| |
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
Compliance
|
19 CSR 30-61.086 Fire Safety
Compliance
|
19 CSR 30-61.090 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 30-61.090 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
10/27/2017
|
|
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
10/27/2017
|
|
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
10/27/2017
|
|
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
10/27/2017
|
|
|
19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
|
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.
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
8/1/2017
|
|
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: Margaret has 7/needs 5, Joe has 7/needs 5 clock hours to be applied to 2016.
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
10/27/2017
|
|
|
19 CSR 30-61.115 Day Care Family and Household
Compliance
|
19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report did not contain all required information as evidenced by there was no medical exam form on site for caregivers.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 1 (G) states: The medical examination report form shall be supplied by the department or the provider may use his/her own form if it contains all the information on the department's form.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
10/27/2017
|
|
|
19 CSR 30-61.135 Admission Policies and Procedures
Compliance
|
19 CSR 30-61.145 Nighttime Care
Compliance
|
19 CSR 30-61.155 Overlap Care of Children
Compliance
|
19 CSR 30-61.165 Emergency School Closings
Compliance
|
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 required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one (missing doses) child(ren).
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
7/10/2017
|
|
|
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 there is no feeding plan available for 2 infants.
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
7/10/2017
|
|
|
19 CSR 30-61.200 Transportation and Field Trips
Compliance
|
19 CSR 30-61.210 Records and Reports
Compliance
|
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
|