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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
Violation
| Provider Comments |
Violation The equipment list was not submitted. Licensing Rule Reference 19 CSR 30-61.055 License Renewal 1 (G) states: A current list of available equipment. Correction Required The facility shall submit an equipment list as required for renewal.
Correction Verification Submit Documentation
Compliance Date
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Violation The application for renewal of the facility's license was not completed correctly as evidence by Fictitious name remained on application after expiration date. . Licensing Rule Reference 19 CSR 30-61.055 License Renewal 1 . states: An application for license renewal shall be filed at least sixty (60) days prior to expiration of the license. In addition, the following information is required: Correction Required The facility shall submit an application as required for renewal.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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Violation The provider did not meet requirements for a criminal background check. Results were missing for: Catherine Gardiner, Robert Gardiner, Nickole Frank Matthew Frank, and Maggie Gardiner. Licensing Rule Reference 19 CSR 30-61.055 License Renewal 3 states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license. Correction Required Required results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation Children were not restricted to approved space as evidenced by furnace room was unlocked. . Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (E) 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 8/16/2019
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Violation The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by there was no potty chair/junior commode/adaptor seat provided. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (C) 2 states: Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use. Correction Required The facility shall provide and clean/sanitize potty training equipment as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation The requirements for protective outlet covers were not met as evidenced by 4 outlets located in children eating area was uncovered. . Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children. Correction Required The facility shall use protective outlet covers as required.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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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
Violation
| Provider Comments |
Violation Furniture/equipment, cots, in the childcare space was not in good condition as evidenced by were unclean covered with dirt. . Licensing Rule Reference 19 CSR 30-61.095 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 Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by a six month old child was covered with a blanket while sleeping. . Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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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 first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of first aid certification. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (R) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement. Correction Required Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site 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 no training documents on file. The staff listed needs the following information: Catherine Gardiner missing 12 clock hours for 2018, Nickole Frank missing 11 clock hours for 2018 and Maggie Gardiner is missing 12 clock hours for 2018. 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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Violation Verification of safe sleep training was not documented and maintained as evidenced by there is no verification of safe sleep training for Catherine Gardiner, Nickole Frank and Maggie Gardiner . Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 (A) states: The training shall be documented and maintained as described in subsection (4)(B) of this rule. Correction Required Safe sleep training shall be documented and maintained.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of first aid certification. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (R) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement. Correction Required Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for first aid and CPR training were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (R) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement. Correction Required Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.
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
Violation
| Provider Comments |
Violation The provider did not have available a copy of the Licensing Rules for Family Day Care Homes in Missouri. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 3 states: The provider shall have available a copy of the Licensing Rules for Family Day Care Homes in Missouri and shall advise the parent (s) at the time of enrollment of his/her child of the availability of the rules for review. Correction Required Licensing Rules for Group Day Care Homes and Child Day Care Centers of Missouri shall be available.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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Violation The policy did not prohibit covering cribs or playpens with blankets or bedding. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 2 B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding. Correction Required The policy shall prohibit covering cribs or playpens with blankets or bedding.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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Violation The policy did not state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider’s safe sleep policy upon the child’s enrollment. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 2 B. 5. states: Shall require giving the parent(s) or guardian(s) of each infant in care a copy of the provider’s safe sleep policy upon the child’s enrollment. Correction Required The policy shall state parent(s) or guardian(s) of each infant in care shall be given a copy of the provider's safe sleep policy upon the child's enrollment.
Correction Verification Corrected on Site
Compliance Date 8/16/2019
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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
Compliance
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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 no fruit was served during lunch time. . 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 8/16/2019
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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 Corrected on Site
Compliance Date 8/16/2019
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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
Compliance
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19 CSR 30-63.040 Background Screening Findings
Compliance
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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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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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