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

MOSBY, LINDA ANN

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

06/26/2019

8:30 AM

4:17 PM

UNANNOUNCED

CLOSE SUPERVISION

2351925194


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: 45
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 11
Total Children 43
StaffChildClass AgeNote
2 6 INFANTS AND TODDLERS Raven Bobo and Annette Robinson with children ages 12 to 18 months
2 5 INFANTS AND TODDLERS Collie King and Deandra Hogan with children ages 3 months 11 months
2 10 MIXED Denise Word and Zipporah Sykes with children ages 2 to 5 (one is age 2 years)
1 7 MIXED Bobbie Davis with children ages 2 to 3 years
2 0 NO CHILDREN IN ATTENDANCE Linda Mosby, director Lewis Claybon, cook (observed outside putting children on a bus in front of the building)
1 9 SCHOOL AGE Barbara Jackson with children ages 5 to 9 years
1 6 TWO YEAR OLDS Ebony Davis with children ages 2 years

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The bathroom was not clean and odor free as evidenced by the floor was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
Violation
Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.
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
Corrected on Site

Compliance Date
6/26/2019
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility's outdoor space was not safe for children's activities as evidenced by trash and debris observed on the playground, heavy weeds and growth along the fence line.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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
Submit Documentation

Compliance Date

Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured the corner of the fence into the dumpster area has an open area large enough to crawl through. The bottom of this same area has entrapment spaces that push out to over 1 foot.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Submit Documentation

Compliance Date

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
4/25/2019
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
Return Inspection

Compliance Date
6/26/2019
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
Return Inspection

Compliance Date
6/26/2019
Violation
Window and door requirements were not met as evidenced by there was no screen on an open door.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 2. states: Open windows and doors shall be screened securely. Barriers to prevent children from falling against windows or falling from windows shall be provided when windows are less than twenty-four inches (24") from the floor and not constructed of safety glass or other nonbreakable material.
Correction Required
Open windows and doors shall be screened securely and barriers shall be installed as required.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
Violation
Children were not restricted to approved space as evidenced by the door was open to the staff lounge/laundry area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
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

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
Return Inspection

Compliance Date
6/26/2019
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 premises were not safe and suitable as evidenced by a plunger, used by staff to plunge a toilet of excrement, was placed on the floor in the school age boys bathroom.
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
Corrected on Site

Compliance Date
6/26/2019
Violation
Hazardous items as follows were accessible to children: vaseline, liquid soap, plastic bags. The item(s) was/were located the diaper table sink in the 2 year old room.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings large enough for a child to crawl or fall through - the openings measured over 12 inches as the gates were open and unlatched leading to the street.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the large wooden enclosure in the grassy area of the playground is coming apart at the corners exposing sharp areas and metal connectors, the side of a building that is part of the playground enclosure has an open dryer vent without a cover exposing screws,.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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
Submit Documentation

Compliance Date

Violation
The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.

Correction Verification
Submit Documentation

Compliance Date

Violation
The walls located the preschool restrooms (sides of stalls) was/were not in good condition as evidenced by the metall wall area are rusting and have bubbling paint.
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
Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach.
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
Corrected on Site

Compliance Date
6/26/2019
Violation
The floors located the exit to the playground (concrete steps) was/were not in good condition as evidenced by paint is peeling.
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 floors located the tiles in the young infant room and the far right infant room was/were not in good condition as evidenced by tiles are cracked and buckling in the center area of the young infant room and by the window in the far right infant room.
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 corner area by cribs in the young infants room, wall in the middle infant room near the door, the stage area door frame, and an area in the preschool room by the electrical outlet was/were not in good condition as evidenced by paint is chipping and peeling.
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 in school age room (labeled media center) was/were not in good condition as evidenced by chipping paint and crumbling dry wall at the men's room door (left side).
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

19 CSR 30-62.087 Fire Safety
Compliance
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

Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, seating ledge , in school age room library center was not in good condition as evidenced by paint is chipping.
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
Furniture/equipment, sink cabinet , in the 2 year old room was not in good condition as evidenced by the particle board is crumbling.
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
Furniture/equipment, diaper table cabinet, in the young 2's room was not in good condition as evidenced by the door is hanging off.
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
Corrected on Site

Compliance Date
6/26/2019
Violation
The requirements for sleeping materials were not met as evidenced by 3 children 12 months or older was/were sleeping/napping on 2 school agers were sleeping on a table top, one was sleeping on a bean bag chair.
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
Corrected on Site

Compliance Date
6/26/2019
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
4/25/2019
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
4/25/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
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
6/26/2019
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not provided for each infant in that the capacity of infants under 12 months at the facility is 16 infants; there are only 12 cribs on site. This is not enough sleeping equipment appropriate for the age of the children in the licensed capacity .
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. A. states: An individually assigned crib, portable crib or playpen shall be provided and used for each infant and toddler. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment 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
4/25/2019
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
4/25/2019
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
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
Submit Documentation

Compliance Date
4/10/2019
Violation
Daysha Benson, Denise Word and Tahria Anderson. On 02.27.19 Tahria Anderson, Linda Wilks, Denise Word and Daysa Benson. On 06.26.19 Linda Wilks 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
Requirements for safe sleep training were not met as evidenced by Linda Mosby did not complete safe sleep training in that expired safe sleep training.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center 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 as 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
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

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. On 06.26.19 the following staff need the additional clock hours noted for 2018: Bobbie Davis .50, Ebony Davis 4.5, Lewis Claybon 12, Collie King .75, Larissa Saunders 2, Falisha Wilkins 4, Eunice Head 3, Jennifer Jones 3.5, Linda Wilks 6, Denise Word 1. Kenya Templer .50.
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 provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, employees or volunteers counted in staff/child ratio: Lewis Claybon, Dedre Flynn, Jennifer Jones, Linda Wilks, Raven Bobo, Barbara Jackson and Vera Messenger (have no receipts or fcsr screenings); Deandra Hogan, Chantel Johnson and Denise Word (have receipts for fingerprinting but no fcsr confirmation).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) . states: The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following volunteers counted in staff/child ratio, caregivers or other personnel: Lewis Claybon, Dedre Flynn, Jennifer Jones, Linda Wilks, Raven Bobo, Barbara Jackson and Vera Messenger (have no receipts or fcsr screenings); Deandra Hogan, Chantel Johnson and Denise Word (have receipts for fingerprinting but no fcsr confirmation).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) states: Volunteers counted in staff/child ratios, caregivers, and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10) days of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect involving these persons in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were various for (Child 4 and Child 5).
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for 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. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, Zipporah Sykes.
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. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Chantel Johnson, Linda Wilks, Kenya Templer, Zipporah Sykes, Tiera Carey 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
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
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
4/25/2019
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
4/25/2019
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 2 (Child 4 and Child 5).
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 4 and Child 5) 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

19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Violation
 Provider Comments
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not airtight.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (E) 5. states: Wet or soiled diapers shall be placed in an airtight disposal container located in the diaper change area. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.

Correction Verification
Corrected on Site

Compliance Date
6/26/2019
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by 3 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
Submit Documentation

Compliance Date

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 1 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

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
4/25/2019
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
2/26/2019
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
2 (child 4, Child 5) child(ren) records did not include name 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
7 (missing parent work information) child(ren) records did not include employers' name of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers' name and address, work schedule, and home and work telephone numbers;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
3 (Child 4, 5, 7) 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
4 (Child 2, 6, 7, 8) 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
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
4/25/2019
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
4/25/2019
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
2 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
4/25/2019
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
4/25/2019
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
4/25/2019
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
4/25/2019
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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
Return Inspection

Compliance Date
6/26/2019