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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Initial Licensing Information
Compliance
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19 CSR 30-62.052 License Renewal
Compliance
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility did not review with staff their duties and responsibilities in the event of an emergency.
Licensing Rule Reference
19 CSR 30-62.090 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 did not review with staff disaster procedures in the various possible emergency situations.
Licensing Rule Reference
19 CSR 30-62.090 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 use of and response to fire alarms.
Licensing Rule Reference
19 CSR 30-62.090 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 use of fire extinguishers.
Licensing Rule Reference
19 CSR 30-62.090 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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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by upon arrival at 4:25pm, Ms. Kristina was observed trying to get a game started while standing at a sheet of poster paper on the wall. All 7 children present were observed sitting at the tables and looking at Ms. Kristina, talking quietly, and did not appear to be misbehaving. At 4:31pm, Ms. Kristina required all 7 children present, ages 5-8 years old, to sit in time-out for 10 minutes with their heads down on tables and instructed them not to talk. Ms. Kristina set the timer on her phone and told the children, "If one person talks, the time will increase to 15 minutes for the whole group". One child started crying during the time out and Ms. Kristina told that child "What's wrong with you? You don't like doing this? This could all be over if you could learn to listen." Ms. Taylor (the person in charge due to the Director's absence) observed the entire interaction and did not intervene.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for availability and understanding of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri were not met as evidenced by the caregiver(s) was/were unable to reply knowledgeably to the question(s) about the licensing rule(s) in that Ms. Kristina required 7 children, ages 5-8 years old, to sit in time-out for 10 minutes with their heads down on tables and instructed them not to talk. Ms. Kristina also told the children, "If one person talks, the time will increase to 15 minutes". When asked if staff were aware of the licensing rules regarding the discipline and length of time for time out, Ms. Taylor stated that she thought the rule was that staff just shouldn't be too extreme with time out.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (H) states: The provider shall have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri. All caregivers and volunteers working directly with children shall be required to review and be knowledgeable of the rules at the time they begin work and shall be able to understand and apply those rules which relate to their respective responsibilities.
Correction Required
Licensing rules shall be available; adults working directly with children shall be knowledgeable of the rules.
Correction Verification
Return Inspection
Compliance Date
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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 volunteers counted in staff/child ratio, caregivers or other personnel: Kristina Johnson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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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 owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ration: Kristina Johnson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility 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
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Violation
The director is not routinely on duty as required, as evidenced by the director Tiffany Williams last signed in on August 22, 2017 from 3:34-4:20 p.m. This facility has an approved variance for a program director to be the approved director for up to 6 locations, requiring the program director to visit each location at least once every two weeks, document attendance, and complete a Quality Check Form at the visit.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty 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 no training documents on file. The staff listed need the following documentation: Kristina Johnson.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios 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.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Krista Johnson as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) 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
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19 CSR 30-62.132 Admission Policies and Procedures
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Violation
| | Provider Comments |
Violation
Brief separation from the group was more than one minute for each year of the child’s age as evidenced by upon arrival at 4:25pm, Ms. Kristina was observed trying to get a game started while standing at a sheet of poster paper on the wall. All 7 children present were observed sitting at the tables and looking at Ms. Kristina, talking quietly, and did not appear to be misbehaving. At 4:31pm, Ms. Kristina required all 7 children present, ages 5-8 years old, to sit in time-out for 10 minutes with their heads down on tables and instructed them not to talk. Ms. Kristina set the timer on her phone and told the children, "If one person talks, the time will increase to 15 minutes for the whole group". One child started crying during the time out and Ms. Kristina told that child "What's wrong with you? You don't like doing this? This could all be over if you could learn to listen." Ms. Taylor (the person in charge due to the Director's absence) observed the entire interaction and did not intervene.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (C) 5. states: Brief, supervised separation from the group may be used based on a guideline of one (1) minute of separation for each year of the child's age.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.
Correction Verification
Return Inspection
Compliance Date
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Violation
Constructive, age-appropriate methods of discipline were not used as evidenced by upon arrival at 4:25pm, Ms. Kristina was observed trying to get a game started while standing at a sheet of poster paper on the wall. All 7 children present were observed sitting at the tables and looking at Ms. Kristina, talking quietly, and did not appear to be misbehaving. At 4:31pm, Ms. Kristina required all 7 children present, ages 5-8 years old, to sit in time-out for 10 minutes with their heads down on tables and instructed them not to talk. Ms. Kristina set the timer on her phone and told the children, "If one person talks, the time will increase to 15 minutes for the whole group". One child started crying during the time out and Ms. Kristina told that child "What's wrong with you? You don't like doing this? This could all be over if you could learn to listen." Ms. Taylor (the person in charge due to the Director's absence) observed the entire interaction and did not intervene.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (C) 3. states: Only constructive, age-appropriate methods of discipline shall be used to help children develop self-control and assume responsibility for their own actions.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-62.192 Health Care
Compliance
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19 CSR 30-62.202 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by Ms. Taylor stated that snack served was cheerios and water. A second food component was not served to the children.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule.
Correction Required
Nourishing food shall be provided as required.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
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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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