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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Initial Licensing Information
Violation
| Provider Comments |
Violation The ages of children was exceeded as evidenced by there were 9 children under the age of 24 months on the premises, not including the related children. The facility is limited to 8 children under 24 months. Licensing Rule Reference 19 CSR 30-62.042 Initial Licensing Information (3) (W) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules. Correction Required The facility's license capacity and limitations shall not be exceeded.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.052 License Renewal
Not Observed
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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 ceilings located the two year old room was/were not in good condition as evidenced by there are two holes in the ceiling. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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 Return Inspection
Compliance Date 1/25/2018
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Violation The facility did not provide 45 square feet of usable floor space for each infant and toddler as evidenced by 10 infants were observed (2 are related) in the Infant room. The capacity of the room is 9 children, including related children. . Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (I) states: For facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, at least forty-five (45) square feet of usable floor space shall be provided in the facility for each infant and toddler. Space occupied by napping equipment does not have to be deducted from usable floor space; Correction Required Forty-five square feet of usable floor space shall be provided for each infant/toddler. (GF)
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility does not have the required number of flush toilets as evidenced by there is no bathroom in the Infant/Toddler room. The staff stated that they do not consider the 2 year old room as part of the Infant toddler unit.. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 1. states: One (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty-four (24) children in an infant/toddler unit. Correction Required The facility shall provide one flush toilet and one adjacent hand wash sink for every 24 children in the I/T unit.
Correction Verification Submit Documentation
Compliance Date 1/12/2018
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19 CSR 30-62.087 Fire Safety
Not Observed
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's written plan does not consider the types of services currently offered to children in care. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 2. states: The types of services offered, including whether the facility provides care for nonambulatory children or overnight care; Correction Required Facilities emergency plan should consider all contingencies.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by there was no plan in the two year old room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility’s list of emergency numbers was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility’s list of emergency numbers was not posted by each telephone. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/18/2018
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Violation The facility's special instructions for infants and non-ambulatory children were not posted by each telephone. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required Facility must post information as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
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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: Evelyn Pierce (no screening) and Jamie Hawkins (out of date FCSR on file is dated 06.04.15 (over 2 years old). 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 Return Inspection
Compliance Date 1/25/2018
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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: Evelyn Pierce (no screening) and Jamie Hawkins (out of date FCSR on file is dated 06.04.15 (over 2 years old). 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 Return Inspection
Compliance Date 1/25/2018
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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: Morgan Kirby (Needs 5 more). 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 Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Caregiver-child ratio requirements were not met as evidenced by 8 children ages 23 months through 2 years were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group; Correction Required Correct caregiver-child ratios and group size shall be maintained.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation Caregiver-child ratio requirements were not met as evidenced by 17 children ages 3 to 5 years were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children; Correction Required Correct caregiver-child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jamie Hawkins. 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 1/16/2018
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Violation Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a day care program. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (2) (B) states: The examination report shall determine if a child's medical history and current state of health is satisfactory participation in a day care program. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The provider did not have a completed and signed form for related children to include child's name. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (9) (A) states: Each child's name, address, birthdate and date of admission; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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Violation The facility's written policies did not contain information pertaining to safe sleep practices for children less than 1 year of age. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment. Correction Required The provider's written policies shall be provided to the parent(s) as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.142 Nighttime Care
Not Observed
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Not Observed
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19 CSR 30-62.192 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 child(ren). Licensing Rule Reference 19 CSR 30-62.192 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 immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the 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 on file as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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19 CSR 30-62.202 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that it does not give permission for table foods. The plan needs to be updated by the parent. Licensing Rule Reference 19 CSR 30-62.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods. Correction Required A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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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
Violation
| Provider Comments |
Violation 2 child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Return Inspection
Compliance Date 1/25/2018
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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