| |
19 CSR 30-61.025 Organization and Administration
Compliance
|
19 CSR 30-61.045 Initial Licensing Information
Compliance
|
19 CSR 30-61.055 License Renewal
Compliance
|
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by overgrown foilage in along the fence line.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 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
10/24/2019
|
|
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by several large tree branches and a barrel full of twigs in the play area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 5 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
10/24/2019
|
|
Violation
The floors located restroom was/were not clean as evidenced by a small trench in the floor along the wall along side of the toilet..
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
10/24/2019
|
|
Violation
The walls located restroom was/were not in good condition as evidenced by hole in the drywall behind the toilet .
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
10/24/2019
|
|
|
19 CSR 30-61.086 Fire Safety
Compliance
|
19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, a riding toy, in the outdoor play space was not in good condition as evidenced by broken plastic parts with sharp edges.
Licensing Rule Reference
19 CSR 30-61.095 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 equipment shall have no exposed hazards.
Correction Verification
Submit Documentation
Compliance Date
10/24/2019
|
|
|
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
Requirements for safe sleep training were not met as evidence by the assistant did not complete safe sleep training in that current safe sleep certificate was not on file.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home 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: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at ttp://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016- 2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Provider and assistant shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
6/19/2019
|
|
Violation
Requirements for safe sleep training were not met as evidence by the provider did not complete safe sleep training in that current safe sleep certificate was not on file.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home 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: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at ttp://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016- 2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Provider and assistant shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
6/19/2019
|
|
|
19 CSR 30-61.115 Day Care Family and Household
Compliance
|
19 CSR 30-61.125 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 12/4/17 and 7/11/18.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports 2 (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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
6/19/2019
|
|
|
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 as evidenced by one (1) children's records did not have completed comments on development.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 2 states: Information regarding a child's personal development, behavior patterns, habits and individual needs.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
6/19/2019
|
|
|
19 CSR 30-61.145 Nighttime Care
Compliance
|
19 CSR 30-61.155 Overlap Care of Children
Compliance
|
19 CSR 30-61.165 Emergency School Closings
Compliance
|
19 CSR 30-61.175 Child Care Program
Compliance
|
19 CSR 30-61.185 Health Care
Compliance
|
19 CSR 30-61.190 Nutrition and Food Service
Compliance
|
19 CSR 30-61.200 Transportation and Field Trips
Compliance
|
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 one (1) children's record did not have parent initials for acknowledgements A-1.
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
10/25/2019
|
|
Violation
Two (2) 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
10/24/2019
|
|
|
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
|
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|