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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
Violation
| | Provider Comments |
Violation
Posting requirements were not met as evidenced by the posted license was outdated.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (O) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the facility.
Correction Required
The facility's license shall be posted.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Posting requirements were not met as evidenced by the license was not posted near the entrance.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (O) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and reinvestigation. Until the official license is received, the temporary license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Thereafter, the official license shall be posted near the entrance of the facility.
Correction Required
The facility's license shall be posted.
Correction Verification
Submit Documentation
Compliance Date
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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
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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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 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: Ashley Rosner needs 7.5 clock hours for 2018.
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
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Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were no training documents on file. The staff listed need the following documentation: Sabrina Drake & Collen Wilkis needs 12 clock hours for 2018.
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
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Kemet Hetep as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
A staff person who had a positive TB test was working at the facility that had not yet been cleared.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) 2. states: Persons that have a newly positive tuberculin test(s) shall not be allowed to work until a medical evaluation is performed to determine if the person has active contagious tuberculosis.
Correction Required
TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kemet Hetep & Collen Wilkis.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 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
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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
Requirements for immunization reports on file were not met as evidenced by 1 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
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
1 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
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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 Ashley Rosner, Kemet Hetep, Sabrina Drake, William Gavin (Board President) & Colleen Wilkis 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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