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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 floors located in the girls and boys bathroom off the cafeteria was/were not clean as evidenced by dirty floor surface. 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 2/16/2018
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Violation The walls located (the door on the inside of the cafeteria leading to the advocate office) was/were not in good condition as evidenced by chipping paint. 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 2/16/2018
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Violation The ceilings located the girls bathroom off the cafeteria was/were not clean as evidenced by dust build up around the ceiling vent over the entry door. 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 2/16/2018
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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 written plan does not consider the age or physical/mental abilities of children in care. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (B) 1. states: The age and physical and mental abilities of the children; Correction Required Facilities emergency plan should consider all contingencies.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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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 Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's lock-down procedures did not include announcement of lock-down by the director or designee. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 5. A. states: An announcement of the lockdown by the director or designee. The alert may be made using a pre-selected code word; Correction Required The facilities lockdown procedure does not require required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's disaster plan did not include location of emergency supplies. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's disaster plan did not include the location of child's attendance record. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's disaster plan did not include location of emergency information. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's disaster plan did not include exit routes to a safe location within the facility. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's emergency procedure plan did not include system of parental notification and re-unification. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. H. states: System of contact for parents of children and notification of parents of the plan to assist in re-unification; Correction Required Facilities emergency procedure must include required components.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by parts of the emergency plan are posted, but the complete plan is not available in all areas for childcare. 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 Submit Documentation
Compliance Date 3/2/2018
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Violation The facility’s name and phone number of the building’s owner/manager was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. D. states: When a facility occupies space it does not own, the name and telephone number of the owner of the building or the building manager; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 2/16/2018
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Violation The facility's evacuation route diagram was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 2/16/2018
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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
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: Abigail Brewer needs documentation of 3 clock hours for 2017. Her start date was October 2017. There are not training certificates in her file or on the toolbox report. 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 2/16/2018
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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 did not include a completed Risk Assessment for Tuberculosis form for 17 staff members do not have completed TB Risk Assessment forms. All staff have test records on site. 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 2/16/2018
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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 Submit Documentation
Compliance Date 3/2/2018
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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
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 2 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 Submit Documentation
Compliance Date 3/2/2018
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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 1 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 2/16/2018
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Violation 1 child(ren) records did not include home 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 2/16/2018
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Violation 3 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 2/16/2018
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Violation 14 child(ren) records did not include field trip and transportation authorization. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/2/2018
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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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