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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
Violation
| Provider Comments |
Violation The name, address and telephone number of the owner, board president or chairperson, or his/her designee was not prominently posted near the license. Licensing Rule Reference 19 CSR 30-62.042 Initial Licensing Information (3) (R) states: The name(s), address(es) and telephone number(s) of the facility owner(s), or the board president or chairperson, or his/her designee shall be posted prominently near the license. Correction Required The name, address, and phone number of the owner/board president/chairperson/designee shall be posted.
Correction Verification Return Inspection
Compliance Date
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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
Violation
| Provider Comments |
Violation Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant/toddler unit. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times. Correction Required The facility shall provide a safe and clean diapering table as required.
Correction Verification Return Inspection
Compliance Date
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Violation The premises were not safe and suitable as evidenced by televisions in the preschool rooms are not secured to the shelves they are sitting on. They are easily tippable. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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 Return Inspection
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Violation Children were not restricted to approved space as evidenced by the stairway leading to the upstairs which is unapproved space is unlocked. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: Germ-X hand sanitizer. The item(s) was/were located on teachers desks, shelves down low and in unlocked drawers. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children. Correction Required Hazardous items shall be inaccessible to children.
Correction Verification Return Inspection
Compliance Date
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Violation Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. Correction Required The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification Return Inspection
Compliance Date
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Violation The premises were not safe and suitable as evidenced by there is a box television sitting on the floor with a vcr sitting on top of it, not attached to anything. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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 Return Inspection
Compliance Date
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19 CSR 30-62.087 Fire Safety
Violation
| Provider Comments |
Violation The door, located in the 2 year old room, used as an exit from the facility was locked. Licensing Rule Reference 19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, the gate in between the infant/toddler rooms, in the infant/toddler unit was not free of sharp parts as evidenced by the plastic bar at the top of the gate was cracked causing a sharp edge. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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 The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Return Inspection
Compliance Date
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Violation Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured varied. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.
Correction Verification Return Inspection
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Violation Outdoor equipment, 1 swing, in the preschool playground across the parking lot was not in good condition as evidenced by the swing was broken and had been looped over the top of the swingset. Licensing Rule Reference 19 CSR 30-62.092 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 play equipment shall be safe and in good repair.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation Requirements for safe sleep training were not met as evidenced by LaRhonda Jackson and Shelby Ohrenberg did not complete safe sleep training in that there was no certificate on file. Licensing Rule Reference 19 CSR 30-62.102 Personnel (4) . states: Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center 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 as 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 Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.
Correction Verification Return Inspection
Compliance Date
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Violation Verification of safe sleep training was not documented and maintained as evidenced by there was no training on file for LaRhonda Jackson and Shelby Ohrenberg. Licensing Rule Reference 19 CSR 30-62.102 Personnel (4) (A) states: The training shall be documented and maintained as described in section (3)(B) of this rule. Correction Required Safe sleep training shall be documented and maintained.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Caregiver-child ratio requirements were not met as evidenced by 12 children ages 2 years were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (B) states: Age Two (2) Years. Groups composed solely of two (2)-year olds shall have no less than one (1) adult to eight (8) children, with no more than sixteen (16) children in a group; Correction Required Correct caregiver-child ratios and group size shall be maintained.
Correction Verification Return Inspection
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Violation Caregiver-child ratio requirements were not met as evidenced by 13 children ages 3 years were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children; Correction Required Correct caregiver-child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report was not on file for Shelby Ohrenberg 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 Return Inspection
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Violation Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Shelby Ohrenberg. 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 Return Inspection
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 varies (2 children). Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a 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 Return Inspection
Compliance Date
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19 CSR 30-62.132 Admission Policies and Procedures
Compliance
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
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
Compliance
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19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 4 child(ren). Licensing Rule Reference 19 CSR 30-62.192 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 immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the 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 on file as required.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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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
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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