| |
19 CSR 30-62.032 Organization and Administration
Compliance
|
19 CSR 30-62.042 Initial Licensing Information
Not Observed
|
19 CSR 30-62.052 License Renewal
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for a criminal background check. The following staff member(s): Tonya Maggard, Brooke Ricci, Tracy Rhodes, Maddie Barton, Isabella Carroll, and Amelia Sproat, had no results on file.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (4) states: Child care staff members shall have qualifying background screening results on file as required by 19 CSR 30-63.020 General Requirements, prior to renewal of the license.
Correction Required
Required results of criminal background checks shall be on file.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The Family Care Safety Registry check was not conducted for Amelia Sproat 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
|
|
Violation
The application for renewal of the facility's license was not filed at least sixty (60) days prior to expiration of the license.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) . states: An application for license renewal shall be filed at least sixty (60) days prior to expiration of the license. In addition, the following information is required:
Correction Required
The facility shall submit an application as required for renewal.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility's equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The sanitation inspection was not approved.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (B) states: Evidence of compliance with local or state, or both, sanitation requirements;
Correction Required
The facility shall submit evidence of compliance with sanitation requirements for renewal.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The facility has not met the requirements for fire and safety as evidenced by the current fire safety inspection is not approved.
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
6/17/2020
|
|
Violation
The floors located throughout the building are carpet and was/were not in good condition as evidenced by the carpet is beginning to separate and fray in multiple areas.
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
|
|
Violation
The temperature of rooms was less than 68 degrees F measured two feet from the floor as evidenced by the thermostat registered 65 degree Fahrenheit.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 5. states: The facility shall be dry, temperature controlled, well-ventilated and free of drafts. Children shall not be overheated or chilled. The temperature of the rooms shall be no less than sixty-eight degrees Fahrenheit (68 F) and no more than eighty-five degrees Fahrenheit (85 F) when measured two feet (2') from the floor.
Correction Required
The facility shall meet temperature, humidity and ventilation requirements.
Correction Verification
Submit Documentation
Compliance Date
8/7/2020
|
|
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 6" and 7".
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
Submit Documentation
Compliance Date
6/4/2020
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the vinyl siding on the building as exiting into the playground has been broken. There is a hole with an exposed piece of sharp plastic.
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
6/4/2020
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by there is mesh protruding through the pea gravel that poses a tripping hazard.
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
6/4/2020
|
|
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 the resilient material used is unapproved in that tree roots are protruding through the pea gravel in the fall zone around the large climber.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. 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 will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Submit Documentation
Compliance Date
6/4/2020
|
|
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet would not flush.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 3. states: Toilet and hand washing facilities shall be in working order and convenient for the children's use.
Correction Required
Bathroom fixtures shall be functional and convenient.
Correction Verification
Submit Documentation
Compliance Date
6/4/2020
|
|
|
19 CSR 30-62.087 Fire Safety
Not Observed
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, one small climber, in the fenced playground was not free of pointed parts as evidenced by the plastic tunnel is broken with exposed sharp pieces.
Licensing Rule Reference
19 CSR 30-62.092 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 play equipment shall be safe and in good repair.
Correction Verification
Submit Documentation
Compliance Date
6/4/2020
|
|
|
19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were no training documents on file. The staff listed need the following documentation: Tracy Rhodes (12); Tonya Maggart (12); Renee Portell (12); Gina Hall (12); Maddie Barton (12); Skylar Forney (1); Brooke Ricci (3). On June 4, 2020, the facility submitted a statement verifying Renee Portell, Gina Hall and Skylar Forney are no longer employed. As of the August 7, 2020, supplemental inspection, Maddie Barton must complete 12 approved training hours for 2019. Brooke Ricci must complete 2 training hours to complete 2019 requirements. Tracy Rhodes must complete 12 training hours to complete 2019 requirements. 7 of the training hours Tonya Maggard completed in 2019 must be transferred to 2018 requirements. Tonya Maggard will then need 9 additional training hours to complete 2019 requirements.
