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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Violation
| Provider Comments |
Violation There was no signed statement on file for Kim Hanlon, Shandra Sutton, and Kaitlyn Hanlon 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 8/22/2018
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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 the medical examination on file is older than 12 months before the individual's begin date at the facility. Licensing Rule Reference 19 CSR 30-60.060 Health Requirements 1 (D) 1 states: Physical assessment reports shall be completed not more than twelve (12) months before beginning work in the facility. The reports may be transferred to another facility for future employment. Correction Required Medical/TB reports shall be on file as required
Correction Verification Submit Documentation
Compliance Date 9/6/2018
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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
Compliance
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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's admitting procedure did not include an individualized special care plan for a child with special needs from a qualified professional source. Licensing Rule Reference 19 CSR 30-60.120 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care. Correction Required The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.
Correction Verification Submit Documentation
Compliance Date 8/22/2018
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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.
Violation
| Provider Comments |
Violation Requirements for sanitation inspection were not met as evidenced by the inspection has not been conducted. Licensing Rule Reference RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification Submit Documentation
Compliance Date 7/26/2018
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Violation Requirements for fire/safety inspection were not met as evidenced by the inspection was not approved. Licensing Rule Reference RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility. Correction Required An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification Submit Documentation
Compliance Date 7/26/2018
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