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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Compliance
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19 CSR 30-61.055 License Renewal
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (C) 1 C states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily.
Correction Required
The facility shall provide required supplies accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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Violation
Hazardous items as follows were accessible to children: Clorox wipes and comet . The item(s) was/were located under the unlocked bathroom cabinet.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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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
3/13/2017
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Violation
Hazardous items as follows were accessible to children: A = D diaper cream. The item(s) was/were located on the diapering table.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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Violation
Stairways in the facility did not meet requirements as evidenced by the safety gate was not physically secure.
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
Corrected on Site
Compliance Date
6/28/2017
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19 CSR 30-61.086 Fire Safety
Compliance
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
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
Corrected on Site
Compliance Date
6/28/2017
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Violation
The facility's disaster and emergency plan was not available in each room used for child care as evidenced by plans were not posted upon arrival.
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
Corrected on Site
Compliance Date
6/28/2017
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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
5/26/2017
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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
Submit Documentation
Compliance Date
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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
Submit Documentation
Compliance Date
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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
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
Submit Documentation
Compliance Date
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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
5/26/2017
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Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 2 states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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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
Corrected on Site
Compliance Date
6/28/2017
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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
Corrected on Site
Compliance Date
6/28/2017
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
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
Corrected on Site
Compliance Date
6/28/2017
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Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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Violation
An infant was observed sleeping in a/an swing.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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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
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed needs the following information: Margaret has 7/needs 5, Joe has 7/needs 5 clock hours to be applied to 2016.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 4 (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each year of employment in training which is approved by the department in health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child-related areas. Any assistant working more than five (5) hours per week shall meet the same training requirements.
Correction Required
Required training hours shall be documented for each employee.
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
Corrected on Site
Compliance Date
6/28/2017
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report did not contain all required information as evidenced by there was no medical exam form on site for caregivers.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 1 (G) states: The medical examination report form shall be supplied by the department or the provider may use his/her own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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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
3/29/2017
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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
3/29/2017
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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
3/29/2017
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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
3/29/2017
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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 requirements.
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
3/29/2017
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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
3/29/2017
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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
3/29/2017
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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
3/29/2017
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
The use of diapering products did not meet requirements as evidenced by diapering product(s) were not labeled with the child’s name.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (E) 3 states: Disposable tissues or wipes shall be used to cleanse the child at each time of diapering. Any diapering creams, powders, or other products applied at the time of diapering shall be provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering products shall be provided and used as required.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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Violation
Requirements for supervision of napping children were not met as evidenced by the door to the room in which children were napping was closed.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 6 states: If children are napped with no caregiver in the room, the door to the room cannot be closed.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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19 CSR 30-61.185 Health Care
Violation
| | Provider Comments |
Violation
The requirements for administering medication were not met as follows: medication was given to a child without the length of time the medication may be given specified.
Licensing Rule Reference
19 CSR 30-61.185 Health Care 3 (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time the medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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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 one (missing doses) child(ren).
Licensing Rule Reference
19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for handwashing were not met as evidenced by child's diaper was changed and caregiver did not wash child's hands.
Licensing Rule Reference
19 CSR 30-61.185 Health Care 6 (B) states: Caregivers shall teach children to wash their hands before eating and after toileting.
Correction Required
Staff/children shall wash hands as required.
Correction Verification
Corrected on Site
Compliance Date
6/28/2017
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
The provider failed to serve nourishing foods appropriate for Infant as specified by parents as evidenced by there is no feeding plan available for 2 infants.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 2 (A) states: The provider shall serve nourishing foods appropriate for the infant's individual nutritional requirements and developmental stages as specified by his/her parent(s).
Correction Required
The provider shall serve nourishing foods as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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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
Corrected on Site
Compliance Date
6/28/2017
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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 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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