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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
Compliance
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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 Children were not restricted to approved space as evidenced by the door to the furnace room and water heater was open. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (E) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Corrected on Site
Compliance Date 7/27/2018
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Violation The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the opening measured 3 feet in that the gate to the back yard (not child care space) was open. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped. Correction Required The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification Corrected on Site
Compliance Date 7/27/2018
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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
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for child care as evidenced by there was no plan available in the room used as both a playroom and an office. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children. Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Corrected on Site
Compliance Date 7/27/2018
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19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| Provider Comments |
Violation The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (E) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home. Correction Required Assistant information shall be posted as required.
Correction Verification Corrected on Site
Compliance Date 7/27/2018
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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
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Compliance
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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
Compliance
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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 3 (Child # 2 needs HIB after age 1, , Child #4 needed Hep B and PCV) 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
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider failed to serve nourishing foods appropriate for Infant as specified by parents as evidenced by there are no parent instructions for a child ( Child #4) who is under age 2 . Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 2 (A) states: The provider shall serve nourishing foods appropriate for the infant's individual nutritional requirements and developmental stages as specified by his/her parent(s). Correction Required The provider shall serve nourishing foods as required.
Correction Verification Submit Documentation
Compliance Date
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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 Daily attendance records were not maintained on file as required as evidenced by there was no child attendance record. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 6 states: Daily child attendance records 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 Submit Documentation
Compliance Date
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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 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 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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