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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): Brandy Schneider, Janet Lehenbauer, and Pastor Wes Gehrke.. 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 Brandy Schneider 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 Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 1 child needs updated immunizations.. 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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Violation Medical examination reports including TB testing were not on file for caregivers as evidenced by a TB report on file is older than 24 months. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 1 (D) 3 states: After the initial physical assessment, all caregivers working in a facility during child care hours shall be tested for tuberculosis at least every two (2) years. Caregivers with previously positive tuberculin tests shall be under the management of a physician. Correction Required Medical/TB reports 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 Hazardous items as follows were accessible to children: Cleaning supplies such a bleach, Windex, Liquid Plumber, Air Wick Freshener. The item(s) was/were located In Rooms 1 and 4. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials. Correction Required Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification Corrected on Site
Compliance Date 5/7/2018
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Violation The premises were not safe and suitable as evidenced by Outlets were uncovered throughout the facility.. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities shall be safe and suitable for the care of children. Correction Required The premises shall be safe and suitable for the care of children.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured One measured 6" X 11" and One measured 6" by 3".. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2"). Correction Required The outdoor play area shall be on or adjoining the property and fenced as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The equipment, a wooden climber, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by no resilient material was present . 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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Violation Requirements for the outdoor play area were not met as evidenced by the fence was less than 42 inches high; the measured height was 39" on the west side of the play equipment area.. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2"). Correction Required The outdoor play area shall be on or adjoining the property and fenced as required.
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 1 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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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached. 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.
Compliance
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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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