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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Violation
| | Provider Comments |
Violation
Posting requirements were not met as evidenced by the license was not posted near the entrance.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (N) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the home where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the home.
Correction Required
The facility's license number shall be posted.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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19 CSR 30-61.055 License Renewal
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The walls located in and around the bathtub was/were not in good condition as evidenced by the bathtub itself and the walls around the bathtub appear to be deteriorating with black, discolored grout areas.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 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
Return Inspection
Compliance Date
7/11/2018
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Violation
The walls located throughout the kitchen, hallway, and doorways was/were not clean as evidenced by brown build up and residue was observed at child's height.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 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
Return Inspection
Compliance Date
7/11/2018
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19 CSR 30-61.086 Fire Safety
Compliance
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
An exit located in the back area leading to the outdoor play space was blocked by to planters pots, a mop bucket, and various shoes.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (A) 2 states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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Violation
The requirements for sleeping materials were not met as evidenced by 2 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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Violation
The requirements for sleeping materials were not met as evidenced by 3 children 12 months or older, who nap or sleep, did not have a blanket.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
The provider was not present 40 hours a week during the hours of highest attendance as evidenced by the provider has no evidence that she is present each week during the hours of highest attendance because there is no attendance on site for child care provider Jennette Williams.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (A) states: The provider routinely shall be present during the hours of highest attendance a minimum of forty (40) hours per week.
Correction Required
The provider shall be routinely on duty as required.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 1 (E) . 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
7/11/2018
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Violation
The medical examination report and/or the school-age health report form(s) used were not supplied by the department or did not contain all the required information as evidenced by two child files (Child #3 & Child #8) have have forms from a doctor's office however they are not on the department form and did not include information as required on the department form.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (E) states: The medical examination report form and the health history report for school-age children shall be supplied by the department or the provider may use his/her own form if it contains all the information on the department's form.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2018
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19 CSR 30-61.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by two child files did not include authorization for emergency medical care.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2018
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
The requirements for admitting and dismissing children were not met as evidenced by the provider or assistant dismissed a child to an unapproved individual.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 2 states: The provider or an assistant personally shall admit each child upon arrival and personally shall dismiss each child upon departure. Children shall be dismissed only to the parent(s), guardian, legal custodian, or to the individual(s) approved by the parent(s), guardian, or legal custodian.
Correction Required
Each child shall be admitted and dismissed by a caregiver as required.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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19 CSR 30-61.185 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 1 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2018
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19 CSR 30-61.190 Nutrition and Food Service
Compliance
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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19 CSR 30-61.210 Records and Reports
Violation
| | Provider Comments |
Violation
An individual child's record was not retained for a minimum of one year as evidenced by 15 child files of children present in December 2017 were not at the facility. Ms. Jennette stated that she gave the files to Faith's In Home Child Development Center 2 LLC.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 5 states: Individual children's records shall be retained a minimum of one (1) year after the child discontinues attendance.
Correction Required
Individual children's records shall be retained as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2018
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Violation
Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 7 states: Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Child and caregiver/volunteer attendance records shall be maintained/retained as required.
Correction Verification
Return Inspection
Compliance Date
7/11/2018
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Violation
One child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (A) states: The child’s full name, address, birth date and the date care begins and ends.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/11/2018
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Violation
Four child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 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
7/11/2018
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Violation
Two child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-61.210 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
7/11/2018
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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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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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