DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

FUTURE STARS ACADEMY

002502769

(636) 887-2273

411 W PEARCE BLVD
WENTZVILLE
MO  63385-1423

FUTURE STARS ACADEMY



 

LUTZ, DOROTHY ANN

dottiel@fsaw.org

Incorporated

LEATRICE L DIXON

BIRTH - 15 YEARS

95

GROUP HOME AND CENTER

8 CHILDREN UNDER 12 MONTHS; 16 CHILDREN UNDER 24 MONTHS
 
Inspection Information

07/28/2020

2:50 PM

4:36 PM

ANNOUNCED

SUPPLEMENTAL

2383232260


DocumentDocument-Date
APPLICATION 01/04/2019
EQUIPMENT LIST 02/25/2019
FIRE/SAFETY INSPECTION 01/02/2020
STAFF SHEET 02/25/2019
SANITATION INSPECTION 11/25/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 07/28/2020
LINES OF ADMINISTRATIVE AUTHORITY 10/23/2014
CHILD CARE PRACTICES 01/22/2015
DAILY SCHEDULE 01/22/2015
DIAGRAM/INDOOR 01/22/2015
DIAGRAM/OUTDOOR 01/22/2015
DIRECTOR'S QUALIFICATIONS 01/22/2015
DISCIPLINE POLICIES 01/22/2015
JOB RESPONSIBILITIES 01/22/2015
POLICIES 01/22/2015
SAMPLE FORMS 01/22/2015
SAMPLE WEEKLY MENU 01/22/2015
LOCAL FIRE DEPARTMENT NOTIFICATION 02/26/2015
LOCAL BUILDING APPROVAL 02/02/2015
LOCAL ZONING APPROVAL 02/02/2015
SAFE SLEEP POLICY 04/06/2020




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 14
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 9
Total Children 30
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Tara Watson with children ages 3 months to 11 months
1 2 INFANTS AND TODDLERS Kara Hunsel with children ages 1 year
3 0 NO CHILDREN IN ATTENDANCE Callie Lutz (cook), Dottie Lutz (director) and Aimee Vann (assistant director) with no children
1 5 PRESCHOOL Jessica Gehm with children ages 3 to 5 years
2 16 SCHOOL AGE Crystal Webb and Jenna Gehm with children ages 5 to 11 years
1 4 TWO YEAR OLDS Brooke Alexander with children ages 2 years

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Not Observed
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
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
Submit Documentation

Compliance Date
4/6/2020
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The requirements for toilet and handwashing facilities were not met as evidenced by the toilet was not convenient for children's use.
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
4/6/2020
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
4/6/2020
Violation
The facility's outdoor space was not safe for children's activities as evidenced by hazards such as piles of bricks, and loose bricks were observed along the fence edge and also in the open areas of the playground. Some of the hazards are covered with orange construction fencing but are still accessible to children.
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
6/25/2020
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 was not in good condition in that an 8 foot section of the fencing along the back fence area was not connected and was hanging forward into the playground. Children would be able to leave the playground.
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
4/6/2020
Violation
The facility did not provide at least 35 square feet of usable floor space for each preschool and school-age child coming into the facility for day care as evidenced by previously approved required space was not being used.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 1. A. states: At least thirty-five (35) square feet of usable floor space shall be provided for each preschool and school-age child coming into the facility for day care.
Correction Required
The facility shall provide thirty-five square feet of usable space per child.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
There was evidence of dirt/debris in the tracks of the infant room diaper table (within reach of the children).
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
There was evidence of dirt/debris in floors through out the facility.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The floors located the 2 year old room baseboard (area along the infant room wall) was/were not finished with material which can be cleaned easily as evidenced by there are missing baseboards exposing unfinished drywall.
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
4/6/2020
Violation
The walls located school age bathroom and lower level preschool bathroom was/were not finished with material which can be cleaned easily as evidenced by dry wall holes and patches which are not filled and painted.
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
4/6/2020
Violation
The ceilings located the toddler room (near the ceiling vent) was/were not in good condition as evidenced by there are areas of brown ceiling drywall around the vent which may indicate a leak.
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
4/6/2020
Violation
Children were not restricted to approved space as evidenced by the bathroom from the school age room is a "Jack and Jill" with the infant room. The door from the infant room into the school age bathroom is not locked or latched.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The premises were not safe and suitable as evidenced by there are unused tables (without legs attached) that are stored by leaning against a wall. They are large and heavy enough to cause injury if they fall over.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The premises were not safe and suitable as evidenced by a large metal wall vent in the 2 year old room is disconnected from the wall on one side. The edges are sharp and the open space allows two year old access to the interior of the wall.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The premises were not safe and suitable as evidenced by the freezer with the food for the whole center is located in the infant room, near the kitchen door. There is no lock/latch on the full size, upright freezer door .
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
19 CSR 30-62.087 Fire Safety
Not Observed
19 CSR 30-62.090 Disaster and Emergency Preparedness
Violation
 Provider Comments
Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.

