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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
Compliance
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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 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 8/2/2017
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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 8/2/2017
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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 8/2/2017
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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
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 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 7/20/2017
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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 8/2/2017
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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 8/2/2017
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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 8/2/2017
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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 it was not stated in the policy that cribs must have firm mattresses and tight fitting sheets must be used. 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 8/3/2017
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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
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 Submit Documentation
Compliance Date 8/2/2017
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Violation one child(ren) records did not include work schedule 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 8/2/2017
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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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