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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
Compliance
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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 The premises were not safe and suitable as evidenced by there are no curb stops to prevent vehicles from running into the fence or the side of the building. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children. Correction Required The premises shall be safe and suitable for the care of children.
Correction Verification Submit Documentation
Compliance Date
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Violation The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date 1/30/2019
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Violation The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by there was no potty chair/junior commode/adaptor seat provided. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (C) 2. states: One (1) potty chair, junior commode or toilet with an adapter seat shall be provided for every four (4) children being toilet trained. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use. Correction Required The facility shall provide and clean/sanitize potty training equipment as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.087 Fire Safety
Violation
| Provider Comments |
Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Licensing Rule Reference 19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification Submit Documentation
Compliance Date 1/30/2019
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used. Correction Required Safe and secure feeding equipment shall be provided as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Outdoor equipment, the cube climber, in the outdoor playground was not free of loose parts as evidenced by the platform is ripped and poses a pinching hazard. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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 Outdoor play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date 1/30/2019
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Violation Outdoor equipment, the playhouse, in the outdoor playground was not in good condition as evidenced by the "wall area" is no longer secured. This poses a pinching hazard. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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 Outdoor play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date 1/30/2019
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Violation Outdoor equipment, the little tikes climber with the pink tunnel, in the outdoor playground was not in good condition as evidenced by the plastic is torn/ripped and presents a laceration hazard. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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 Outdoor play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date 1/30/2019
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Violation Outdoor play equipment, the large canopy had 1 stake protruding vertically from the metal frame, was not safe as evidenced by exposed bolts or screws were not recessed into the frame, covered or filed to avoid sharp edges. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (3) (H) states: Exposed bolts and screws shall be recessed into the frame, covered or filed to avoid sharp edges. Correction Required Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Nancy Inman must have 6 additional hours to meet 2018 requirements; Megan Schnedler and Michele Strange must have 9.5 additional training hours on file to complete 2018 requirements. Licensing Rule Reference 19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each year of employment in training which is approved by the department in - health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child related areas. Correction Required Required training hours shall be documented for each employee.
Correction Verification Submit Documentation
Compliance Date
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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
Not Observed
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19 CSR 30-62.132 Admission Policies and Procedures
Compliance
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Compliance
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19 CSR 30-62.192 Health Care
Compliance
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 1 child(ren) records did not include date care begins and ends. Licensing Rule Reference 19 CSR 30-62.222 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 Submit Documentation
Compliance Date
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Violation 2 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 2 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file 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 30-62.222 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 1/30/2019
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Violation Enrollment, medical and attendance records were removed from the facility during hours the facility is open and operating. Licensing Rule Reference 19 CSR 30-62.222 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 facility during the hours the facility 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
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Violation Records were not available for inspection by the department upon request as evidenced by the children's records and staff records were not on the premises. Children's emergency documentation was on site. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (16) states: All records shall be available in the facility for inspection by the department upon request. Correction Required Records shall be available at the facility for inspection.
Correction Verification Return Inspection
Compliance Date
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Not Observed
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