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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Compliance
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19 CSR 30-61.055 License Renewal
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there was a broken garage window in the outdoor play space. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: cold medication, alka seltzer and ibuprofen. The item(s) was/were located in the upstairs bedroom to the right. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: an antibiotic. The item(s) was/were located at the top of the steps on the desk. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 Return Inspection
Compliance Date
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the gate surrounding the steps that lead to the down stairs was not secure. There were multiple bags of trash sitting on the steps. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Return Inspection
Compliance Date
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there is a rope used to tie up the dogs hanging from the back porch railing accessible to children. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Return Inspection
Compliance Date
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by splintering rail road ties were observed near the shed with an exposed nail. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: Clorox wipes. The item(s) was/were located in the children's inside play area. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 2/25/2019
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Violation Animal excrement was observed in an outdoor area used by children; the location of the excrement was dog excrement in the outdoor play area. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (D) states: Areas used by children shall be free of animal excrement. Correction Required No animal excrement shall be in areas used by children.
Correction Verification Return Inspection
Compliance Date
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there are 3 sump pump poles exposed in the outside play area, causing a tripping hazard. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage. Correction Required The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification Return Inspection
Compliance Date
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Violation Hazardous items as follows were accessible to children: lighters, butane fuel, medications, unlabeled pills in a pill box, jar of catnip. The item(s) was/were located located in the upstairs bedroom located at the top of the steps. The bedroom does not have a door, and there is a sheet hanging in the doorway. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 Return Inspection
Compliance Date
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Violation Children were not restricted to approved space as evidenced by the stair case that leads upstairs did not have a gate giving children access to the upstairs. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (E) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-61.086 Fire Safety
Compliance
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-61.095 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 there was one purple toy bin in the main play area observed with a pencil eraser dot sized red substance. Licensing Rule Reference 19 CSR 30-61.095 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
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| Provider Comments |
Violation Requirements for an approved assistant were not met as evidenced by the assistant present was not approved. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (A) states: An approved assistant shall be available. If there is a change of assistants, the provider shall notify the Child Care Licensing Unit immediately. Correction Required An approved assistant shall be available as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for safe sleep training were not met as evidence by the provider did not complete safe sleep training in that Karen Gober's safe sleep certification expired on 2.6.19. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 . states: Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule and published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions. Correction Required Provider and assistant shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Compliance
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Compliance
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19 CSR 30-61.185 Health Care
Compliance
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19 CSR 30-61.190 Nutrition and Food Service
Compliance
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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19 CSR 30-61.210 Records and Reports
Violation
| Provider Comments |
Violation 1 child(ren) records did not include field trip and transportation authorization. Licensing Rule Reference 19 CSR 30-61.210 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
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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.
Violation
| Provider Comments |
Violation The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Karen Gober, Brian Gober, Heather Gober (all need FCSR) and Arlene Segur (needs FCSR and fingerprints), was/were employed/present prior to the provider requesting the results of a criminal background check. Licensing Rule Reference RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services. Correction Required Required requests/results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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Violation The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Anthony Gober, was/were employed/present prior to the provider requesting the results of a criminal background check. Licensing Rule Reference RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services. Correction Required Required requests/results of criminal background checks shall be on file.
Correction Verification Corrected on Site
Compliance Date 2/25/2019
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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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