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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Initial Licensing Information
Violation
| Provider Comments |
Violation The provider had no evidence that fire safety requirements had been met. Licensing Rule Reference 19 CSR 30-62.042 Initial Licensing Information (3) (E) states: Prior to the granting of a license, the provider shall meet the requirements of 19 CSR 30-62.087 Fire Safety. Correction Required Prior to the granting of a license, the facility shall meet fire safety requirements.
Correction Verification Submit Documentation
Compliance Date 8/21/2018
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19 CSR 30-62.052 License Renewal
Compliance
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation Children were not restricted to approved space as evidenced by there was no gate in the dining room, leading to the kitchen and kitchen door was unlocked. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Submit Documentation
Compliance Date 9/7/2018
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Violation Children were not restricted to approved space as evidenced by children are being cared for in an unapproved additional space on the 1st and lower levels of the building. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Submit Documentation
Compliance Date
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Violation Hazardous items as follows were accessible to children: sanitizer. The item(s) was/were located in every room. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Corrected on Site
Compliance Date 10/16/2018
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Violation Hazardous items as follows were accessible to children: Hand sanitizer, essential oils, essential oil diffuser, sunscreen, bug spray, plastic bag, aspirin. The item(s) was/were located in various classes throughout the center and in cubbies throughout the hallways . Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 Submit Documentation
Compliance Date 7/23/2018
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Violation A clear glass door was not marked plainly at varying heights as evidenced by Glass doors in the classrooms were not marked. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 3. states: Clear glass doors shall be marked plainly at varying heights to avoid impact. Correction Required Clear glass doors shall be marked as required.
Correction Verification Submit Documentation
Compliance Date 9/7/2018
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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 that were between 3.5 and 9 inches and allow entrapment - the openings measured 6 inches at the bottom. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's emergency procedure plan did not include two off-site locations. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 4. F. states: Two (2) off-site locations identified as meeting places in case of evacuation; Correction Required Facilities emergency procedure must include required components.
Correction Verification Submit Documentation
Compliance Date 10/3/2018
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Violation The facility's disaster plan did not include exit routes to a safe location within the facility. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 10/3/2018
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Violation The facility's disaster plan did not include exit routes to a safe location out of the facility. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes; Correction Required Facilities disaster plan shall include required components.
Correction Verification Submit Documentation
Compliance Date 10/3/2018
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Violation The facility’s name, address and telephone number was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 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 Submit Documentation
Compliance Date 10/3/2018
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Violation The facility’s list of emergency numbers was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 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 Submit Documentation
Compliance Date 10/3/2018
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Violation The facility's evacuation route diagram was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 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 Submit Documentation
Compliance Date 10/3/2018
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 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 Submit Documentation
Compliance Date 10/16/2018
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Violation Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification Submit Documentation
Compliance Date 9/7/2018
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by dirt and debris was on the lower level landing. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children. Correction Required Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification Corrected on Site
Compliance Date 10/16/2018
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Violation Furniture/equipment, cubbie door, in the art room was not in good condition as evidenced by the hinge on the door was loose. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used. Correction Required The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Submit Documentation
Compliance Date 10/3/2018
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19 CSR 30-62.102 Personnel
Compliance
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Compliance
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility Correction Required Child enrollment information shall be completed and on file as requested.
Correction Verification Submit Documentation
Compliance Date 10/16/2018
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by a statement, certificate or record from a physician or other recognized health facility or personnel was not on file for 1 child(ren). Licensing Rule Reference 19 CSR 30-62.192 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 immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the 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 on file as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.202 Nutrition and Food Service
Violation
| Provider Comments |
Violation One serving of fluid milk was not served with each meal. Licensing Rule Reference 19 CSR 30-62.202 Nutrition and Food Service (1) (E) states: One (1) serving of fluid milk shall be served with each meal. Correction Required Milk shall be served as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation Daily attendance records were not maintained on file as required as evidenced by caregiver/volunteer attendance records were not maintained/kept on file for one year. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (7) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Caregiver/volunteer attendance records shall be maintained/retained as required.
Correction Verification Submit Documentation
Compliance Date 10/16/2018
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Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by child attendance records were not maintained/kept on file for one year. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (6) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Accurate records shall be maintained.
Correction Verification Submit Documentation
Compliance Date 10/16/2018
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Violation 1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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
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Violation 1 child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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
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Violation 1 child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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
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Violation 1 child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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
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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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