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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Compliance
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19 CSR 30-61.055 License Renewal
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation The walls located ABC room was/were not in good condition as evidenced by wall has damage to the sheetrock on east wall. 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 10/16/2019
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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 resilient material was not uniformly spread over the fall-zone area. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 8 states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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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 no resilient material was present. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 3 (A) 6 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 effectively cushions the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Grass may be an approved resilient material, but if grass becomes worn or sparse, the area must be covered with another approved resilient material. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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Violation Hazardous items as follows were accessible to children: toilet bowl brushes. The item(s) was/were located in both bathrooms and cabinet doors in bathrooms were unlocked. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (J) 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 Submit Documentation
Compliance Date 10/16/2019
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Violation Stairways in the facility did not meet requirements as evidenced by the stairway was not free of obstructions in that the railing had jagged and rotting wood on the top bannisters . Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (F) states: Stairways in approved child care space shall be well-lighted and free of obstructions. Stairways in approved child care space having more than three (3) steps shall have a handrail the children can reach. Correction Required Stairways shall meet safety standards as required.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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Violation Children were not restricted to approved space as evidenced by children had access to the kitchen which has not been approved for children's access. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home 1 (E) 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 10/23/2019
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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation The door, located in the back of house leading to playground, used as an exit from the facility was locked. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 4 (F) states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Outdoor equipment, yellow slide, in play area was not in good condition as evidenced by broken on the bottom leg. 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 10/16/2019
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Violation Outdoor equipment, all plastic pieces of equipment and little tike type pieces, in the playground was not in good condition as evidenced by dirty and with mildew/mold. 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 10/16/2019
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Compliance
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Compliance
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Violation
| Provider Comments |
Violation The diapering table or other approved area was not cleaned thoroughly with a disinfectant after each use. Licensing Rule Reference 19 CSR 30-61.175 Child Care Program 1 (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use. Correction Required The facility shall provide a safe and clean diapering table as required.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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Violation The diapering table or other approved area did not have a waterproof surface. Licensing Rule Reference 19 CSR 30-61.175 Child Care Program 1 (E) 1 states: A safe diapering table or other approved area with a waterproof, washable surface shall be used for changing diapers. The table or area shall be cleaned thoroughly with a disinfectant after each use. Correction Required The facility shall provide a safe and clean diapering table as required.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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19 CSR 30-61.185 Health Care
Compliance
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by afternoon snack for preschool children was 2 store bought shortbread/chocolate iced cookies and milk. Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 1 (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required Nourishing food shall be provided as required.
Correction Verification Submit Documentation
Compliance Date 10/16/2019
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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19 CSR 30-61.210 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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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