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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
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Karen Whitener, Cheyann Osborne, Kelly Patterson, Marty Davis, Dee Buccheit within 60 days prior to the expiration of the license. Licensing Rule Reference 19 CSR 30-62.052 License Renewal (2) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within sixty (60) days prior to the expiration of the license. Correction Required Required Family Care Safety Registry checks shall be conducted for all staff member(s) within sixty (60) days prior to the expiration of the license.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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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 walls located in the Girls Bathroom in the Preschool Room was/were not in good condition as evidenced by a hole in the wall behind the door, where the knob lands on 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 2/20/2020
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Violation The facility's outdoor space was not safe for children's activities as evidenced by rubber mats overhanging the concrete ledge on the I/T Playground. They are not secure so when stepped on they flip down. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 2/26/2020
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19 CSR 30-62.087 Fire Safety
Violation
| Provider Comments |
Violation The facility’s evacuation/emergency plan was not posted. Licensing Rule Reference 19 CSR 30-62.087 Fire Safety (2) (E) states: The evacuation/emergency plan for fires and tornadoes shall be posted conspicuously and shall include the route for the drills and special instructions for infants and nonambulatory children. Correction Required Evacuation/emergency plan must be posted/complete.
Correction Verification Submit Documentation
Compliance Date 2/20/2020
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Violation Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Licensing Rule Reference 19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill. Correction Required Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification Submit Documentation
Compliance Date 2/26/2020
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no Emergency Plan was not available in the Preschool Room, I/T Unit, & Office. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and emergency plan is readily available in the office area and in each room used for care of children; Correction Required The facilities disaster and emergency plan must be available in required locations.
Correction Verification Submit Documentation
Compliance Date 2/20/2020
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Violation The facility’s name, address and telephone number was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. A. states: The name, address, and telephone number of the facility; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 2/20/2020
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Violation The facility’s list of emergency numbers was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 2/20/2020
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Violation The facility's evacuation route diagram was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 2/20/2020
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date 3/9/2020
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, a tub/tote, in the Preschool Room was not in good condition as evidenced by having a large crack in the lid. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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 The facility shall provide safe and clean furniture/equipment as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Deanna Buchheit needs 8 hours, Mary Lord needs 2 hours & Amber Reagan needs 4 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 3/12/2020
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Violation The Day care center director was not certified by the Section for Child Care Regulation as evidence by there is no approved director on site. The director left and they are in the process of hiring a new qualified director. Licensing Rule Reference 19 CSR 30-62.102 Personnel (2) (B) 3. B. states: Day care center directors employed after the effective date of these rules shall meet the following education or experience requirements, or both, as determined by the licensed capacity of the center in which they are to serve: Correction Required The director of the facility shall be certified by the Section for Child Care Regulation.
Correction Verification Submit Documentation
Compliance Date 2/26/2020
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Violation Amber Reagan & Mary Lord 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 2/20/2020
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Mary Lord, Amber Reagan, Sherry Whitener and Kelly Patterson 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 2/20/2020
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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 7/12/2017. 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 2/25/2020
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information as evidenced by The provider name is not listed under Authorization for Emergency Medical Care.. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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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 3 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 2/20/2020
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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
Violation
| Provider Comments |
Violation 1 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 2/25/2020
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Violation 1 child(ren) records did not include home telephone number 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 2/25/2020
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Violation 1 child(ren) records did not include name of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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Violation 1 child(ren) records did not include telephone number of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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Violation 1 child(ren) records did not include address of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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Violation 1 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 2/25/2020
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Violation An individual file was not kept for 4 child(ren). Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) . states: An individual file shall be kept to identify each child and enable the provider to communicate with the parent(s), guardian or legal custodian of the child in an emergency. Correction Required Accurate records shall be maintained.
Correction Verification Submit Documentation
Compliance Date 3/6/2020
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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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