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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 fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
The ceilings located classroom E was/were not clean as evidenced by there was an accumulation of dust on the air vents.
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
Submit Documentation
Compliance Date
9/11/2017
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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
Violation
| | Provider Comments |
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
Submit Documentation
Compliance Date
9/11/2017
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, four tri-cycles, in the outdoor play area was not in good condition as evidenced by they were missing foot pedals.
Licensing Rule Reference
19 CSR 30-62.092 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 play equipment shall be safe and in good repair.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
Outdoor equipment, the metal climbing structures, in the outdoor play area was not in good condition as evidenced by chipping paint and rust were observed.
Licensing Rule Reference
19 CSR 30-62.092 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 play equipment shall be safe and in good repair.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mats on the mirror walk in room B were soiled with food debris and dirt.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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19 CSR 30-62.102 Personnel
Compliance
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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
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by the medical examination was not signed by the required medical source.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not met as evidenced by there was no plan on file for a child with special needs.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by fourteen child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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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
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file .
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
Submit Documentation
Compliance Date
9/11/2017
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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
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
Four child(ren) records did not include work telephone number 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
Submit Documentation
Compliance Date
9/11/2017
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Violation
One 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
Submit Documentation
Compliance Date
9/11/2017
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Violation
Three child(ren) records did not include work schedule 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
Submit Documentation
Compliance Date
9/11/2017
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Violation
One child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
9/11/2017
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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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