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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
Violation
| Provider Comments |
Violation The facility did not submit the name and address of two references as required for the applicant. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (D) 8 states: The names and addresses of two (2) references not related to the applicant who have knowledge of the applicant's character, experience and ability. Correction Required Prior to the granting of a license, two references shall be submitted for the designated provider/applicant.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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Violation An assistant approval request was not received. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (D) 13 states: Required information for assistants. Correction Required An assistant approval request shall be submitted by the applicant.
Correction Verification Submit Documentation
Compliance Date 4/19/2017
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Violation Provider did not submit requested information as evidenced by provider did not have a Fire Department notification form or a complete Emergency Preparedness plan on site. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (D) 14 states: Other information required by the department to make a determination regarding licensure of the family day care home. Correction Required The facility shall submit all information requested by the department.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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Violation The provider had no evidence that fire safety requirements had been met. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (E) states: Prior to the granting of a license, the provider shall meet the requirements of 19 CSR 30-61.086 Fire Safety. Correction Required Prior to the granting of a license, the facility shall meet fire safety requirements.
Correction Verification Submit Documentation
Compliance Date 1/20/2017
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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 Reviews were missing/out of date for the following provider/employee/adult household member: Holly Kleisly, Dan Rein, Jennifer Tate and Randy Long. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (F) 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 (CRR) from the Missouri State Highway Patrol for the child care provider, all persons employed by the child care provider, and all adult household members. The child care provider shall request a criminal record review within ten (10) days following the employment of any person and within ten (10) days after any adult becomes a household member. The department may request a criminal record review for any adult present in the family day care home 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 4/19/2017
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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 provider/other householdmembers or other child care personnel: Holly Kleisly, Randy Long, Jennifer Tate and Dan Rein. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (G) states: The child care provider, other household members and other child care personnel shall be screened for child abuse/neglect prior to initial issuance of the license. Correction Required Required requests/results of current background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date 4/19/2017
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Violation The provider was caring for more than four unrelated children prior to being granted a license. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information 3 (L) states: The child care provider shall not provide care for more than four (4) unrelated children until the home is in compliance with state statutes and licensing rules for family day care homes. Correction Required The provider shall have a license before caring for more than 4 unrelated children.
Correction Verification Return Inspection
Compliance Date 5/1/2017
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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 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 5/1/2017
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Violation Food and water dishes used by animals were accessible to children as evidenced by the dishes were in the kitchen area, which children have access to. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (F) states: Food and water dishes used by animals shall not be accessible to the children. Correction Required Food and water dishes used by animals shall not be accessible to children.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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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
Compliance
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 F states: Blankets or other soft or loose bedding shall not be hung on the sides of cribs or put under the fitted sheet. Only sleep clothing that is designed to keep an infant warm without the possible hazard of covering the head or face may be used during sleep or nap time. Correction Required Infant sleeping requirements shall be met.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Compliance
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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
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility's written policies did not contain information pertaining to safe sleep practices for children less than 1 year of age. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 1 states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment. Correction Required The provider's written policies shall be provided to the parent(s) as required.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 5/1/2017
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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
Compliance
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19 CSR 30-61.185 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 30-61.185 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 5/1/2017
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19 CSR 30-61.190 Nutrition and Food Service
Compliance
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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 1 child(ren) records did not include child's full name, address, date of birth and date care begins and ends. Licensing Rule Reference 19 CSR 30-61.210 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 Submit Documentation
Compliance Date 4/27/2017
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Violation 2 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 4/27/2017
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Violation 2 child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 4/27/2017
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Violation 2 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-61.210 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 4/27/2017
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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.
Violation
| Provider Comments |
Violation Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted Licensing Rule Reference RSMo 210.252 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 1/24/2017
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