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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 facility's outdoor space was not safe for children's activities as evidenced by there is a large, bare dirt area that has deep holes and exposed roots. 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 2/8/2019
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Violation The walls located pre K 1 and Clubhouse room was/were not in good condition as evidenced by there are chips in the walls by one corner and near cots storage in the prek room and under the television on the green wall in the clubhouse 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
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the wooden expansion joints are rising up from between concrete slabs creating a trip hazard in some areas. 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 2/8/2019
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the metal fencing between the 2 sides of the playground is rusting and paint is peeling. 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 2/8/2019
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Violation The floors located (tile) near the playground exit from the multipurpose room was/were not in good condition as evidenced by there is a section of tile missing. 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 4/25/2019
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Violation Children were not restricted to approved space as evidenced by the furnace/utility room was unlocked. 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 4/25/2019
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
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 10/25/2018
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Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by there are no emergency plans available in all rooms. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date 10/25/2018
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Outdoor equipment, climber , in in the small playground was not in good condition as evidenced by there is a large section of peeling paint on the stair area. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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 Outdoor play equipment shall be safe and in good repair.
Correction Verification Return Inspection
Compliance Date 4/25/2019
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
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: Holden Power. 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 11/14/2018
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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: Holden Power. 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 11/14/2018
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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 Tessa Karanfil as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Medical examination report was not on file for Johnny DeGeer and Holden Power 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 11/14/2018
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Violation Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Johnny DeGeer and Holden Power. 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 11/14/2018
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required An individualized plan from a professional source shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 12/6/2018
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Violation The facility did not meet requirements for child enrollment and health information as evidenced by Child #5 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 12/6/2018
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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19 CSR 30-62.192 Health Care
Compliance
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 2 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 Corrected on Site
Compliance Date 4/25/2019
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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 Corrected on Site
Compliance Date 4/25/2019
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Violation 1 (Child # 5) 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 10/25/2018
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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 Corrected on Site
Compliance Date 4/25/2019
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
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