DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LAMB'S BRIDE CHILD CARE CENTER

000590570

(314) 531-2425

1324 TOWER GROVE AVE
ST LOUIS
MO  63110-3838

LAMB'S BRIDE CHURCH OF GOD

PO BOX 15126
ST LOUIS
MO  63110-0126

QUINLAN, PATRICK

LAMBS193@SYSMATRIX.NET

Incorporated

LEATRICE L DIXON

BIRTH - 12 YEARS

100

GROUP HOME AND CENTER

16 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/27/2019

1:30 PM

4:05 PM

UNANNOUNCED

REINSPECTION

2350070156


DocumentDocument-Date
REGISTERING FICTITIOUS NAMES 05/23/2013
DIRECTOR'S QUALIFICATIONS 05/23/2013
APPLICATION 06/17/2015
EQUIPMENT LIST 06/24/2015
LOCAL BUILDING APPROVAL 06/24/2015
STAFF SHEET 06/17/2015
LOCAL ZONING APPROVAL 06/24/2015
DIAGRAM/INDOOR 07/01/1995
DIAGRAM/OUTDOOR 07/01/1995
DISCIPLINE POLICIES 07/01/1995
DAILY SCHEDULE 07/01/1995
SAMPLE WEEKLY MENU 07/01/1995
SAMPLE FORMS 07/01/1995
JOB RESPONSIBILITIES 07/01/1995
CHILD CARE PRACTICES 07/01/1995
POLICIES 07/01/1995
SANITATION INSPECTION 11/17/2017
FIRE/SAFETY INSPECTION 08/23/2018




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 62
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 9
Total Children 38
StaffChildClass AgeNote
1 5 INFANTS AND TODDLERS Terry Mays with children ages 4 months to 1 year (out of ratio)
3 4 INFANTS AND TODDLERS Collie King, Eunice Head and Jennifer Jones with children ages 12 to 18 months
1 9 MIXED Denise Word with children 3 to 5 years
1 0 NO CHILDREN IN ATTENDANCE Linda Mosby, in charge with no children
2 11 PRESCHOOL Bobbie Davis and Annette Robinson with children ages 2 to 3 (2 are age 2 years)
1 9 TWO YEAR OLDS Tahria Anderson with children age 2 years

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
Posting requirements were not met as evidenced by the license was not posted near the entrance.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (O) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the facility.
Correction Required
The facility's license shall be posted.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
19 CSR 30-62.052 License Renewal
Not Observed
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 A wall space heater in the middle infant room was observed with a sweatshirt draped over it. CCFS Sims asked Collie King, in an adjoining infant room, if it should be over the space heater and was told "no". Since Ms KIng could not leave her room, CCFS Sims removed the sweatshirt from the space heater which was so hot it was physically uncomfortable to the touch.
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
Return Inspection

Compliance Date
2/27/2019
Violation
The facility has not met the requirements for state or local zoning as evidenced by the annual inspection certificate is expired.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not met the requirements for fire and safety as evidenced by the fire safety certificate is expired.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no soap.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Submit Documentation

Compliance Date

Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Submit Documentation

Compliance Date

Violation
The floors located (baseboards) in the preschool front area was/were not in good condition as evidenced by paint is chipped.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located the young twos room was/were not in good condition as evidenced by areas of peeling paint and unpainted drywall patches.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located school age room near the large shelf was/were not in good condition as evidenced by the repair tape is peeling off .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not met the requirements for state or local zoning as evidenced by the school-age building does not have current building or zoning approval.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility has not met the requirements for state or local sanitation as evidenced by was not passed.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.

Correction Verification
Submit Documentation

Compliance Date

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 the disaster and tornado drill was not held at least one time every three months.
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

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

19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility's written emergency plan did not include plans for lock-down procedures.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) 3. states: Lock-down procedures in situations that may result in harm to persons inside the facility such as a shooting, hostage incident, intruder, trespassing, or disturbance or to be used at the discretion of the director, designee, or public safety personnel;
Correction Required
Facility emergency plan must include required components.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, sink cabinet, in the school age room was not in good condition as evidenced by paint is peeling off the surfaces.
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

Violation
The requirements for sleeping materials were not met as evidenced by 1 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for sleeping materials were not met as evidenced by 2 children 12 months or older, who nap or sleep, did not have a blanket.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 14 (all school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional 15 (all school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for library and language activities. The facility needed an additional 3 (all school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. E. states: Library and language activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for large muscle activities. The facility needed an additional 7 (all school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. D. states: Large muscle activities;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for creative arts. The facility needed an additional 14 (both preschool and school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. C. states: Creative arts;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for manipulatives. The facility needed an additional 14 (both preschool and school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional 17 (both preschool and school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. A. states: Blocks, construction and transportation toys;
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by at the 3/27/2018 inspection, equipment in the School-Age building was broken, dirty, or not in good condition. The piano had black build up and residue. The tamborines were broken. The play kitchen had broken doors with sharp edges and dirty build up and residue in the sink and throughout the surface. Games were missing pieces or batteries that made the games unusable: Gone Fishing, Sorry, Candyland, Matching Games, Electric Piano, and Spirograph set. At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received.
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
Return Inspection

