|
19 CSR 30-61.025 Organization and Administration
Compliance
|
19 CSR 30-61.045 Initial Licensing Information
Compliance
|
19 CSR 30-61.055 License Renewal
Compliance
|
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (C) 1 C states: An individual cloth towel for each child or paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. If individual towels are used, they shall be laundered daily. Correction Required The facility shall provide required supplies accessible for children's use.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
|
19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation The requirements for protective outlet covers were not met as evidenced by one outlet was not covered. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children. Correction Required The facility shall use protective outlet covers as required.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
|
19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by an infant was wrapped in a blanket while sleeping. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
Violation Infant sleeping requirements were not met as evidenced by blankets or other soft or loose bedding was observed on the side of the crib. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 F states: Blankets or other soft or loose bedding shall not be hung on the sides of cribs or put under the fitted sheet. Only sleep clothing that is designed to keep an infant warm without the possible hazard of covering the head or face may be used during sleep or nap time. Correction Required Infant sleeping requirements shall be met.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
|
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Compliance
|
19 CSR 30-61.115 Day Care Family and Household
Compliance
|
19 CSR 30-61.125 Medical Examination Reports
Compliance
|
19 CSR 30-61.135 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility's written policies were not provided to parents at the time of enrollment. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 1 states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment. Correction Required The provider's written policies shall be provided to the parent(s) as required.
Correction Verification Submit Documentation
Compliance Date
|
|
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
|
|
Violation The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 2 A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep. Correction Required The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-61.145 Nighttime Care
Not Observed
|
19 CSR 30-61.155 Overlap Care of Children
Not Observed
|
19 CSR 30-61.165 Emergency School Closings
Not Observed
|
19 CSR 30-61.175 Child Care Program
Compliance
|
19 CSR 30-61.185 Health Care
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by one child's 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
|
|
|
19 CSR 30-61.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider failed to serve nourishing foods appropriate for Infant as specified by parents as evidenced by the fact that there was no infant and toddler feeding and care plan on file. Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 2 (A) states: The provider shall serve nourishing foods appropriate for the infant's individual nutritional requirements and developmental stages as specified by his/her parent(s). Correction Required The provider shall serve nourishing foods as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
|
19 CSR 30-61.210 Records and Reports
Violation
| Provider Comments |
Violation One child(ren) records did not include child's full name, address, date of birth and date care begins and ends. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (A) states: The child’s full name, address, birth date and the date care begins and ends. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
Violation Two child(ren) records did not include employers' address 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 Corrected on Site
Compliance Date 11/20/2017
|
|
Violation One child(ren) records did not include address of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Corrected on Site
Compliance Date 11/20/2017
|
|
|
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
|
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|