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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Initial Licensing Information
Violation
| | Provider Comments |
Violation
The ages of children was exceeded as evidenced by there are 5 children present under the age of 2 years.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (W) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility's license capacity and limitations shall not be exceeded.
Correction Verification
Return Inspection
Compliance Date
6/4/2019
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Violation
The number of children was exceeded as evidenced by there were 21 children (ages 6 months to 12 years) present. The licensed capacity of the facility is 20.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (W) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility's license capacity and limitations shall not be exceeded.
Correction Verification
Return Inspection
Compliance Date
6/4/2019
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19 CSR 30-62.052 License Renewal
Not Observed
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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 infant room was/were not in good condition as evidenced by the walls are damaged behind the rocking chair.
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 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
Return Inspection
Compliance Date
6/4/2019
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19 CSR 30-62.087 Fire Safety
Not Observed
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Furniture/equipment, highchairs, in the main eating area was not in good condition as evidenced by there is food and debris on the seats and the restraints.
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
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Violation
The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. B. states: All bedding shall be clean with sheets laundered at least once a week. Once bedding has been used by a child, it shall not be used by another child until it has been laundered.
Correction Required
Each child who naps shall be assigned a clean sheet and blanket as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used.
Correction Required
Safe and secure feeding equipment shall be provided as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The director is not routinely on duty as required, as evidenced by at the 5/30/2018 inspection the approved director had no attendance records on site to verify her work hours. At the 10/3/2018 inspection, attendance was observed but did not indicate Ms. Susan worked 40 hours each week. Additionally, Ms. Susan was not present for today's inspection and due to staff being needed for ratios it was difficult for Ms. Brenda (in charge) to complete the Director's duties while still maintain ratios and supervising children. Ms. Brenda had to continuously keep leaving the group to obtain documents in the front office and therefore it was decided that instead of continuing to look, she would stay in the classroom. Additionally, Ms. Brenda stated that today may be Susan Vogt's last day. She will contact CCFS Dixon with more information. On 04.11.19 Brenda stated that Susan Vogt is not the director but still works at the facility as needed. 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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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: Brenda Baumbach needs 9 additional hours, Susan Vogt needs 1 additional hour, Maria Garth needs 8 additional hours and Angie Schuenmeyer needs 12 additional hours for 2017 requirements. On 04.11.19 2018 clock hours were reviewed. The clock hours listed on the 2018 report will need to be moved to meet the 2017 requirements. Once moved by CCFS Dixon the following will still be needed: Brenda will need 5 hours for 2017 and 12 hours for 2018; Maria Garth will need 1 hour for 2017 and 12 hours for 2018; Angie will need 1.5 for 2017 and 12 for 2018; Susan will need 1 for 2017 and 12 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
Samantha Anderson 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
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19 CSR 30-62.112 Staff/Child Ratios
Not Observed
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19 CSR 30-62.122 Medical Examination Reports
Not Observed
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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
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19 CSR 30-62.142 Nighttime Care
Not Observed
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Violation
| | Provider Comments |
Violation
The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by 2 year old children were strapped into highchairs to watch television. When asked, Ms Brenda stated that they were getting ready for lunch but the lunch was not served for another 20 minutes..
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (2) (B) 1. states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children;
Correction Required
Daily activities for preschool and school-age children shall be provided as required.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
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
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19 CSR 30-62.202 Nutrition and Food Service
Not Observed
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Not Observed
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19 CSR 30-63.040 Background Screening Findings
Not Observed
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RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
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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), Brenda Baumbach, Maria Garth, Maddie Holthaus, Samantha Anderson, Angie Schuenmeyer and Susan Vogt, 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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