|
19 CSR 30-62.032 Organization and Administration
Compliance
|
19 CSR 30-62.042 Initial Licensing Information
Compliance
|
19 CSR 30-62.052 License Renewal
Compliance
|
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
|
19 CSR 30-62.087 Fire Safety
Compliance
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
|
19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation Caren Vogt, Cathy Hensley, Amber Reyes, Jessica Ard, Caite Zelch, and Heather Osia 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 4/28/2020
|
|
Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Anna Knoebel, Amber Reyes, Megan Mello and Ashley Stone. Licensing Rule Reference 19 CSR 30-62.102 Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include: Correction Required The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.
Correction Verification Submit Documentation
Compliance Date 4/28/2020
|
|
Violation Prospective child care staff member(s), Anna Knoebel, Amber Reyes, Megan Mello, Jessica Ard, Jessica Catanese, Kelly Johnson, Ashley Stone, Caite Zelch, Tracy Arlotta, and Cathy Hensley, 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 4/28/2020
|
|
Violation The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Anna Knoebel, Amber Reyes, Megan Mello, Jessica Ard, Jessica Catanese, Kelly Johnson, Ashley Stone, Caite Zelch, Tracy Arlotta, and Cathy Hensley. 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 4/28/2020
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Caregiver-child ratio requirements were not met as evidenced by 14 children ages 2 to 3 years (8 are age 2 years) were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct caregiver-child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 12/12/2019
|
|
Violation Caregiver-child ratio requirements were not met as evidenced by 15 children ages 3 to 5 years were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct caregiver-child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date 12/12/2019
|
|
|
19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report was not on file for Amber Reyes, Megan Mello and Heather Osia 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 4/28/2020
|
|
Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Amber Reyes, Megan Mello, Kelly Johnson and Heather Osia. 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 5/7/2020
|
|
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 10.18.19 (has school age health report and needs infant medical exam). 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 3/12/2020
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation A child 3 years of age was in the I/T room with 45 children in attendance. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (5) (B) states: The infant/toddler unit shall not care for children older than two (2) years unless the total number of children in attendance at the time is four (4) or fewer. Correction Required A child older than 2 years shall not be in the I/T unless the total number of children in attendance is four or fewer.
Correction Verification Submit Documentation
Compliance Date 3/30/2020
|
|
Violation An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required An individualized plan from a professional source shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 3/12/2020
|
|
Violation The facility did not meet requirements for child enrollment and health information as evidenced by Child 1 does not have 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 3/12/2020
|
|
|
19 CSR 30-62.142 Nighttime Care
Compliance
|
19 CSR 30-62.152 Hourly Care Facilities
Compliance
|
19 CSR 30-62.162 Overlap Care of Children
Compliance
|
19 CSR 30-62.172 Emergency School Closings
Compliance
|
19 CSR 30-62.182 Child Care Program
Compliance
|
19 CSR 30-62.192 Health Care
Compliance
|
19 CSR 30-62.202 Nutrition and Food Service
Compliance
|
19 CSR 30-62.212 Transportation and Field Trips
Compliance
|
19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 3 (Child 1, Child 5, and Child 6) child(ren) records did not include employers' 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 3/12/2020
|
|
Violation 1 (Child 7) 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 3/12/2020
|
|
|
19 CSR 30-63.040 Background Screening Findings
Compliance
|
RSMo 210.003. Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
|
RSMo 210.1080. Background checks required--definitions--procedures—ineligible for employment, when--exemption, when--emergency rules.
Compliance
|
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
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|