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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
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
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 height of the fence was less than 42 inches high - the measured height was 38" due to the barrier that is raised adjacent to the fence.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An 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. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes 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. 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 and provide a safe fence around the outdoor play area as required.
Correction Verification
Submit Documentation
Compliance Date
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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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5".
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An 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. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes 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. 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 and provide a safe fence around the outdoor play area as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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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
Compliance
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19 CSR 30-61.105 The Day Care Provider and Other Day Care 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 provider/employee/adult household member: Tabatha Thurman (home provider).
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (K) states: The provider, other household members, and other child care personnel shall be screened for child abuse/neglect. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that this person is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit this person from being present in the home during child care hours.
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 assistant did not complete safe sleep training within 30 days of employment or volunteering as evidenced by Christian Cooper does not have safe sleep training on file. Christian has been employed for a minimum of 6 months.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 (D) states: The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in section (5) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.
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
Compliance
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19 CSR 30-61.145 Nighttime Care
Compliance
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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
Violation
| | Provider Comments |
Violation
There was no parental written objection to immunizations on file for 1 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (B) 2 B states: A parent or guardian exemption by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department.
Correction Required
Child immunization requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Facility did not submit the 2017 annual summary report showing immunization status of each child enrolled by January 15.
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department. The immunization records shall be available for review by department personnel upon request.
Correction Required
Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.190 Nutrition and Food Service
Not Observed
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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
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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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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