Compliance Date

Violation
The facility had an insufficient amount of equipment and materials. The facility need an additional 24 (both preschool and school-age) items.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. . states: A minimum of forty (40) approved items shall be required for every ten (10) children in the licensed capacity of the facility. The forty (40) items shall include at least four (4) items from each of the following categories:
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 14 (all school-age) items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences.
Correction Required
The facility shall provide appropriate equipment for children as required.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by Annette Robinson stated she had 4 infants in her care when she did not; Denise Word stated the ages of the children in her care incorrectly. She stated that her group consisted of 3 to 5 year olds when the group was actually 3 to 11 year olds; On 02.01.19 Jennifer Jones stated that she had 14 children and only had 11. She said she had been told that she had 13 when she arrived, staff member Bobbie Davis told her that they had take 2 of the 2 year olds to another room because of space for cots. Denise Word was incorrect in knowing the ages of children in her care..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (E) states: Caregivers shall have knowledge of the needs of children and shall be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall meet child care personnel requirements.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
A caregiver did not handle an emergency promptly and/or intelligently as evidenced by At approx. 145 PM Sister Bobbie Davis came into Linda Mosby, acting director's office to call her out to the room. When she returned Ms Mosby stated there had been a medical emergency and a preschool child had had a seizure. CCFS Dixon and Sims questioned whether the child has a history of seizure. No staff knew. CCFS Dixon and Sims stated that the facility needed to contact Emergency personnel and helped Ms Mosby review the file and medical exam. Nothing was noted regarding seizure on the medical exam. Staff wanted to contact parents first and CCFS Dixon and Sims stated that they needed to call 911 first. Sister Davis called 911 at 2 Pm , then called the parent. The parent arrived at 2:20 PM and took the child out of the facility to go to the hospital. At 2:30 PM emergency personnel had not arrived at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (F) states: Caregivers shall be capable of handling emergencies promptly and intelligently.
Correction Required
Caregivers shall properly handle emergencies.

Correction Verification
Return Inspection

Compliance Date

Violation
Daysha Benson, Denise Word and Tahria Anderson. On 02.27.19 Tahria Anderson, Linda Wilks, Denise Word and Daysa Benson did not have documentation of safe sleep training, did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (D) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.

Correction Verification
Submit Documentation

Compliance Date

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: as of 3.27.2018, staff needing additional clock hours for 2017: Lewis Claybon needs 12 hours .
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

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: Lewis Claybon needs 4 clock hours to be applied to 2016 hours.
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

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: the following were observed Lewis Claybon has 0/12; Bobbie Davis has 11.5/12; Ebony Davis has 7.5/12, Eunice Head has 10.5/12; Jennifer Jones has 8.5/12; Collie King has 11.25/12; Terry Mays has 0/12; Larissa Saunders has 10/12; Falisha Wilkins has 8/12; Daysha Benson has 0/1; Linda Wilks has 0/6; Kenya Templer has 0/2 and Denise Word has 0/1.
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

Violation
The director is not routinely on duty as required, as evidenced by there is currently no approved director. The position became vacant and SCCR was notified the week of 01.14.19 by Pastor Davis. No director approval request has been received as of this date. On 02.27.19 there is no approved director.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 2. states: Center directors and group day care home providers routinely shall be on duty during the hours of highest attendance a minimum of forty (40) hours per week. If the facility operates less than forty (40) hours per week, the center director or group day care home provider shall be on duty at least fifty percent (50%) of the operating hours.
Correction Required
The director/group day care home provider shall be routinely on duty as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by there is currently no approved director. The position became vacant and SCCR was notified the week of 01.14.19 by Pastor Davis. No director approval request has been received as of this date. On 02.27.19 there is no approved director..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (2) (A) 1. states: The group day care home provider or the individual designated as the center director shall be responsible for planning, monitoring, and managing the facility's daily program.
Correction Required
Group Day Care Home provider or center director shall be responsible for the daily planning, monitoring and managing of the facilities daily operations.

