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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
Compliance
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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 requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that three outlets in the preschool room did not have covers on the outlet plugs. . Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Corrected on Site
Compliance Date 1/15/2020
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Violation The walls located in the preschool room was/were not in good condition as evidenced by drywall and paint chipping on corner of long wall which could be hazardous for children if ingested. 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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Violation The bathroom was not clean and odor free as evidenced by the toilet was soiled. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free. Correction Required Bathrooms shall be clean and odor free.
Correction Verification Corrected on Site
Compliance Date 1/15/2020
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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
Compliance
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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: Chelsie Raybourn did not have a receipt for fingerprinting on file at the facility during inspection. 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 Prospective child care staff member(s), Chelsie Raybourn, was/were working without having requested a criminal background check. 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 The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Destiny Carroll is missing .25 clock hour trainings for 2019 and Pauline Phillips is missing 1.5 clock hour trainings for 2019. 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 Prospective child care staff member(s), Victoria Martinez, 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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19 CSR 30-62.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Caregiver-child ratio requirements were not met as evidenced by 20 children ages 3-5 were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children; Correction Required Correct caregiver-child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report was not on file for Chelsie Raybourn 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 A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Chelsie Raybourn. 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
Compliance
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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 required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 1 child(ren). 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
Compliance
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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 210.115. 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. —
Compliance
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
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