| |
19 CSR 30-62.032 Organization and Administration
Compliance
|
19 CSR 30-62.042 Initial Licensing Information
Compliance
|
19 CSR 30-62.052 License Renewal
Compliance
|
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe for children's activities as evidenced by concrete block, tall weeds, plastic bags with balls, broken parts of toys and a large net laying on the ground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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
Submit Documentation
Compliance Date
|
|
Violation
Hazardous items as follows were accessible to children: plastic bag of trash . The item(s) was/were located on the floor in the preschool bathroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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
9/26/2019
|
|
Violation
The walls located in the school age building near the library area was/were not in good condition as evidenced by paint is chipping.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
|
|
Violation
Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
Violation
Bathroom supplies were not available and accessible to children as evidenced by paper towels were not within children's reach.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The bathroom was not clean and odor free as evidenced by urine and/or excrement odor was detected.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
8/6/2019
|
|
Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.
Correction Verification
Submit Documentation
Compliance Date
8/6/2019
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by trash and debris observed on the playground, heavy weeds and growth along the fence line.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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
Submit Documentation
Compliance Date
7/22/2019
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the large wooden enclosure in the grassy area of the playground is coming apart at the corners exposing sharp areas and metal connectors, the side of a building that is part of the playground enclosure has an open dryer vent without a cover exposing screws,.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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
Submit Documentation
Compliance Date
7/22/2019
|
|
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 large enough for a child to crawl or fall through - the openings measured the corner of the fence into the dumpster area has an open area large enough to crawl through. The bottom of this same area has entrapment spaces that push out to over 1 foot.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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.
Correction Verification
Submit Documentation
Compliance Date
7/31/2019
|
|
Violation
There was evidence of dirt/debris in the school age room wall vent near the furnace room door.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility 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
Submit Documentation
Compliance Date
|
|
Violation
The floors located the tiles in the young infant room and the far right infant room was/were not in good condition as evidenced by tiles are cracked and buckling in the center area of the young infant room and by the window in the far right infant room.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
7/31/2019
|
|
Violation
The walls located corner area by cribs in the young infants room, wall in the middle infant room near the door, the stage area door frame, and an area in the preschool room by the electrical outlet was/were not in good condition as evidenced by paint is chipping and peeling.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
7/22/2019
|
|
Violation
The walls located in school age room (labeled media center) was/were not in good condition as evidenced by chipping paint and crumbling dry wall at the men's room door (left side).
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
7/22/2019
|
|
Violation
The floors located the exit to the playground (concrete steps) was/were not in good condition as evidenced by paint is peeling.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
7/16/2019
|
|
Violation
The walls located the preschool restrooms (sides of stalls) was/were not in good condition as evidenced by the metal wall area are rusting and have bubbling paint.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
7/16/2019
|
|
Violation
Hazardous items as follows were accessible to children: plastic bags and bleach spray. The item(s) was/were located under the diaper cabinet and an unlocked closet.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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
9/26/2019
|
|
Violation
The facility has not met the requirements for state or local zoning as evidenced by The facility has no current business license. There is an occupancy certificate for 1324, none for 1314; there are no fire code compliance certificates for either building and no annual inspection certificate for either building.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility has not met the requirements for state or local sanitation as evidenced by was not passed.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
9/26/2019
|
|
|
19 CSR 30-62.087 Fire Safety
Compliance
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's written emergency plan did not include plans for lock-down procedures.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) 3. states: Lock-down procedures in situations that may result in harm to persons inside the facility such as a shooting, hostage incident, intruder, trespassing, or disturbance or to be used at the discretion of the director, designee, or public safety personnel;
Correction Required
Facility emergency plan must include required components.
Correction Verification
Submit Documentation
Compliance Date
8/6/2019
|
|
Violation
The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by all rooms did not have complete emergency plans.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children;
Correction Required
The facilities disaster and emergency plan must be available in required locations.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
Violation
The facility’s name, address and telephone number was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility;
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility’s list of emergency numbers was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station;
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility's evacuation route diagram was not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room;
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children;
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
7/9/2019
|
|
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, cozy coupe, in preschool area was not in good condition as evidenced by the wheels are broken.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor 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
Outdoor play equipment shall be safe and in good repair.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
An infant was observed sleeping in a/an a bouncer seat.
