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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
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Sakina Ahmed, Amna Alrashid, Lydia Baker, Satyavani Bollineni, Susan Brown, Anne Chapman, Elizaveta Clark, Nicole Daubert, Amber Derleth, Sharon Desloge, Danielle Eberhardt, Lauren Eberhardt, Kellly Emmons, Kyya Elston, Shinzi Hameed Khan, Jenaah Harris, Jennah Hipp, Samantha Hurst, Hatka Kapetanovic, Ermina Kapic, Rylee Kopplin, Samina Lodhi, Farhana Jabeen, Laurel Lowe, Elle Mangan, Ajia Mansoor, Joanne McBee, Rebecca McFarland, Jacqueline Morrison, Kelley McBryan, Laura Mitchell, Alla Morastyrskiy, Afsheen Muhannud, Kathleen Murphy, Manjari Patil, Amena Qasim, Madison Roccia, Sweeeta Sajid, Sharon Sarkas, Jawaria Shaiq, Thnmozhi Sivakumar, Jennifer Sloey, Kristin Thorps, Marie Van Asch, Brandy Wheeler, Shyamala Rovichandran. Fingerprint receipts were observed during the inspection. Waiting on results from SCCR- though it has been several months since the fingerprints were completed Provider is to email or call the Background Screening unit to determine why the results have not been sent, or if they were already sent via email sccrcbs@health.mo.gov.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for a criminal background check. Results were not on file for center director: Leila Busevac. Fingerprint receipt was observed during the inspection. Waiting on results from SCCR, though it has been several months since the fingerprints were completed. Provider is to email or call the Background Screening Unit to determine why the results have not been sent, or if they were already sent via email. sccrcbs@health.mo.gov.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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Violation
The facility's equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The premises were not safe and suitable as evidenced by the handwashing sink in Infant Room 2 was being used as a receptacle in which to sanitize toys children use.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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Violation
Hazardous items as follows were accessible to children: Windex and 2 deodorant sprays, sunscreen . The item(s) was/were located In the bathroom used by adults in Toddler Room 4 (Windex and deodorant sprays), which is accessible to children and in children's cubbies throughout the facility (sunscreen).
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
10/23/2019
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Violation
Hazardous items as follows were accessible to children: stove, kitchen utensils. The item(s) was/were located the upstairs main floor kitchen. The cook was delivering lunch to classrooms and left the kitchen door open and accessible. The door has a latch that was not used.
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
10/23/2019
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Violation
The observed surface area under a slide climber on the infant/toddler playground, from which a child might fall consists of grass.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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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 the resilient material used is unapproved in that the porn material on the infant/toddler playground has hardened over time and is no longer resilient. A climber from which children may fall and be injured was removed during the inspection and placed inaccessible to children.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. 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 will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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Violation
Lighting requirements for rooms used by children were not met as evidenced by lighting was insufficient to observe and supervise children in that during naptime in Toddler Room 2 there was no enough light to see the features on children's faces. There is a light over a sink which was being covered to darken the room. Caregivers removed the cover on the light during the inspection.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 4. states: Artificial or natural lighting shall supply at least ten (10) footcandles of light throughout each room used for child care.
Correction Required
Rooms used by children shall be equipped with required lighting.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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19 CSR 30-62.087 Fire Safety
Compliance
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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
| | Provider Comments |
Violation
An exit located in Primary 1 was blocked by were partially blocked by two mats leaning against the doorway.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
Prospective child care staff member(s), Sakina Ahmed, Amna Alrashid, Lydia Baker, Satyavani Bollineni, Susan Brown, Anne Chapman, Elizaveta Clark, Nicole Daubert, Amber Derleth, Sharon Desloge, Danielle Eberhardt, Lauren Eberhardt, Kellly Emmons, Kyya Elston, Shinzi Hameed Khan, Jenaah Harris, Jennah Hipp, Samantha Hurst, Hatka Kapetanovic, Ermina Kapic, Rylee Kopplin, Samina Lodhi, Farhana Jabeen, Laurel Lowe, Elle Mangan, Ajia Mansoor, Joanne McBee, Rebecca McFarland, Jacqueline Morrison, Kelley McBryan, Laura Mitchell, Alla Morastyrskiy, Afsheen Muhannud, Kathleen Murphy, Manjari Patil, Amena Qasim, Madison Roccia, Sweeeta Sajid, Sharon Sarkas, Jawaria Shaiq, Thnmozhi Sivakumar, Jennifer Sloey, Kristin Thorps, Marie Van Asch, Brandy Wheeler, Shyamala Rovichandran, was/were not supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five years.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (O) states: A prospective child care staff member may begin work for a child care provider after the criminal background check has been requested from the department; however, pending completion of the criminal background check, the prospective child care staff member shall be supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five (5) years.
Correction Required
All prospective child care staff member(s) who have requested a criminal background check shall be supervised at all times by another child care staff member who has received a qualifying result on the criminal background check within the past five years.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Joanne McBee's safe sleep training on file is older than 3 years.
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
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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
| | Provider Comments |
Violation
Medical examination report was not on file for Brandy Wheeler, Rylee Kopplin 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
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Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jennah Hipp, Rylee Kopplin, Laurel Lowe.
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
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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
Violation
| | Provider Comments |
Violation
The use of diapering products did not meet requirements as evidenced by diapering product(s) were not labeled with the child’s name.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (E) 1. states: Disposable tissues or wipes shall be used to cleanse the child at each time of diapering. Any diapering creams, powders, or other products applied at the time of diapering shall be provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering products shall be provided by parents and labeled with the child's name.
Correction Verification
Corrected on Site
Compliance Date
10/23/2019
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19 CSR 30-62.192 Health Care
Compliance
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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
10/23/2019
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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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