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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
Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Doors to the bathroom or stalls did not meet requirements as evidenced by there was a latch on the bathroom door.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 5. states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade.
Correction Required
Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.
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
Compliance
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Caregiver-child ratio requirements were not met as evidenced by 11 children ages preschool and older were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct caregiver-child ratios shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/7/2019
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by one child had no form on file.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.132 Admission Policies and Procedures
Compliance
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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
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
Compliance
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19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
Violation
The requirements for administering medication were not met as follows: medication was given to a child without dated permission.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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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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Violation
The requirements for administering medication were not met as follows: medication was given to a child without written permission.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given.
Correction Required
All medication shall be administered and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for administering medication were not met as follows: medication was given to a child without the length of time the medication may be given specified.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (B) states: All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given.
Correction Required
All medication shall be administered and recorded 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 supply and serve food according to the Meal and Snack Food Chart as evidenced by : only one fruit/vegetable was served for lunch (corn).
Licensing Rule Reference
19 CSR 30-62.202 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
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
Multiple 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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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.
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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