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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
Compliance
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19 CSR 30-61.086 Fire Safety
Compliance
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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
Outdoor equipment, the slide on the castle piece, in the play yard was not in good condition as evidenced by it was broken away from the castle.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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
Outdoor equipment shall have no exposed hazards.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Compliance
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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
1/15/2018
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Violation
The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Required
The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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Violation
The policy did not include a requirement that the facility receive a written statement from the infant’s licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 3. states: A requirement that the facility shall receive a written statement from the infant’s licensed health care provider stating that the infant requires alternative sleep positions or special sleeping arrangements that differ from those set forth in 19 CSR 30-61.175(2)(C) prior to allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Required
The policy shall include a requirement that the facility receive a written statement from the infant's licensed health care provider allowing the infant to be placed in a sleep position that is not on his or her back.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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Violation
The policy did not include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 4. a. states: Positioning of staff.
Correction Required
The policy shall include information about positioning of staff to ensure supervision of infants during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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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
2/5/2018
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Violation
The policy did not include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 4. c. states: Physical checks of the child to ensure he or she is not overheated or in distress.
Correction Required
The policy shall include information about physical checks of the child to ensure he or she is not overheated or in distress during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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Violation
The policy did not include information about prohibitions against the use of any equipment that may interfere with the caregiver’s ability to see or hear a child who may be distressed during nap/sleep times.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 2 A. 4. d. states: Prohibitions against the use of any equipment such as a sound machine that may interfere with the caregiver’s ability to see or hear a child who may be distressed.
Correction Required
The policy shall include information about prohibitions against the use of any equipment that may interfere with the caregiver's ability to see or hear a child who may be distressed during nap/sleep times.
Correction Verification
Submit Documentation
Compliance Date
2/5/2018
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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
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
The daily activities for preschool and school-age children failed to meet requirements as evidenced by less than one hour of outdoor play was provided.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 2 (B) 4 states: A total of at least one (1) hour of outdoor play for children in attendance a full day unless prevented by weather or special medical reasons (Based on wind chill factor or heat index, children shall not be exposed to either extreme element.).
Correction Required
Daily activities for preschool and school-age children shall be provided as required.
Correction Verification
Submit Documentation
Compliance Date
1/15/2018
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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
Compliance
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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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