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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Violation
| Provider Comments |
Violation Background screening was not on file for personnel as evidenced by a screening was not requested within 10 days of working with children for employee(s): Karen Den Harting and Dana Platt. Licensing Rule Reference 19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures 5 states: The facility director shall request a child abuse/neglect screening from the Department of Social Services for each employee who may come into contact with children during child care hours. The request shall be made within ten (10) days of employment. The results of the screenings shall be maintained in the facility's files. Correction Required Required requests/results of current background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-60.050 Staffing Requirements
Violation
| Provider Comments |
Violation There was no signed statement on file for Wendy Aufenkamp, Marlene Bessler, Dana Platt, Karen Den Harting, Micaela Ulrich, Neysa Jenkins, and Nancy Groves as evidence that license rules had been read. Licensing Rule Reference 19 CSR 30-60.050 Staffing Requirements 1 (C) states: Prior to starting work, all caregivers shall read the rules of this chapter and sign a statement that they have read the rules. The statements shall be maintained on file at the facility. Correction Required Caregivers' signed statements shall be on file.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-60.060 Health Requirements
Violation
| Provider Comments |
Violation Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Karen Den Harting. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 1 (D) 2 states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form. Correction Required Medical/TB reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that the child was needing 3rd & 4th DTaP dose, 3rd IPV dose and 3rd Hep B dose. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 3 states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo. Correction Required Child immunization requirements shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Compliance
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19 CSR 30-60.090 Sanitation Requirements
Compliance
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| Provider Comments |
Violation The facility's outdoor space was not safe for children's activities as evidenced by the presence of a tarp was exposed under the swing set and near the wooden play equipment that could be a tripping hazzard. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The equipment, a swing set, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by the pea gravel had been pushed away from under the swing set exposing bare soil. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by two child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address. Correction Required An individual file with required information for each child shall be maintained.
Correction Verification Submit Documentation
Compliance Date
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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 210.115 Reports of abuse, neglect, and under age eighteen deaths--persons required to report--supervisors and administrators not to impede reporting--deaths required to be reported to the division or child fatality review panel, when.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Violation
| Provider Comments |
Violation Background screening was not on file for Karen Den Harting and Dana Platt as evidenced by screening results were not current within two years. Licensing Rule Reference RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually. 2 (4) states: Notification that background checks have been conducted on each individual caregiver and all other personnel at the facility. The background check shall be conducted upon employment and every two years thereafter on each individual caregiver and all other personnel at the facility. Such background check shall include a screening for child abuse or neglect through the division of family services, and a criminal record review through the Missouri highway patrol pursuant to section 43.540, RSMo. The fee for the criminal record review shall be limited to the actual costs incurred by the Missouri highway patrol in conducting such review not to exceed ten dollars. Correction Required Required requests/results of current background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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