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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 space for infants and toddlers is not separated by floor-to-ceiling walls.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (III) states: If a unit for infants and toddlers is auxiliary to a facility for older children, centers initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, shall have play, sleeping and bathroom space in the infant and toddler unit. This space shall be separated from the space used for older children by floor-to-ceiling walls;
Correction Required
Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)
Correction Verification
Corrected on Site
Compliance Date
1/30/2019
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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
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Individual chairs and table spaces were not adequate for the facility's licensed capacity of children 12 months of age and older as evidenced by 2 chairs/table spaces were not proportioned so children's feet were firm on the floor when sitting back as far as possible on the chair.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (C) 1. A. states: Individual chairs and table space for the licensed capacity of the facility shall be available for children twelve (12) months of age and older. Chairs shall be proportioned so children's feet are firm on the floor when they are sitting back as far as possible on the chair.
Correction Required
The facility shall provide appropriately sized, individual chairs and table spaces for all children 12 months or older.
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 training documents were not available for review. The staff listed need the following documentation: Ky Ngo only had 5.75 clock hours that could be verified for 2018. Ky Ngo still needs 6.25 clock hours for 2018.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (B) states: All training shall be documented with the dates, the number of hours of training completed, the subject, and the name of the individual(s) who conducted the training. This information shall be on file at the facility and available for review.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The director is not routinely on duty as required, as evidenced by the facility does not currently have an 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
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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
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Lindsey Kuehnel 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
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Lindsey Kuehnel.
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
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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
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
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
Compliance
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19 CSR 30-62.222 Records and Reports
Compliance
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
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