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
|
|
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: Tracy Rhodes (6). Supplemental Inspection on 8/7/20. In addition to Tracy Rhodes needing 6 additional training hours to complete 2018 requirements, Maddie Barton must have 5 additional training hours to complete 2018 requirements .
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
|
|
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Morgan Chance, Brooke Ricce, Ashley Politle, and Skylar Forney. On June 4, 2020, the facility submitted a statement verifying Morgan Chance, Ashley Polittle and Skylar Forney are not longer employed.
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
8/7/2020
|
|
Violation
Prospective child care staff member(s), Gina Hall, Renee Portell, Tonya Maggard, Tracy Rhodes, Ashley Politle, Brooke Ricci, Morgan Chance. On June 4, 2020, the facility submitted a statement verifying Gina Hall, Morgan Chance and Renee Portell are no longer employed, was/were working without having requested a criminal background and 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
|
|
Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver for every 20 children in capacity was not certified in first aid/CPR in that the facility has a capacity of 72 children. Four staff are required to have approved/age appropriate fa/cpr. There is only one staff currently that has submitted proof of first aid/cpr.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (S) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be and approved by the department.
Correction Required
Required certification in first aid/CPR shall be on file. At least one caregiver with the certification shall be on site as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The provider did not meet requirements for a criminal background check. Results were missing for: Tracy Rhodes, Gina Hall, Maddie Barton, Renee Portell, and Tonya Maggard. Grace Veach and Bailey Rokan are no longer employed per 1/16/2020 inspection. In addition, Brooke Ricci and Morgan Chance do not have required information on file per 1/16/2020 inspection. On June 4, 2020, the facility submitted a statement verifying Gina Hall, Morgan Chance and Renee Portell are no longer employed.
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
|
|
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: Skylar Forney, Morgan Chance, Brooke Ricci, and Ashley Politle. On June 4, 2020, the facility submitted a statement verifying Skylar Forney, Morgan Chance and Ashley Politte are no longer employed.
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
|
|
Violation
A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Tonya Maggard must transfer 7 training hours from 2019 to 2018.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were no training documents on file. The staff listed need the following documentation: Tonya Maggard (12); Gina Hall (12); Renee Portell (12); Grace Veach (12); Maddie Barton (12); Cathy Phipps (12); Mariah Faubharber (1). On June 4, 2020, the facility submitted a statement verifying Gina Hall, Renee Portell, Grace Veach,Cathy Phipps and Mariah Harbor are no longer employed. 2019 Hours still required from 8/7/20 supplemental inspection: Maddie Barton (5 hours), Tracy Rhodes (6 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
8/7/2020
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Compliance
|
19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for Isabella Carroll 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
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
While providing care for a special needs child, the caregiver did not meet the needs of the other children as evidenced by one child with identified special needs did not have a specialized care plan on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (7) states: The provider shall assess his/her ability to provide care for the special needs child while also meeting the needs of the other children.
Correction Required
The provider shall meet the needs of all children in care.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.142 Nighttime Care
Not Observed
|
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
|
19 CSR 30-62.162 Overlap Care of Children
Not Observed
|
19 CSR 30-62.172 Emergency School Closings
Not Observed
|
19 CSR 30-62.182 Child Care Program
Not Observed
|
19 CSR 30-62.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by a statement, certificate or record from a physician or other recognized health facility or personnel was not on file for 3 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
|
|
|
19 CSR 30-62.202 Nutrition and Food Service
Not Observed
|
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
|
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 the back of children's enrollment forms were not submitted. There were no signatures on the enrollment forms submitted.
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
|
|
Violation
Records were not available for inspection by the department upon request as evidenced by there are sexual predators living within 1,000 feet of the facility. The facility must submit a sexual predator safety plan.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (11) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-63.040 Background Screening Findings
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
|