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
9/26/2019
|
|
Violation
Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not provided for each infant in that the capacity of infants under 12 months at the facility is 16 infants; there are only 12 cribs on site. This is not enough sleeping equipment appropriate for the age of the children in the licensed capacity .
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. A. states: An individually assigned crib, portable crib or playpen shall be provided and used for each infant and toddler. Stack cribs shall not be used.
Correction Required
The facility shall provide approved sleeping equipment as required.
Correction Verification
Return Inspection
Compliance Date
9/26/2019
|
|
Violation
The requirements for sleeping materials were not met as evidenced by 3 children 12 months or older was/were sleeping/napping on one was asleep on a mat on the floor and two were sleeping on beanbag chairs.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used.
Correction Required
The facility shall provide sleeping equipment and bedding as required.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
Violation
Furniture/equipment, sink cabinet , in the 2 year old room was not in good condition as evidenced by the particle board is crumbling.
Licensing Rule Reference
19 CSR 30-62.092 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
|
|
Violation
Furniture/equipment, seating ledge , in school age room library center was not in good condition as evidenced by paint is chipping.
Licensing Rule Reference
19 CSR 30-62.092 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
7/22/2019
|
|
|
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 prior to employment or presence in the facility for the following staff: Lewis Claybon (no fingerprint receipt or family care safety registry screening).
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) 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
|
|
Violation
Daysha Benson, Denise Word and Tahria Anderson. On 02.27.19 Tahria Anderson, Linda Wilks, Denise Word and Daysa Benson. On 06.26.19 Linda Wilks did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) 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
7/31/2019
|
|
Violation
Requirements for safe sleep training were not met as evidenced by Linda Mosby did not complete safe sleep training in that expired safe sleep training.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
7/9/2019
|
|
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: as of 3.27.2018, staff needing additional clock hours for 2017: Lewis Claybon needs 12 hours .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Lewis Claybon needs 4 clock hours to be applied to 2016 hours.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Needed for 2018: Lewis Claybon has 0/12; Bobbie Davis has 11.5/12; Ebony Davis has 7.5/12, Eunice Head has 10.5/12; Jennifer Jones has 8.5/12; Collie King has 11.25/12; Terry Mays has 0/12; Larissa Saunders has 10/12; Falisha Wilkins has 8/12; Daysha Benson has 0/1; Linda Wilks has 0/6; Kenya Templer has 0/2 and Denise Word has 0/1. On 06.26.19 the following staff need the additional clock hours noted for 2018: Bobbie Davis .50, Ebony Davis 4.5, Lewis Claybon 12, Collie King .75, Larissa Saunders 2, Falisha Wilkins 4, Eunice Head 3, Jennifer Jones 3.5, Linda Wilks 6, Denise Word 1. Kenya Templer .50 On 09.26.19: The following staff need verification of completion of 2018 clock hours: Ebony Davis has 7.50 on 2018 toolbox and needs an additional 4.5 /none available on 2019 tool box to be moved; Kenya Templer has 1.5 on 2018 tool box and needs an additional .50/none are available on the 2019 toolbox to be moved; Falisha Wilkins has 8 on the 2018 toolbox and needs an additional 4/only 3 are available on the 2019 toolbox to be moved, she will still be short 1 clock hour; Linda Wilks has 0 hours on the toolbox for 2018 and needs 6 hours/none are available on the 2019 toolbox to move; Denise Word has 0 hours on the 2018 toolbox and needs 1/there is 1 hour on the 2019 toolbox to move; Lewis Claybon has 0 on the 2018 toolbox and 0 on the 2019 toolbox to move .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Caregiver-child ratio requirements were not met as evidenced by 9 children ages 2-3 (5 were age 2 years) 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
Return Inspection
Compliance Date
|
|
|
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 various for (Child 4 and Child 5).
