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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): Becky Turner, Gary Clinard and Donna Clinard had no background screening. 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 Caitlin Vollmer, and Donna Clinard 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 Jessica Schoenhoff's medical did not state whether she was healthy enough to provide childcare. 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 Medical examination reports including TB testing were not on file for caregivers as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment. 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
Violation
| Provider Comments |
Violation The facility's evacuation/emergency plan is posted but does not include instructions for infants/nonambulatory children. Licensing Rule Reference 19 CSR 30-60.080 Fire Safety Requirements 5 (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children. Correction Required Evacuation/emergency plan must be posted/complete as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements of 19 CSR 30-60.080 Fire Safety were not met as evidenced by tornado drills were not held at least one time every three months. Licensing Rule Reference 19 CSR 30-60.080 Fire Safety Requirements 5 states: Fire and tornado drills shall be conducted at least every three (3) months and shall include all children in care. Unscheduled drills shall be held at the discretion of the state fire marshal or department. Each fire drill shall include a complete evacuation of all persons from the building. Correction Required Fire and tornado drills shall be completed and recorded as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's evacuation/emergency plan is not posted. Licensing Rule Reference 19 CSR 30-60.080 Fire Safety Requirements 5 (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children. Correction Required Evacuation/emergency plan must be posted/complete as required.
Correction Verification Submit Documentation
Compliance Date
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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
Compliance
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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 four 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 four (hospital phone number) child files did not have the name and phone number of the family physician, or hospital, or both. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency. 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.
Violation
| Provider Comments |
Violation Parent and/or guardian was not notified upon request of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Licensing Rule Reference RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when. 7. states: All public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child at the time of initial enrollment in or attendance at the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Beginning December 1, 2015, all public, private, and parochial day care centers, preschools, and nursery schools shall notify the parent or guardian of each child currently enrolled in or attending the facility that the parent or guardian may request notice of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Any public, private, or parochial day care center, preschool, or nursery school shall notify the parent or guardian of a child enrolled in or attending the facility, upon request, of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed. Correction Required Parent and/or guardian shall be notified upon request of whether there are children currently enrolled in or attending the facility for whom an immunization exemption has been filed.
Correction Verification Submit Documentation
Compliance Date
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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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