Correction Verification
Submit Documentation

Compliance Date

Violation
The requirements for availability and understanding of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri were not met as evidenced by the caregiver stated he/she was unaware of the specific licensing rule(s) in that caregivers were observed keeping children on their cots for over an hour and when asked about the rules, they did not know the appropriate rules regarding length of time children can be kept on cots.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (H) states: The provider shall have available a copy of the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri. All caregivers and volunteers working directly with children shall be required to review and be knowledgeable of the rules at the time they begin work and shall be able to understand and apply those rules which relate to their respective responsibilities.
Correction Required
Licensing rules shall be available; adults working directly with children shall be knowledgeable of the rules.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 20 children ages 5 to 12 were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct caregiver-child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date

Violation
Caregiver-child ratio requirements were not met as evidenced by 4 children ages 4 to 11 months were cared for by 0 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
Caregiver-child ratio requirements were not met as evidenced by 9 children ages 2 years were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (B) states: Age Two (2) Years. Groups composed solely of two (2)-year olds shall have no less than one (1) adult to eight (8) children, with no more than sixteen (16) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

Violation
Caregiver-child ratio requirements were not met as evidenced by 5 children ages 4 months to 1 year were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by Child 12 has no file/no school age health report.
Licensing Rule Reference
19 CSR 30-62.122 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
2/27/2019
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for (On 06.28.18) Annette Robinson, Martha Brooks, Stephanie Smith, Anna Walker Patricia Green and Tracy Templer On 07.18.18 Annette Robinson, Patricia Green, Stephanie Smith, Tahria Anderson, Martha Brooks, On 08.01.18 the following staff did not have complete TB Risk assessment forms: Annette Robinson, Patricia Green, Stephanie Smith and Taharia Anderson. On 08.16.18 the following staff still need tb assessments Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.0618 the following staff have no evidence of TB Risk Assessments on file: Tracy Templer, Tahria Anderson, Annette Robinson . On 01.23.19 the following staff need TB Risk assessment: Annette Robinson; Tahria Anderson; Tracy Templer; Linda Wilks; Kenya Templer; Daysha Benson. On 02.27.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, and Daysa Benson had no TB Risk Assessment on file.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report was not on file for Annette Robinson, Martha Brooks, Patricia Green On 08.01.18 the following staff did not have medical exams in their files: Annette Robinson, Patricia Green, Stephanie Smith and Tahria Anderson. On 08.16.18 the following staff still need medical exams Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.06.18 the following staff still need medical exams: Chantel Johnson (medical does not have all information), Tracy Templer (medical is incomplete), Tahria Anderson (no medical exam), Annette Robinson (no medical exam. On n01.23.19 the following staff need medical exams: Annette Robinson; Tahria Anderson ; Chantel Johnson; Linda Wilks; Daysha Benson; Kenya Templer. On 02.27.19 Annette Robinson, Tahria Anderson, Chantel Johnson, Linda Wilks, Kenya Templer, and Daysa Benson had no medical exam on file 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 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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 as evidenced by Child 8 has no authorization for emergency medical care.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. E. states: They have received a copy of the provider's safe sleep policy when enrolling children less than one (1) year of age.
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. D. states: They understand and agree that the child may not be accepted for care when ill.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. C. states: They and the provider have agreed on a plan for continuing communication regarding the child's development, behavior and individual needs;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. B. states: They have been informed that the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available in the facility for their review;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. A. states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by Children 2, 4, 11, 12 (Child 12 has no file or enrollment forms).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
A diet plan for each infant/toddler was not signed by the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 3. states: A diet plan for each infant/toddler signed by the parent(s);
Correction Required
Caregivers shall follow each infant's feeding instructions as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not met as evidenced by there was no plan on file for a child with special needs.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The facility's written policies were not implemented as evidenced by a 8 month old baby was observed sleeping in a bouncer seat. When staff member Terry Mays returned to the room she moved the infant to a crib. The classroom with 4 infants was unattended by any staff member.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (1) states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Violation
 Provider Comments
Violation
Caregiver did not provide frequent, direct contact as evidenced by a preschool child was observed wandering out of her classroom, into another room, into the bathroom, and back again to her room multiple times unobserved by her teacher Annette Robinson. CCFS Dixon brought this to her attention.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Caregivers failed to supervise and assist children under age three while in the bathroom as evidenced by Tahria Anderson sent a two year old into the bathroom then left the child alone in the bathroom. CCFS reminded her she need to be in the bathroom with the 2 year olds.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 4. states: Children under three (3) shall be supervised and assisted while in the bathroom.
Correction Required
Children under age three shall be supervised and assisted in the bathroom.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
Requirements for the nap or rest period for preschool children were not met as evidenced by child(ren) was/were forced to remain on sleeping equipment more than one hour when awake.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (A) 6. states: Preschool children who do not sleep shall rest on cots or beds at least thirty (30) minutes, but shall not be forced to remain on cots or beds for longer than one (1) hour. They shall then be permitted to leave the napping area to engage in quiet play.
Correction Required
Caregivers shall provide supervised nap or rest periods, and quiet activities for children who are awake as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by preschool hildren were observed sitting at a table for over 15 minutes with out anything to do while waiting for snack to come out of the kitchen. CCFS Dixon and Sims discussed that children should not be required to sit for extended periods of time without anything to do.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (2) (B) 1. states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children;
Correction Required
Daily activities for preschool and school-age children shall be provided as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Requirements for supervision of napping children were not met as evidenced by infants and toddlers did not have constant care and supervision in that Terry Mays was not in her room upon CCFS arrival leaving 4 infants without any supervison.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (D) 1. states: Infants and toddlers shall have constant care and supervision. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping or sleeping.
Correction Required
Caregivers shall provide constant care and supervision of infants/toddlers as required.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 1 (Child 12 has no file/no immunization records immunization record(s) was/were not on file .
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
Return Inspection

