of sleeping equipment was not met as evidenced by no aisle was provided on the long side of napping equipment. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 E states: Sleeping equipment shall be arranged to provide at least a two-foot (2') aisle on one (1) long side of the equipment. Correction Required The facility shall maintain a two-foot (2') aisle as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation Requirements for feeding equipment for infants and toddlers were not met as evidenced by inappropriate restraints were used in that child was seated in high chair with out restraints. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (C) 2 states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall be served meals at a feeding table, high chair, infant seat or other safely designed infant seating equipment. Equipment shall be provided which will allow a child to sit comfortably and securely while being fed. Appropriate restraints shall be used. Correction Required The facility shall provide and use infant/toddler feeding equipment, with appropriate restraints, as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| Provider Comments |
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 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (N) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. 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. 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 Requirements for an approved assistant were not met as evidenced by the assistant present was not approved. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (A) states: An approved assistant shall be available. If there is a change of assistants, the provider shall notify the Child Care Licensing Unit immediately. Correction Required An approved assistant shall be available as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Not Observed
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19 CSR 30-61.125 Medical Examination Reports
Violation
| Provider Comments |
Violation Requirements for infant-toddler/preschool child medical examination reports on file 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 12/7/17 and 9/12/16. Licensing Rule Reference 19 CSR 30-61.125 Medical Examination Reports 2 (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.135 Admission Policies and Procedures
Violation
| Provider Comments |
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 30-61.135 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
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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 30-61.135 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
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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 30-61.135 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
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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 policy did not mention firm mattress and fitting sheet reqirements. Licensing Rule Reference 19 CSR 30-61.135 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
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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 30-61.135 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
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Violation The policy did not prohibit covering cribs or playpens with blankets or bedding. Licensing Rule Reference 19 CSR 30-61.135 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
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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 30-61.135 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
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19 CSR 30-61.145 Nighttime Care
Not Observed
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19 CSR 30-61.155 Overlap Care of Children
Not Observed
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19 CSR 30-61.165 Emergency School Closings
Not Observed
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19 CSR 30-61.175 Child Care Program
Violation
| Provider Comments |
Violation Child(ren) was left without competent adult supervision as evidenced by Margaret and Joe were in the garage upon arrival, 6 children aged 2 months to 23 months were in the home. Licensing Rule Reference 19 CSR 30-61.175 Child Care Program 1 (A) 1 states: Child care providers shall not leave any child without competent adult supervision. Correction Required The facility shall provide competent adult supervision for each child as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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19 CSR 30-61.185 Health Care
Not Observed
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19 CSR 30-61.190 Nutrition and Food Service
Not Observed
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19 CSR 30-61.200 Transportation and Field Trips
Not Observed
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19 CSR 30-61.210 Records and Reports
Violation
| Provider Comments |
Violation Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 7 states: Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year. Correction Required Child and caregiver/volunteer attendance records shall be maintained/retained as required.
Correction Verification Return Inspection
Compliance Date 1/25/2017
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Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by no enrollment or immunization record were on file for one child aged 2 months. Licensing Rule Reference 19 CSR 30-61.210 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 1/25/2017
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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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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed
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