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
7/10/2019
|
|
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Annette Robinson, Martha Brooks, Stephanie Smith, Anna Walker Patricia Green and Tracy Templer On 07.18.18 Annette Robinson, Patricia Green, Stephanie Smith, Tahria Anderson, Martha Brooks, On 08.01.18 the following staff did not have complete TB Risk assessment forms: Annette Robinson, Patricia Green, Stephanie Smith and Taharia Anderson. On 08.16.18 the following staff still need tb assessments Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.0618 the following staff have no evidence of TB Risk Assessments on file: Tracy Templer, Tahria Anderson, Annette Robinson . On 01.23.19 the following staff need TB Risk assessment: Annette Robinson; Tahria Anderson; Tracy Templer; Linda Wilks; Kenya Templer; Daysha Benson. On 02.27.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, and Daysa Benson had no TB Risk Assessment on file. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, Zipporah Sykes. On 09.26.19 Barbara Johnson, Linda Wilks, and Vera Messenger have no TB assessment.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Medical examination report was not on file for Annette Robinson, Martha Brooks, Patricia Green On 08.01.18 the following staff did not have medical exams in their files: Annette Robinson, Patricia Green, Stephanie Smith and Tahria Anderson. On 08.16.18 the following staff still need medical exams Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.06.18 the following staff still need medical exams: Chantel Johnson (medical does not have all information), Tracy Templer (medical is incomplete), Tahria Anderson (no medical exam), Annette Robinson (no medical exam. On n01.23.19 the following staff need medical exams: Annette Robinson; Tahria Anderson ; Chantel Johnson; Linda Wilks; Daysha Benson; Kenya Templer. On 02.27.19 Annette Robinson, Tahria Anderson, Chantel Johnson, Linda Wilks, Kenya Templer, and Daysa Benson had no medical exam on file. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Chantel Johnson, Linda Wilks, Kenya Templer, Zipporah Sykes, Tiera Carey. On 09.26.19 the following staff need medical exams: Linda Wilks, Barbara Johnson and Vera Messenger as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
A diet plan for each infant/toddler was not signed by the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 3. states: A diet plan for each infant/toddler signed by the parent(s);
Correction Required
Caregivers shall follow each infant's feeding instructions as required.
Correction Verification
Submit Documentation
Compliance Date
8/6/2019
|
|
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 (Child 4 and Child 5) 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
7/10/2019
|
|
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 2 (Child 4 and Child 5).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. 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
7/10/2019
|
|
|
19 CSR 30-62.142 Nighttime Care
Compliance
|
19 CSR 30-62.152 Hourly Care Facilities
Compliance
|
19 CSR 30-62.162 Overlap Care of Children
Compliance
|
19 CSR 30-62.172 Emergency School Closings
Compliance
|
19 CSR 30-62.182 Child Care Program
Violation
| | Provider Comments |
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by the disposal container was not airtight.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (E) 5. states: Wet or soiled diapers shall be placed in an airtight disposal container located in the diaper change area. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by 3 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
7/1/2019
|
|
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 1 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
7/1/2019
|
|
Violation
Requirements for immunization reports on file were not met as evidenced by 3 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
|
|
|
19 CSR 30-62.202 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
Infant formulas and special baby foods provided by parents were not labeled.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (C) states: If preferred, formulas and special baby foods may be provided by the parent(s) with individual identification on each container.
Correction Required
Formula and food, provided by parents, shall be appropriately identified.
Correction Verification
Corrected on Site
Compliance Date
9/26/2019
|
|
|
19 CSR 30-62.212 Transportation and Field Trips
Compliance
|
19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by children's attendance records were incorrect in that many children were present but not recorded as signed in; additionally face-to-name tracking sheets were also incorrect. as children transitioned from on room to another. )ON 09.26.19 there was a child present in the infant room who was not marked present on the tracking sheet.
Licensing Rule Reference
19 CSR 30-62.222 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
|
|
Violation
3 (Child 4, 5, 7) 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
7/10/2019
|
|
Violation
4 (Child 2, 6, 7, 8) child(ren) records did not include child's address.
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
8/5/2019
|
|
Violation
7 (missing parent work information) child(ren) records did not include employers' name of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
8/5/2019
|
|
Violation
2 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 4, Child 5) child(ren) records did not include name 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
7/10/2019
|
|
Violation
2 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
7/10/2019
|
|
Violation
1 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
5 child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
|
|
Violation
1 (child 1) child(ren) records did not include child's address.
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
|
|
Violation
1 (child 3) 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
|
|
|
19 CSR 30-63.040 Background Screening Findings
Compliance
|
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
|
RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|