|
19 CSR 30-62.032 Organization and Administration
Not Observed
|
19 CSR 30-62.042 Initial Licensing Information
Not Observed
|
19 CSR 30-62.052 License Renewal
Not Observed
|
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
|
19 CSR 30-62.087 Fire Safety
Not Observed
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation An infant was observed sleeping in a/an bouncy seats--two infants sleeping in bouncy seats were 7 months old. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. I states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time. Correction Required Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification Corrected on Site
Compliance Date 8/20/2019
|
|
Violation Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that an infant 2 months of age was sleeping propped up on a boppy pillow in pack-n-play. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. F. states: Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tightly fitting and thin. Correction Required Infant sleeping requirements shall be met.
Correction Verification Corrected on Site
Compliance Date 8/20/2019
|
|
|
19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Shade Howard prior to their employment or presence in a group child care home/child care center. Licensing Rule Reference 19 CSR 30-62.102 Personnel (1) (K) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements. Correction Required Required requests of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
|
19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 10/18/18. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. A. states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. B. states: They have been informed that the Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available in the facility for their review; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. C. states: They and the provider have agreed on a plan for continuing communication regarding the child's development, behavior and individual needs; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. D. states: They understand and agree that the child may not be accepted for care when ill. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by two child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility Correction Required Child enrollment information shall be completed and on file as requested.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by one child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. E. states: They have received a copy of the provider's safe sleep policy when enrolling children less than one (1) year of age. Correction Required Child enrollment information shall be completed and on file as requested.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.142 Nighttime Care
Not Observed
|
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
|
19 CSR 30-62.162 Overlap Care of Children
Not Observed
|
19 CSR 30-62.172 Emergency School Closings
Not Observed
|
19 CSR 30-62.182 Child Care Program
Not Observed
|
19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for one child(ren). 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
|
|
|
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
|
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
|
19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 1 child(ren) records did not include address of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation 2 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, 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
|
|
|
19 CSR 30-63.040 Background Screening Findings
Not Observed
|
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed
|
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Not Observed
|