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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 walls located the wall in the 2yr old classroom was/were not finished with material which can be cleaned easily as evidenced by a 7in by 8in area of the wall has been patched but not painted. 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
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Violation The walls located in the hallway behind the toddler room door was/were not in good condition as evidenced by the door plate on the wall had a 1 inch circular hole. 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
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Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that there were multiple outlets uncovered in the toddler classroom and the second preschool classroom. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Submit Documentation
Compliance Date
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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
Compliance
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation The center director was not responsible for the daily planning, monitoring and managing of the facilities program as evidence by 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
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Violation The director is not routinely on duty as required, as evidenced by 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
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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 form did not contain all required information as evidenced by Emonda Mosely medical exam was not fully completed. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (D) states: The medical examination report form shall be supplied by the department or the facility may use its own form if it contains all the information on the department's form. Correction Required Medical 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
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information as evidenced by Child 3 needs 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
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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
Violation
| Provider Comments |
Violation Facility did not submit the 2018 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
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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 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 Submit Documentation
Compliance Date
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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 6 and Child 3 do not have diet plan page 2 completed. 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 Submit Documentation
Compliance Date
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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
Violation
| Provider Comments |
Violation 1 child(ren) records did not include date care begins and ends. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation 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
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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 requesting a criminal background check. The provider did not request the results of a criminal background check for Diane Richardson 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
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