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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): Heather and Amy. 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 8/28/2018
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19 CSR 30-60.050 Staffing Requirements
Violation
| Provider Comments |
Violation There was no signed statement on file for Heather, Danny, Amy Turnball, Amanda Gibbons 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 8/28/2018
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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 a medical examination was not on file within 30 days of an individual beginning to work with children. 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 8/28/2018
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Violation Requirements for children's medical examination reports were not met as evidenced by the school-age child health report was not on file the first day the child attended - the admission date was 8-25-17. Parent signature not on Form . Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 4 states: A parent of a school-age child shall provide a statement at the time of enrollment indicating the child's health history, any current health problems and any restrictions necessary for the child's care. Correction Required Children's physical assessment reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 8/28/2018
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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 Doors to the bathroom or stalls did not meet requirements as evidenced by there was a lock on the bathroom door. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 3 (C) states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade. Correction Required Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.
Correction Verification Submit Documentation
Compliance Date 8/28/2018
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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 7.5 inches - at the corner of the outdoor play yard.. 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 8/28/2018
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the presence of tree branches were sticking out at children's level posing a risk to be poked in the eye.. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Submit Documentation
Compliance Date 8/28/2018
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Violation The facility failed to meet requirements for 14 children, who nap or sleep, did not have a sheet. Licensing Rule Reference 19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (A) states: An individual mat, cot or bed with an individually assigned sheet and blanket provided for each child who naps or sleeps. Upper levels of bunk beds shall not be used. If mats are used they shall have nonabsorbent, cleanable coverings and shall not be placed directly on concrete, linoleum, hardwood, or tile floors when children are resting or napping. They shall be used only over carpeting and shall be long enough so the child's head or feet do not rest off the mat. Mats shall be washed and sanitized at least weekly, or more often as needed, and shall be cleaned and sanitized before use by another child. Correction Required An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification Submit Documentation
Compliance Date 8/28/2018
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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 Two children 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 8/28/2018
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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 210.115 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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