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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
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
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 4 inches on the infant playground towards the back area by the lake. 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 Submit Documentation
Compliance Date
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Violation The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 6 states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date
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Violation The walls located in the living room where the infants cribs are located was/were not in good condition as evidenced by chipping paint was located at same level as infant cribs. 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 Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Compliance
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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 Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a non-fitted sheet was used. 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 Corrected on Site
Compliance Date 8/13/2019
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Compliance
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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 did not meet requirements for child enrollment and health information on file as evidenced by 1 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 30-61.135 Admission Policies and Procedures 6 (E) 7 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 required.
Correction Verification Submit Documentation
Compliance Date
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Violation The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 7 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 required.
Correction Verification Submit Documentation
Compliance Date
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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 30-61.135 Admission Policies and Procedures 6 (E) 7 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
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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 30-61.135 Admission Policies and Procedures 6 (E) 7 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
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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 30-61.135 Admission Policies and Procedures 6 (E) 7 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
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Violation The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 7 B states: They have been informed that the Licensing Rules for Family Day Care Homes in Missouri are available in the home for their review. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for child enrollment and health information as evidenced by 1 child had no enrollment form therefore did not have Emergency Medical Care Authorization signed by the parent. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures 6 (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care. 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 30-61.145 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
Compliance
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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
Violation
| Provider Comments |
Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by there was no enrollment form on file for 1 child. 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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Violation 1 child(ren) records did not include child's full name, address, date of birth and date care begins and ends. Licensing Rule Reference 19 CSR 30-61.210 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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Violation 1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation 1 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-61.210 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
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Violation 1 child(ren) records did not include name and phone number of the family physician or hospital. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (D) states: Name and phone number of the family physician, or 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
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Violation 1 child(ren) records did not include name of individual authorized to take the child from the home. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports 2 (E) states: Name of the individual(s) authorized to take the child from the home. 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
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 requests/results of a criminal background check. A child care staff member(s), Bailey Phillips (did not have fingerprint receipt), 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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RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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