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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Compliance
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19 CSR 30-60.060 Health Requirements
Violation
| | Provider Comments |
Violation
The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by there was no documentation of an incident that occurred at the facility. The provider stated that an accident/injury form is not being used.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 11 states: In case of an accident or injury to a child, the provider shall notify a parent immediately. If a child requires emergency medical care, a parent's prior written instructions shall be followed. A form shall be completed indicating the circumstances and the date and time of the injury. The form shall be signed by the caregiver and his/her supervisor. A copy of the form shall be given to the parent the day of the accident or injury and necessary explanations shall be given. The form shall be filed in the child's record.
Correction Required
The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for administering medication were not met as follows: medication was given to a child but not documented.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (G) states: The date and time(s) of administration, the name of the individual giving the medication and the quantity of medication given shall be recorded promptly after administration. This form shall be filed in the child's record after the medication is no longer necessary.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for administering medication were not met as follows: medication was given to a child without the end date of permission specified in writing.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 10 (A) states: All medication shall be given to a child only with the dated, written permission of a parent, stating the length of time the medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for immunization reports on file were not met as evidenced by an immunization record was not on file the first day a child attended and there was no exemption on file.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 3 states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for children's medical examination reports 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 various dates.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 2 states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination reports including TB testing were not on file for caregivers 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 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Compliance
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19 CSR 30-60.090 Sanitation Requirements
Compliance
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Compliance
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 27 child files did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (A) states: The child's full name, address, birth date and the date care begins and ends.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 3 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 file did not have the back section of the enrollment form.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 file did not have the back section of the enrollment form.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (B) states: S/he understands and agrees that the child may not be accepted for care when ill.
Correction Required
An individual file with required information for each child shall be maintained.
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 210.115 Reports of abuse, neglect, and under age eighteen deaths--persons required to report--supervisors and administrators not to impede reporting--deaths required to be reported to the division or child fatality review panel, when.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
| | Provider Comments |
Violation
An approved Notice of Parental Responsibility was not on file for each child in care.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 1 states: Child-care facilities operated by religious organizations pursuant to the exempt status recognized in subdivision (5) of section 210.211 shall upon enrollment of any child provided the parent or guardian enrolling the child two copies of notice of parental responsibility, one copy of which shall be retained in the files of the facility after the enrolling parent acknowledges, by signature, having read and accepted the information contained therein.
Correction Required
The Notice of Parental Responsibility shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
A copy of the notice of parental responsiblity was not filed annually during the month of August to the department of health and senior services.
Licensing Rule Reference
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 3 states: A copy of notice of parental responsibility, signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Required
A copy of notice of parental responsibility shall be signed by the principal operating officer of the exempt child-care facility and the individual primarily responsible for the religious organization conducting the child-care facility and copies of the annual fire and safety inspections shall be filed annually during the month of August with the director of the department of health and senior services.
Correction Verification
Corrected on Site
Compliance Date
12/5/2017
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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