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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
Violation
| Provider Comments |
Violation The fire inspection was not approved. Licensing Rule Reference 19 CSR 30-61.055 License Renewal 1 (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with fire and safety requirements for renewal.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation The premises were not safe and suitable as evidenced by a chest freezer in the kitchen with no lock. 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 Submit Documentation
Compliance Date
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Violation There was evidence of dirt/debris in the floor of the dining area. The kitchen was not clean as there were dirty dishes, a bottle of milk sitting out, a pan of sauce and food that had not been put away. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (A) 9 states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests. Correction Required The facility shall be clean and pest free.
Correction Verification Return Inspection
Compliance Date 7/14/2017
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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
Compliance
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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 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: B. Hacker needs documentation she has completed 8 additional clock hours for 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 Return Inspection
Compliance Date 7/14/2017
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Violation Requirements for an approved assistant were not met as evidenced by an approved assistant was not available. 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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Violation Requirements for safe sleep training were not met as evidence by the assistant did not complete safe sleep training in that the training had not been completed. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 . states: Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule and published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions. Correction Required Provider and assistant shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for safe sleep training were not met as evidence by the provider did not complete safe sleep training in that the training was not completed. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 . states: Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule and published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions. Correction Required Provider and assistant shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
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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 The medical examination report and/or the school-age health report form(s) used were not supplied by the department or did not contain all the required information as evidenced by 2 children's physicals did not indicate whether children may participate in a child care program or whether they required specialized care. Licensing Rule Reference 19 CSR 30-61.125 Medical Examination Reports 2 (E) states: The medical examination report form and the health history report for school-age children 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 Child medical requirements shall be completed and 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 10/05/2016. 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 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 Return Inspection
Compliance Date 7/14/2017
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Violation An individualized plan for specialized care for a child with special physical, developmental or behavioral needs were not met as evidenced by there was no plan on file for a child with special needs. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 4 states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required An individualized plan from a professional source shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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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
Compliance
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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 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
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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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