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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
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that portions of the lattice fence have pulled away from the post creating a gap, allowing for entrapment of children.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2017
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by debris in play yard including loose paving blocks, ladder stored on the outside landing, cleaning supplies. The 5th stair step from the bottom is damaged and could create a tripping hazard, A fire pit was hanging from the edge of the fence from the providers personal area into the child care outside area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2017
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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 disaster plan did not include exit routes to a safe location out of the facility.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 2 states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes.
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
7/20/2017
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Violation
The facility's disaster plan did not include exit routes to a safe location within the facility.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) 2 states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes.
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
7/20/2017
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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 plan was available in some but not all rooms.
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
7/20/2017
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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
Submit Documentation
Compliance Date
7/20/2017
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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
Submit Documentation
Compliance Date
7/20/2017
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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
7/20/2017
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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
Submit Documentation
Compliance Date
7/13/2017
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, tonka truck, in play yard was not in good condition as evidenced by rust and peeling paint.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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
Outdoor equipment shall have no exposed hazards.
Correction Verification
Submit Documentation
Compliance Date
7/11/2017
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Violation
Stationary equipment, swing, was unsafe as evidenced by the equipment was placed in close proximity to other equipment which could cause a collision hazard - the equipment location and measured distance from other equipment was 4". The swing was hanging over an adult bench.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.
Correction Verification
Submit Documentation
Compliance Date
7/11/2017
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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
Violation
| | Provider Comments |
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 1 (E) . 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
8/1/2017
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19 CSR 30-61.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The policy did not include expectations regarding how and when caregivers are to be trained on safe sleep.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 1. states: The policy shall list the licensee’s expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Required
The policy shall include expectations regarding how and when caregivers are to be trained on safe sleep.
Correction Verification
Submit Documentation
Compliance Date
7/12/2017
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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
7/12/2017
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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
7/12/2017
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Violation
The policy did not include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 4. c. states: Physical checks of the child to ensure he or she is not overheated or in distress.
Correction Required
The policy shall include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
7/12/2017
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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
7/12/2017
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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
7/12/2017
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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
7/12/2017
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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
7/12/2017
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Violation
The policy did not state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider’s safe sleep policy upon the child’s enrollment.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 B. 5. states: Shall require giving the parent(s) or guardian(s) of each infant in care a copy of the provider’s safe sleep policy upon the child’s enrollment.
Correction Required
The policy shall state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider's safe sleep policy upon the child's enrollment.
Correction Verification
Submit Documentation
Compliance Date
7/12/2017
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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
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
Compliance
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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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