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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
Violation
| | Provider Comments |
Violation
The number of children was/were exceeded as evidenced by there were 11 children present at the facility plus Alkisha Grady has 3 additional unrelated children with her along with 3 additional related children.
Licensing Rule Reference
19 CSR 30-61.045 Initial Licensing Information 3 (U) states: The number and ages of children a family day care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the limitations specified on the license.
Correction Verification
Submit Documentation
Compliance Date
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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
The walls located in room 3 was/were not clean as evidenced by crayon marking, on the wall, baseboard ,walls, and door is visibly dirty.
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
Return Inspection
Compliance Date
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Violation
The walls located in room 3 was/were not in good condition as evidenced by chipping paint in on the outer edge of the closet wall a hole in wall behind the door..
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
Return Inspection
Compliance Date
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Violation
The floors located in the kitchen was/were not clean as evidenced by trash and dark smudge marks observed on the floors.
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
Return Inspection
Compliance Date
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Violation
The facility did not have a telephone in working order for incoming and outgoing calls as evidenced by there was no telephone.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (A) 10 states: A telephone in working order shall be available for incoming and outgoing calls. If a telephone answering machine is used, it must be turned on so incoming messages can be heard and parents' calls can be returned promptly.
Correction Required
A working telephone and answering machine shall be used as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
There was evidence of dirt/debris in in the ceiling vent in the bathroom and the wall vent in the hallway.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 2 (A) 9 states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Return Inspection
Compliance Date
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Violation
The floors located in room 3 was/were not clean as evidenced by trash, debris and dry food particles.
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
Corrected on Site
Compliance Date
8/8/2019
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there was a 63 foot black cable style cord going diagonally across the out door play space: sticks and branches of varying sizes and bits of trach, broken chair, rusted barbecue pit with sharp edges and a long thin what appears to be a dog cord that poses a strangulation hazard and a can of paint on the step leading from the house to the play area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 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
Return Inspection
Compliance Date
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Violation
The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 6".
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 1 states: An outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes initially licensed after the effective date of these rules, or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard and provide a safe fence around the outdoor play area as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Hazardous items as follows were accessible to children: easy off aerosol spray can . The item(s) was/were located on the low shelf in kitchen, while child was present..
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Corrected on Site
Compliance Date
8/8/2019
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Violation
Children were not restricted to approved space as evidenced by the bedroom that is not to be used for childcare is unlocked and easily accessible to children ; it is observed that a bottle of wine, hair care products, lotions and other miscellaneous items in the room.
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
8/8/2019
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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 11 electrical outlets were not covered.
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
Return Inspection
Compliance Date
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's disaster plan did not identify the staff responsible for implementing the plan and ensuring the safety of children.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 1 (C) states: At a minimum, a disaster emergency plan shall identify the staff members responsible for implementing the plan and ensuring the safety of the children and shall include:
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by .in room 3 play materials and objects sprawled over the floor, broken crayon pieces, wadded paper, random puzzle piece, magnetic letter and bookshelf in disarray. .
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Corrected on Site
Compliance Date
8/8/2019
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Violation
Furniture/equipment, the pack'n play , in in the family room was not in good condition as evidenced by There is a hole in the netting of the pack'n play.
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
Return Inspection
Compliance Date
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Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by gaps were observed between the matress/pad and side of the crib or playpen.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Return Inspection
Compliance Date
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Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by bedding was soiled/wet.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by table are dirty with dried food particles and smudges. .
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Return Inspection
Compliance Date
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by In room #4 a toy box full of toys not accessible in an organized fashion. There is no other shelving to allow for extra storage or organization. .
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (A) 1 states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Return Inspection
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 fitted sheet was to large and loose for the pack'n play pad..
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
Return Inspection
Compliance Date
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
The assistant did not complete safe sleep training within 30 days of employment or volunteering as evidenced by Jessica Lee does not have safe sleep.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 5 (D) states: The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in section (5) 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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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
Return Inspection
Compliance Date
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Violation
Requirements for maintaining the facility's license capacity were not met as evidenced by 2 caregivers are present with 9 children and they are not approved. It is confirmed that 4 of the children are under the age of two. The home provider, Alkisha Grady is not present in the home. .