Compliance Date
2/27/2019
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 3 (Child 1, 2, 4); 4 children (Children 3, 5, 7, 11 on 01.23.19 including 3 children from previous report who were Children 1, 2, 4)) 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
Return Inspection

Compliance Date
2/27/2019
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 2 (Child 5 and Child 8) 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

Violation
Requirements for handwashing were not met as evidenced by staff members did not help or direct children to wash their hands before eating.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (6) (B) states: Caregivers shall teach children to wash their hands before eating and after toileting.
Correction Required
Staff/children shall wash hands as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Facility did not submit the 2019 annual summary report showing immunization status of each child enrolled by January 15.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (D) states: The administrator of each day care facility shall prepare a record of immunization of each child enrolled in or attending the facility. An annual summary report shall be made by January 15 showing the immunization status of each child enrolled, using forms provided by the department (see 19 CSR 40-61.185). The immunization records shall be available for review by department personnel upon request.
Correction Required
Facility shall submit an annual summary report by January 15 showing the immunization status of each child enrolled.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that Child 9's plan is not updated .
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods.
Correction Required
A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by CCFS Dixon and Sims discussed that children's files need to be complete and available . CCFS Dixon and Sims requested files when Chantel Johnson arrived however, files where not readily available and Ms Chantel needed to look through various filing cabinets to assemble files and find documents on staff and children. At 11:20 AM were still waiting for children's files..
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by children's attendance records were incorrect in that many children were present but not recorded as signed in; additionally face-to-name tracking sheets were also incorrect. as children transitioned from on room to another.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.

Correction Verification
Submit Documentation

Compliance Date

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

Violation
1 child(ren) records did not include child's address.
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

Violation
Documentation that all staff have attended 3 hours of training on supervision by June 25, 2016 (see probationary terms) (7/5/17 Lewis Claybon has not attended supervision training. As of 7/12/17 Lewis Claybon has not attended supervision training). At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received, requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
Documentation that all staff have attended 2 hours of Licensing Rule Review training by June 25, 2016 (see probationary terms). (7/5/17 Staff members Lewis Claybon and Falisha Wilkins have not attended rule review training. On 7/12/17 Lewis Claybon has not attended rule review training) (At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received) as, requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
A supervision policy which includes the items specified in the probationary terms to be submitted by June 25, 2016 (At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received), requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
Written procedure detailing how new staff hired will be trained on licensing rules and supervision of children to be submitted by June 25, 2016 (At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received), requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
Documentation that the director has had a staff meeting with all staff on or before April 25, 2016 to review proper supervision of children (see probationary terms) (At the 4/10/2018 inspection, no evidence that this violation was corrected, was observed or received), requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
There is no current business license on site, requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (17) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.

Correction Verification
Submit Documentation

Compliance Date

Violation
An individual file was not kept for Child 8 (previously child 5) Child 12 has no file on site child(ren).
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) . states: An individual file shall be kept to identify each child and enable the provider to communicate with the parent(s), guardian or legal custodian of the child in an emergency.
Correction Required
Accurate records shall be maintained.

Correction Verification
Return Inspection

Compliance Date
2/27/2019
Violation
3 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 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
Submit Documentation

Compliance Date

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

Violation
1 child(ren) records did not include address of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include home 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

Violation
4 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

RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Violation
 Provider Comments
Violation
The provider did not meet requirements for requesting a criminal background check. The provider did not request the results of a criminal background check for Toney Davis, Lewis Claybon, Deandra Hogan, Terry Mays, Theola Perkins-Johnson, Dedre Flynn, Falisha Wilkins, Eunice Head, Ebony Davis, Jennifer Jones, Annette Robinson, Tahria Anderson, Tracy Templer, Chantel Johnson, Linda Wilks, Denise Word, Kenya Templer, Daysa Benson and Linda Mosby prior to January 31, 2019.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (3) states: A family child care home, group child care home, child care center, or license-exempt child care facility that has child care staff members at the time this section becomes effective* shall request the results of a criminal background check for all child care staff members by January 31, 2019, unless the requirements of subsection 5 of this section are met by the child care provider and proof is submitted to the department of health and senior services by January 31, 2019.
Correction Required
Required requests of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date