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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Initial Licensing Information
Not Observed
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19 CSR 30-62.052 License Renewal
Not Observed
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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 facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 8 inches.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced outdoor play area shall be available on or adjoining the day care property. The play area shall be located so it is convenient and the children can gain access to it without hazard. For facilities initially licensed after the effective date of these rules or for the installation of new fences in existing facilities, the fence shall be at least forty-two inches (42") high. An outdoor play area used exclusively for school-age children shall not be required to have a fence. Fences shall be constructed to prevent children from crawling or falling through or becoming entrapped.
Correction Required
The outdoor play area shall be accessible without hazard.
Correction Verification
Return Inspection
Compliance Date
1/3/2020
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Violation
The facility has not met the requirements for state or local zoning as evidenced by .The facility has no current business license. There is an occupancy certificate for 1324, none for 1314; there are no fire code compliance certificates for either building and no annual inspection certificate for either building. On 09.26.19 received a certificate of occupancy for address 1324 Tower Grove but no certificate of occupancy for 1312 Tower Grove (school age building). On 10.23.19 received annual fire safety inspection certificate for 1324 Tower Grove but no annual fire safety certificate for 1314 Tower Grove (school age building). No business license has been received. ON 12.1019 There is no current business license. 1314 (school age building) has no certificate of occupancy/zoning, no annual inspection certificate and no fire safety inspection certificate..
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation.
Correction Required
The facility shall comply with fire and safety/zoning/sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The walls located in the school age building near the library area was/were not in good condition as evidenced by paint is chipping and there is a hole in the wall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
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19 CSR 30-62.087 Fire Safety
Not Observed
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-62.092 Furniture, Equipment and Materials
Not Observed
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check prior to employment or presence in the facility for the following staff: On 12.10.19 it was observed that no comprehensive background screenings have been requested for Toney Davis (pastor) and Violet Wood.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (L) states: The provider shall request the results of a criminal background check for child care staff members as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required requests 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 the following staff member(s): Lewis Claybon, Linda Wilks, Denise Word and Sheila Robinson. On 12.10.19 it was observed that Toney Davis (pastor) and Violet Wood have and no comprehensive screening results on file..
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (M) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements.
Correction Required
Required results of criminal background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: as of 3.27.2018, staff needing additional clock hours for 2017: Lewis Claybon needs 12 hours .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Lewis Claybon did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Needed for 2018: Lewis Claybon has 0/12; Bobbie Davis has 11.5/12; Ebony Davis has 7.5/12, Eunice Head has 10.5/12; Jennifer Jones has 8.5/12; Collie King has 11.25/12; Terry Mays has 0/12; Larissa Saunders has 10/12; Falisha Wilkins has 8/12; Daysha Benson has 0/1; Linda Wilks has 0/6; Kenya Templer has 0/2 and Denise Word has 0/1. On 06.26.19 the following staff need the additional clock hours noted for 2018: Bobbie Davis .50, Ebony Davis 4.5, Lewis Claybon 12, Collie King .75, Larissa Saunders 2, Falisha Wilkins 4, Eunice Head 3, Jennifer Jones 3.5, Linda Wilks 6, Denise Word 1. Kenya Templer .50 On 09.26.19: The following staff need verification of completion of 2018 clock hours: Ebony Davis has 7.50 on 2018 toolbox and needs an additional 4.5 /none available on 2019 tool box to be moved; Kenya Templer has 1.5 on 2018 tool box and needs an additional .50/none are available on the 2019 toolbox to be moved; Falisha Wilkins has 8 on the 2018 toolbox and needs an additional 4/only 3 are available on the 2019 toolbox to be moved, she will still be short 1 clock hour; Linda Wilks has 0 hours on the toolbox for 2018 and needs 6 hours/none are available on the 2019 toolbox to move; Denise Word has 0 hours on the 2018 toolbox and needs 1/there is 1 hour on the 2019 toolbox to move; Lewis Claybon has 0 on the 2018 toolbox and 0 on the 2019 toolbox to move. On 10.23.19 CCFS Dixon received certificates for clock hour training it is unclear if those clock hours have been moved from 2019 clock hours to 2018 clock hours to meet the 2018 requirements. Linda Mosby, director, will need to contact Open Initiative to reassign the clock hours from 2019 to 2018. Once this is done CCFS Dixon will be able to verify if 2018 requirements have been met. On 12.10.19 Lewis Claybon needs 12 hours for 2018; Kenya Templer needs .50; Falisha Wilkins need 4; Linda Wilks needs 6; Denise Word needs 1. (Linda stated she will move these clock hours today) .
