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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
A stairwell with a drop-off of more than 24 inches had a railing/barrier with openings of more than four inches (4). The measurement of railing/barrier openings is 8 inches .
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (G) states: Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing or barrier shall be constructed to prevent the child from crawling or falling through, or becoming entrapped.
Correction Required
The facility shall provide an approved railing or barrier as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
Hazardous items as follows were accessible to children: cough ad cold medicine . The item(s) was/were located on a shelf in an unlocked bedroom.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
Hazardous items as follows were accessible to children: carpet cleaner, brillo, windex, toilet bowl cleaner, multi surface cleaner, dish soap, lysol and bug spray. The item(s) was/were located under the kitchen sink..
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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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 front gate was open 5 inches, and the back gate was open 5 1/2 inches.
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
Return Inspection
Compliance Date
8/29/2018
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by shopping bag full of empty soda cans.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
The smoke detector was beeping signaling the battery is needs to be changed.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 10 (B) states: Smoke detectors shall be in good operating condition with a functional battery installed. If the smoke detector is not operational, the provider shall install a smoke detector that is powered by the home's electrical system with a nine (9)-volt battery backup.
Correction Required
Smoke detectors shall be installed and in good operating condition.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's name, address and telephone number was not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 A states: The name, address, and telephone number of the facility.
Correction Required
Facility must post information as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
The facility's list of emergency numbers were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 1 B states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station.
Correction Required
Facility must post information as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 2 states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 3 states: Any special instructions for infants and non-ambulatory children.
Correction Required
Facility must post information as required.
Correction Verification
Return Inspection
Compliance Date
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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 provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following provider/employee/adult household member: Dee Dee Jones.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (L) states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-61.045 Initial Licensing Information and 19 CSR 30-61.055 License Renewal. This shall include the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, all persons employed by the child care provider, and all adult household members. The child care provider shall request a criminal record review within ten (10) days following the employment of any person and within ten (10) days after any adult becomes a household member. The department may request a criminal record review for any adult present in the family day care home when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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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
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 unknown.
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
Return Inspection
Compliance Date
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Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by 3 children did not have the form signed by the parent.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (D) states: The parent(s) of a school-age child shall provide a report 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
Child medical requirements shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-61.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The provider did not have a completed and signed form for related children.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 7 . states: If care is provided for children related to the provider who do not live in the home, the parent(s) shall complete and sign a form which is supplied by the department. The form shall be on file at the home before related children are accepted for care and shall contain the following identifying information:
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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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
Compliance
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19 CSR 30-61.185 Health Care
Violation
| | Provider Comments |
Violation
There was no parental written objection to immunizations on file for 5 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (B) 2 B states: A parent or guardian exemption by which a child shall be exempted from immunization requirements if one (1) parent or guardian files a written objection to immunization with the day care administrator. Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department is filed with the day care administrator by the parent or guardian. Exemption forms shall be provided by the department.
Correction Required
Child immunization requirements shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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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
Enrollment, medical and attendance records were not accessible at all times as evidenced by Theresa Henderson, approved assistant did not know where to access the children or staff files.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 8 states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
8 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
Return Inspection
Compliance Date
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Violation
4 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
Return Inspection
Compliance Date
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Violation
3 child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
8/29/2018
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Violation
3 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
Return Inspection
Compliance Date
8/29/2018
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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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