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                                            19 CSR 30-62.032 Organization and Administration
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.042 Initial Licensing Information
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.052 License Renewal
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.087 Fire Safety
                               
                                            
                                
                                        
                                            Violation
                                     
                                        
                                             
            
				
					
						|  | Provider Comments |  
						| Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
 Licensing Rule Reference
 19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
 Correction Required
 Fire, tornado, and other disaster drills shall be completed and recorded as required.
 
 Correction Verification
 Submit Documentation
 
 Compliance Date
 
 
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                                            19 CSR 30-62.090 Disaster and Emergency Preparedness
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.092 Furniture, Equipment and Materials
                               
                                            
                                
                                        
                                            Violation
                                     
                                        
                                             
            
				
					
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						| Violation Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that infant was observed on a bean bag type pad with a blanket.  Child under the age of 6 months..
 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
 10/3/2019
 
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                                            19 CSR 30-62.102 Personnel
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.112 Staff/Child Ratios
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.122 Medical Examination Reports
                               
                                            
                                
                                        
                                            Violation
                                     
                                        
                                             
            
				
					
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						| 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 March 2019.
 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
 
 
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                                            19 CSR 30-62.132 Admission Policies and Procedures
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.142 Nighttime Care
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.152 Hourly Care Facilities
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.162 Overlap Care of Children
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.172 Emergency School Closings
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.182 Child Care Program
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.192 Health Care
                               
                                            
                                
                                        
                                            Violation
                                     
                                        
                                             
            
				
					
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						| Violation Requirements for immunization reports on file were not met as evidenced by 2  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
 
 
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                                            19 CSR 30-62.202 Nutrition and Food Service
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.212 Transportation and Field Trips
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-62.222 Records and Reports
                               
                                            
                                
                                        
                                            Compliance
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                                            19 CSR 30-63.040 Background Screening Findings
                               
                                            
                                
                                        
                                            Compliance
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                                            RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
                               
                                            
                                
                                        
                                            Compliance
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                                            RSMo 210.1080 Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
                               
                                            
                                
                                        
                                            Compliance
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                                            RSMo 210.211.  License  required - exceptions - written notice of licensure status, when. 
                               
                                            
                                
                                        
                                            Compliance
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