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Lewis Claybon needs 4 clock hours to be applied to 2016 hours.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Caregiver-child ratio requirements were not met as evidenced by 7 children ages 1 year were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.
Correction Verification
Return Inspection
Compliance Date
1/3/2020
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19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report was not on file for Annette Robinson, Martha Brooks, Patricia Green On 08.01.18 the following staff did not have medical exams in their files: Annette Robinson, Patricia Green, Stephanie Smith and Tahria Anderson. On 08.16.18 the following staff still need medical exams Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.06.18 the following staff still need medical exams: Chantel Johnson (medical does not have all information), Tracy Templer (medical is incomplete), Tahria Anderson (no medical exam), Annette Robinson (no medical exam. On n01.23.19 the following staff need medical exams: Annette Robinson; Tahria Anderson ; Chantel Johnson; Linda Wilks; Daysha Benson; Kenya Templer. On 02.27.19 Annette Robinson, Tahria Anderson, Chantel Johnson, Linda Wilks, Kenya Templer, and Daysa Benson had no medical exam on file. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Chantel Johnson, Linda Wilks, Kenya Templer, Zipporah Sykes, Tiera Carey. On 09.26.19 the following staff need medical exams: Linda Wilks, Barbara Johnson and Vera Messenger. On 10.30.19 Vera Messenger and Sheila Robinson had no medical exam on file. On 12.10.19 Vera Messenger does not have a completed medical examination 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 Annette Robinson, Martha Brooks, Stephanie Smith, Anna Walker Patricia Green and Tracy Templer On 07.18.18 Annette Robinson, Patricia Green, Stephanie Smith, Tahria Anderson, Martha Brooks, On 08.01.18 the following staff did not have complete TB Risk assessment forms: Annette Robinson, Patricia Green, Stephanie Smith and Taharia Anderson. On 08.16.18 the following staff still need tb assessments Annette Robinson, Stephanie Smith, and Tahria Anderson. On 12.0618 the following staff have no evidence of TB Risk Assessments on file: Tracy Templer, Tahria Anderson, Annette Robinson . On 01.23.19 the following staff need TB Risk assessment: Annette Robinson; Tahria Anderson; Tracy Templer; Linda Wilks; Kenya Templer; Daysha Benson. On 02.27.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, and Daysa Benson had no TB Risk Assessment on file. On 06.26.19 Annette Robinson, Tahria Anderson, Tracy Templer, Linda Wilks, Kenya Templer, Zipporah Sykes. On 09.26.19 Barbara Johnson, Linda Wilks, and Vera Messenger have no TB assessment. On 10.30.19 Barbara Jackson, Vera Messenger and Sheila Robinson have no TB assessment on file. On 12.10 .19 Vera Messenger does not have a completed TB assessment on file.
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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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 (Child 8 09.25.19 and Child 10 09.09.19).
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
Not Observed
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19 CSR 30-62.142 Nighttime Care
Not Observed
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Not Observed
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19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by 3 (Child 5, Child 8 and Child 10) 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
Not Observed
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by children's attendance records were incorrect in that many children were present but not recorded as signed in; additionally face-to-name tracking sheets were also incorrect. as children transitioned from on room to another. On 09.26.19 there was a child present in the infant room who was not marked present on the tracking sheet. ON 12.10.19 CCFS Dixon and Sims reviewed the face to name tracking sheets in the infant room. There were 6 children checked off as present but there were 7 children in the room.
Licensing Rule Reference
19 CSR 30-62.222 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
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Violation
1 (Child 7) child(ren) records did not include child's address.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
1 (Child 4) child(ren) records did not include date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
1 (Child 7) child(ren) records did not include home address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
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Violation
2 (Child 3 and Child 9) child(ren) records did not include employers' name of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
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19 CSR 30-63.040 Background Screening Findings
Not Observed
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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 — report made to another state, when. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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