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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 did not show the required information in that insufficient equipment was included. 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 a chest freezer was not locked. 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 Corrected on Site
Compliance Date 12/11/2017
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Violation Stairways in the facility did not meet requirements as evidenced by there was no safety gate. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (H) states: Approved safety gates at stairways and doors shall be provided and used as needed. Correction Required Stairways shall meet safety standards as required.
Correction Verification Corrected on Site
Compliance Date 12/11/2017
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Violation Hazardous items as follows were accessible to children: trimmer knife. The item(s) was/were located in kitchen shelves accessible to children. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 Corrected on Site
Compliance Date 12/11/2017
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Violation The walls located in the kitchen was/were not in good condition as evidenced by chipped paint. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (A) 6 states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation The requirements for protective outlet covers were not met as evidenced by 5 outlets were 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 12/11/2017
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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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 stuffed animals and toys were located in cribs. 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 12/11/2017
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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 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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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 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
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Violation The policy did not include information about lighting in the nap room to ensure supervision of infants during nap/sleep times. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 2 A. 4. b. states: Lighting in the nap room. Correction Required The policy shall include information about lighting in the nap room to ensure supervision of infants during nap/sleep times.
Correction Verification Submit Documentation
Compliance Date
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Violation The policy did not prohibit covering cribs or playpens with blankets or bedding. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 2 B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding. Correction Required The policy shall prohibit covering cribs or playpens with blankets or bedding.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.145 Nighttime Care
Not Observed
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19 CSR 30-61.155 Overlap Care of Children
Not Observed
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19 CSR 30-61.165 Emergency School Closings
Not Observed
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19 CSR 30-61.175 Child Care Program
Compliance
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19 CSR 30-61.185 Health Care
Compliance
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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
Not Observed
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19 CSR 30-61.210 Records and Reports
Violation
| Provider Comments |
Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by the authorization for medical care was not completed for one child, Child B. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 1 states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families. Correction Required Accurate records 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 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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