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 2 (B) states: If the provider has an assistant present, the home may be licensed for up to ten (10) children including a maximum of four (4) children under age two (2) or for up to eight (8) children who may all be under age two (2).
Correction Required
The facility's license capacity shall not be exceeded.
Correction Verification
Return Inspection
Compliance Date
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Violation
Requirements for an approved assistant were not met as evidenced by the assistant present was not approved.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (A) states: An approved assistant shall be available. If there is a change of assistants, the provider shall notify the Child Care Licensing Unit immediately.
Correction Required
An approved assistant shall be available as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The following information for the assistant(s) was not posted as required: the address of the assistant(s) was not posted with emergency numbers.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 3 (E) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home.
Correction Required
Assistant information shall be posted 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 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 there was no documentation on file showing completion of CPR 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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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 facility's written policies did not contain information pertaining to safe sleep practices for children less than 1 year of age.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures 1 states: The provider shall establish, implement and maintain written policies pertaining to the program goals, admission, safe sleep practices for children less than one (1) year of age, care and discharge of children, and shall provide a copy to the parent(s) at the time of enrollment.
Correction Required
The provider's written policies shall be provided to the parent(s) as required.
Correction Verification
Submit Documentation
Compliance Date
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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
Violation
| | Provider Comments |
Violation
Warm, running water was not adjacent to the diapering area.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (E) 2 states: Diapering supplies and warm, running water shall be adjacent to the diapering area.
Correction Required
The facility shall supply the diapering area as required.
Correction Verification
Return Inspection
Compliance Date
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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
Compliance
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19 CSR 30-61.200 Transportation and Field Trips
Violation
| | Provider Comments |
Violation
The driver of a vehicle used to transport children was not qualified as evidenced by Alkisha Grady did not have a valid driver's license (Class E or CDL).
Licensing Rule Reference
19 CSR 30-61.200 Transportation and Field Trips 2 (A) states: The driver of any vehicle used to transport children shall be no less than eighteen (18) years of age and shall have a valid driver's license as required by Missouri law.
Correction Required
The driver of any vehicle used to transport children shall meet age and licensing requirements.
Correction Verification
Submit Documentation
Compliance Date
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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 child attendance record.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 6 states: Daily child attendance records 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
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
Enrollment, medical and attendance records were not accessible at all times as evidenced by per caregiver Jessica Lee, stated Aliska Grady took all the files ,children records and staff records off the premises for updates..
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 8 states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by the children records are dated for April 2019 and no other attendance is available.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 1 states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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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.
Violation
| | Provider Comments |
Violation
The provider did not meet requirements for requesting a criminal background check. The provider did not request the results of a criminal background check for Alkisha Grady, Stephanie Ross, Jessica Lee, Shariece Barton, Charry Hogan, and Tammy Ward prior to January 31, 2019.
Licensing Rule Reference
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules. 2. (3) states: A family child care home, group child care home, child care center, or license-exempt child care facility that has child care staff members at the time this section becomes effective* shall request the results of a criminal background check for all child care staff members by January 31, 2019, unless the requirements of subsection 5 of this section are met by the child care provider and proof is submitted to the department of health and senior services by January 31, 2019.
Correction Required
Required requests 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.
Violation
| | Provider Comments |
Violation
Requirements for sanitation inspection were not met as evidenced by the inspection was not approved
Licensing Rule Reference
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. 1 states: All buildings and premises used by a child-care facility to care for more than four children except those exempted from the licensing provisions of the department of health and senior services pursuant to subdivisions (1), (2), (3), (4) and (6) of section 210.211, shall be inspected annually for fire and safety by the state fire marshal, the marshal's designee or officials of a local fire district and for health and sanitation by the department of health and senior services or officials of the local health department. Evidence of compliance with the inspections required by this section shall be kept on file and available to parents of children enrolling in the child-care facility.
Correction Required
An approved sanitation and fire/safety inspection shall be kept on file and be available as required.
Correction Verification
Submit Documentation
Compliance Date
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