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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for requests/results of a check of the Family Care Safety Registry. A background check on file is older than two years for the following staff member(s): Lois Hughes.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements (7) states: A check of the Family Care Safety Registry shall be conducted for all child care staff members of nursery schools every two (2) years.
Correction Required
Required requests/results of background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.060 Health Requirements
Violation
| | Provider Comments |
Violation
Medical examination reports including TB testing were not on file for caregivers 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 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for children's medical examination reports 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 05/10/2016 and 05/10/2016.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 2 states: Within thirty (30) days following the admission of an infant, toddler or preschool child, a physical assessment report signed by a licensed physician or registered professional nurse shall be on file at the facility. The facility may use the department's physical assessment form, MO 580-1878 (6-94), or the facility may use its own form if it contains all the information on the department's form. The report shall have been completed not more than twelve (12) months before admission.
Correction Required
Children's physical assessment reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements 1 (D) states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Violation
| | Provider Comments |
Violation
The facility's evacuation/emergency plan is not posted.
Licensing Rule Reference
19 CSR 30-60.080 Fire Safety Requirements 5 (A) states: An emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for nonambulatory infants and children.
Correction Required
Evacuation/emergency plan must be posted/complete as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.090 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by wet or soiled diapers were not placed in an airtight disposable container as evidenced by soiled diaper laying open on the floor in the main boys bathroom.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (E) states: Wet or soiled disposable diapers shall be placed in an airtight disposal container located in the diaper change area and discarded daily. If cloth diapers are used, they shall be stored in airtight plastic bags and removed from the building daily.
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Children were not restricted to approved space as evidenced by unlocked door accessible to children that leads to water heater.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (A) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Hazardous items as follows were accessible to children: employee purse with hand sanitizer accessible. The item(s) was/were located on a table in the Toddlers Room 5.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
11/1/2019
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Violation
The premises were not safe and suitable as evidenced by outlet cover missing in 4/5 year old classroom with Jaomi.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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
11/1/2019
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Violation
Emergency numbers for the police, fire department, poison control, and ambulance were not posted.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 2 (D) states: Police, fire department, poison control, ambulance and other emergency numbers posted near the telephone.
Correction Required
Emergency numbers shall be posted near the telephone.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Equipment in the outdoor play area, the pink tunnel, was not in good condition as evidenced by cracking across top of tunnel in the first playground.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility failed to meet requirements for individually assigned sheets.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 5 (B) states: Clean bedding with sheets laundered at least once a week or when soiled. Once bedding has been used by a child, it shall not be used by another child until it is laundered.
Correction Required
An individual mat, cot or bed with individually assigned sheet and blanket is required for each child who naps.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for indoor play equipment and materials were not as evidenced by toys/materials were not in good condition as evidenced by hole in purple bean bag in 2B classroom.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 7 states: Indoor play equipment and materials shall be provided and shall be clean and in good condition with all parts intact. Infants and toddlers shall have safe toys. Toys, parts of toys or other materials small enough to be swallowed shall not be used.
Correction Required
The facility shall provide play equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Equipment in the outdoor play area, the castle in the second playground, was not safely constructed as evidenced by tower coming apart and screws sticking out.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (G) states: Outdoor equipment shall be safely constructed, in good condition, and free of sharp, loose or pointed parts. Stationary equipment such as swings, slides and climbers shall be anchored securely.
Correction Required
Play equipment shall be well maintained, safely constructed, free of sharp, loose or pointed parts; stationary equipment shall be anchored.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Hazardous items as follows were accessible to children: hand sanitizer and shaving cream. The item(s) was/were located in 3B.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
11/1/2019
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Violation
Hazardous items as follows were accessible to children: hand sanitizer and Lysol. The item(s) was/were located in the 4/5 year old classroom (Classroom 7).
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
11/1/2019
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Violation
Hazardous items as follows were accessible to children: hand sanitizer. The item(s) was/were located in 2A.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Corrected on Site
Compliance Date
11/1/2019
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility's admitting procedure did not include an individualized special care plan for a child with special needs to ensure that those needs were being met as evidenced by missing form for a child with asthma.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.
Correction Required
The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 6 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's admitting procedure did not include an emergency medical care plan.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 1 states: The facility director shall have an admitting procedure for each child in care that includes a plan for caring for the child if s/he becomes ill or needs emergency medical treatment. The director shall maintain an individual file on each child in order to communicate with the parent(s), guardian or legal custodian. The director shall have a plan for any child with special health needs, identified through a physical assessment by a licensed physician or an advance practice nurse, to ensure that those needs are met during care.
Correction Required
The facility shall have an admitting procedure for each child in care which includes a plan for ill children, emergency medical care, and special health needs.
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.
Compliance
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RSMo 210.115 Reports of abuse, neglect, and under age eighteen deaths--persons required to report--supervisors and administrators not to impede reporting--deaths required to be reported to the division or child fatality review panel, when.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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