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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Compliance
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19 CSR 30-61.055 License Renewal
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation Food and water dishes used by animals were accessible to children as evidenced by 2 bowls of dog food and a large bowl of water was sitting on the floor in the eating area. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 4 (F) states: Food and water dishes used by animals shall not be accessible to the children. Correction Required Food and water dishes used by animals shall not be accessible to children.
Correction Verification Corrected on Site
Compliance Date 4/5/2019
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Violation The walls located on both side of the arch leading into the dining area was/were not in good condition as evidenced by they are repaired with masking tape that is peeling off the corners. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 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 11/30/2018
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Violation The provider did not provide resilient material necessary for the protection of children as evidenced by there is insufficient resilient surface under the slide. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 7 states: The provider shall be responsible for the type, depth and fall-zone area of resilient material necessary for the protection of children. Correction Required Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.
Correction Verification Return Inspection
Compliance Date 4/5/2019
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19 CSR 30-61.086 Fire Safety
Compliance
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
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19 CSR 30-61.105 The Day Care Provider and Other Day Care 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 needs the following information: The 2018 toolbox report has documentation of 5 clock hours for 2018. There are certificates onsite showing an additional 5 hours (1 hour is from 2019 to be rolled back to 2018) Sharon needs an additional 2 clock hours to apply to 2018 and then begin to take 12 clock hours to apply for 2019 training requirements. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 4 (A) states: The provider 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. Any assistant working more than five (5) hours per week shall meet the same training requirements. Correction Required Required training hours shall be documented for each employee.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Compliance
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Compliance
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19 CSR 30-61.185 Health Care
Violation
| Provider Comments |
Violation Requirements for handwashing were not met as evidenced by children's hands were not washed prior to serving lunch. Hands were washed on CCFS directions. Licensing Rule Reference 19 CSR 30-61.185 Health Care 6 (B) states: Caregivers shall teach children to wash their hands before eating and after toileting. Correction Required Staff/children shall wash hands as required.
Correction Verification Corrected on Site
Compliance Date 4/5/2019
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Violation Requirements for immunization reports on file were not met as evidenced by one immunization record(s) was/were not on file . Licensing Rule Reference 19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 11/30/2018
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by Lunch was served at 12:30 and consisted of frozen pizza with pepperoni and mandarin oranges.2 servings from the fruit/vegetable component were not served. Milk was not served. . Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 1 (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required Nourishing food shall be provided as required.
Correction Verification Corrected on Site
Compliance Date 4/5/2019
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Violation One serving of fluid milk was not served with each meal. Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 1 (E) states: One (1) serving of fluid milk shall be served with each meal. Correction Required Milk shall be served as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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19 CSR 30-61.210 Records and Reports
Violation
| Provider Comments |
Violation Daily attendance records were not maintained on file as required as evidenced by there was no caregiver/volunteer attendance record. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 7 states: Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year. Correction Required Child and caregiver/volunteer attendance records shall be maintained/retained as required.
Correction Verification Submit Documentation
Compliance Date
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Violation three child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 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 11/30/2018
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Violation one child(ren) records did not include name and phone number of the family physician or hospital. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (D) states: Name and phone number of the family physician, or 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 11/30/2018
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
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RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Violation
| Provider Comments |
Violation The provider did not meet requirements for requests/results of a criminal background check. A child care staff member(s), Sharon Gilfillan and Jerome Gilfillan, was/were employed/present prior to the provider requesting the results of a criminal background check. Licensing Rule Reference RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt child care facility, the child care provider shall request the results of a criminal background check for such child care staff member from the department of health and senior services. Correction Required Required requests/results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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