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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
Compliance
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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
The provider did not provide resilient material necessary for the protection of children as evidenced by bare ground was showing through the pea gravel under the see saws. There is sections of black tarp showing on the playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 6. states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children.
Correction Required
Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by there are a few pieces of trash observed on the infant playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Corrected on Site
Compliance Date
1/5/2018
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Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that several sections of the school age fence and gate have wood boards that are warped and/or pulling away from the support boards. There are some nails and screws exposed in these sections.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.087 Fire Safety
Compliance
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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 plastic cabin, in the downstairs space was not in good condition as evidenced by the back section of the cabin that was against the wall was not connected to the rest of the equipment and a bolt was exposed.
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
Submit Documentation
Compliance Date
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Allison Mickey and Kelly Tucker.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ratio: Allison Mickey and Kelly Tucker.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) . states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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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 need the following documentation: Elaina Phelps needs .5 hours for 2017.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios 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.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Verification of safe sleep training was not documented and maintained as evidenced by training certificates were not observed for Allison Mickey and Kelly Tucker.
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
Submit Documentation
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Allison Mickey and Kelly Tucker 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
Submit Documentation
Compliance Date
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Allison Mickey and Kelly Tucker.
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
Submit Documentation
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
Compliance
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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
Not Observed
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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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