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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 equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 License Renewal 1 (G) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required 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 The living room, approved childcare space, is currently being used to store a set of bedroom furniture that the provider just received. The room needs to be cleared of the stacked furniture so that the space is safe and useable by the children.
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
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by loos landscaping "bricks', rotted and splintered landscape timbers surrounding play area, broken landscape timbers laying around the play 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
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Violation
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 8 states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.
Correction Verification
Corrected on Site
Compliance Date
10/5/2017
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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
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Violation
The facility did not review with staff their duties and responsibilities in the event of an emergency.
Licensing Rule Reference
19 CSR 30-61.090 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 30-61.090 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 30-61.090 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 30-61.090 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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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
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional 3 (children were observed playing with a set of cardboard blocks) items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 A states: Blocks, construction and transportation toys
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for manipulatives. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 B states: Manipulatives
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for creative arts. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 C states: Creative arts
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for library and language activities. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 E states: Library and language activities
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 F states: Music and rhythm activities
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 G states: Dramatic and housekeeping play
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 H states: Science activities or sensory experiences
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for push-pull toys. The facility needed an additional 4 item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 A states: Push-pull toys.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for balls or other large muscle. The facility needed an additional 2 (2 balls were observed outside) item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 B states: Balls or other large muscle equipment.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 3 (1 set of cardboard blocks were observed) item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 C states: Blocks, stacking toys or other manipulatives.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The facility did not meet requirements for cloth or plastic coated books. The facility needed an additional 4 item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 D states: Cloth or plastic-coated books.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
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: Jerome Gilfillan.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (K) states: The provider, other household members, and other child care personnel shall be screened for child abuse/neglect. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that this person is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit this person from being present in the home during child care hours.
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 provider/employee/adult household member: Jerome Gilfillan.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care 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 30-61.045 Initial Licensing Information and 19 CSR 30-61.055 License Renewal. This shall include the results of a criminal record review 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
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Violation
The requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of CPR certification.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (N) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site 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 insufficient training documents on file. The staff listed needs the following information: Sharon Gilfillan has documentation of 6 clock hours for 2016 and needs an additional 6 clock hours.
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
Submit Documentation
Compliance Date
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Violation
The provider did not meet requirements for requests/results of child abuse/neglect as evidenced by there is no clear CA/N screening on site for the approved assistant and family member Jerome Gilfillan.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (C) states: All assistants shall be screened for child abuse/neglect.
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 following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (E) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.
Correction Required
Assistant information shall be posted 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
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
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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 two immunization record(s) was/were not on file .
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
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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 child attendance record.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 6 states: Daily child attendance records 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
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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
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Violation
two child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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
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Violation
one child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (F) states: Field trip and transportation authorization.
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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