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19 CSR 30-61.025 Organization and Administration
Not Observed
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19 CSR 30-61.045 Initial Licensing Information
Not Observed
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19 CSR 30-61.055 License Renewal
Not Observed
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
A clear glass door was not marked plainly at varying heights as evidenced by the front door was open with only the full view door present. This door is not marked.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (A) 3 states: Clear glass doors shall be marked plainly at varying heights to avoid impact.
Correction Required
Clear glass doors shall be marked as required.
Correction Verification
Return Inspection
Compliance Date
6/6/2018
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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 no resilient material was present.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 6 states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Return Inspection
Compliance Date
6/6/2018
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19 CSR 30-61.086 Fire Safety
Not Observed
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Not Observed
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19 CSR 30-61.115 Day Care Family and Household
Not Observed
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19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 3-5-18.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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
6/6/2018
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19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
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19 CSR 30-61.145 Nighttime Care
Not Observed
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19 CSR 30-61.155 Overlap Care of Children
Not Observed
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19 CSR 30-61.165 Emergency School Closings
Not Observed
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
Caregiver did not provide frequent, direct contact as evidenced by three children were inside the house unsupervised.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 3 states: Caregivers shall provide frequent, direct contact so children are not routinely left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
6/6/2018
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Violation
Child(ren) was left without competent adult supervision as evidenced by Patricia Grasser was outside in the yard with three children while three children (2 years old, 2 years old and three years old) were inside unsupervised. Ms. Grasser stated the children inside the house were supposed to be napping..
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 1 states: Child care providers shall not leave any child without competent adult supervision.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
6/6/2018
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19 CSR 30-61.185 Health Care
Not Observed
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19 CSR 30-61.190 Nutrition and Food Service
Not Observed
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19 CSR 30-61.200 Transportation and Field Trips
Not Observed
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19 CSR 30-61.210 Records and Reports
Not Observed
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Not Observed
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