Correction Verification
Submit Documentation

Compliance Date
7/28/2020
Violation
The facility's disaster plan did not include exit routes to a safe location out of the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
7/28/2020
Violation
The facility's disaster plan did not include exit routes to a safe location within the facility.
Licensing Rule Reference
19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes;
Correction Required
Facilities disaster plan shall include required components.

Correction Verification
Submit Documentation

Compliance Date
7/28/2020
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by Nerf footballs, observed in the lower level preschool are not in good condition. The foam is broken and coming apart.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
Stationary equipment, balance beam, was unsafe as evidenced by the equipment had exposed footings.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by floor mats under the swings in the "swing room" are not in good condition. The side and ends are frayed exposing foams.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
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 for Brooke Alexander hired 03.05.16 was fingerprinted on 10,30.18; FCSR was run 10.17.18 (no evidence that comprehensive screening was completed) Allison Freeman, Jenna Gehm, Ashley Velez (no fingerprinting receipts on site) prior to their employment or presence in a group child care home/child care center.
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
6/25/2020
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Fay Boles, Ashley Velez and Jenna Gehm.
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
4/6/2020
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: For 2019: Brooke Alexander needs 2.5 hrs, Fay Boles needs .50 hrs, Melissa Brendel needs 9.50 hrs, Allison Freeman needs 8.50 hrs, Jenna Gehm needs .50 hrs, Jessica Gehm needs 2.50 hrs, Dottie Lutz needs 2.50 hrs, Ashley Velez needs 1 hr, Tara Watson needs 6 hrs, ***AS OF 07.28.20 Ashley Velez needs an additional 1 clock hour 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

Violation
The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Fay Boles (evidence of fingerprinting has not been completed. Dottie stated they couldn't get her fingerprints and the fingerprinting office told her she wouldn't need them) prior to their employment or presence in a group child care home/child care center.
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
Requirements for safe sleep training were not met in that the following staff did not complete department-approved safe sleep training within the past three years: Jenna Gehm, Callie Lutz, and Ashley Velez.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Not Observed
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Ashley Velez and Callie Lutz 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

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Jenna Gehm and Allison Freeman *** ON 07.28.20 Jenna Gehm, Ashley Velez and Callie Lutz need TB assessments.
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

Violation
The medical examination report on file was older than 12 months before the individual's begin date at the facility.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (C) states: Medical examination reports shall be completed not more than twelve (12) months prior to beginning work in the facility and may be transferable to another day care facility for subsequent 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
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
4/6/2020
Violation
A diet plan for each infant/toddler was not signed by the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 3. states: A diet plan for each infant/toddler signed by the parent(s);
Correction Required
Caregivers shall follow each infant's feeding instructions as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information as evidenced by 2 (Child 3, Child 6).
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
4/6/2020
Violation
The policy did not include a requirement that children less than 1 year of age be placed on their backs to sleep.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) A. 2. states: A requirement that children less than one (1) year of age be placed on their backs to sleep.
Correction Required
The policy shall include a requirement that children less than one (1) year of age be placed on their backs to sleep.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
The policy did not prohibit covering cribs or playpens with blankets or bedding.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (2) B. 3. states: Shall prohibit covering cribs or playpens with blankets or bedding.
Correction Required
The policy shall prohibit covering cribs or playpens with blankets or bedding.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
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
Violation
 Provider Comments
Violation
The use of diapering products did not meet requirements as evidenced by diapering product(s) were not labeled with the child’s name.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (1) (E) 1. states: Disposable tissues or wipes shall be used to cleanse the child at each time of diapering. Any diapering creams, powders, or other products applied at the time of diapering shall be provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering products shall be provided by parents and labeled with the child's name.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
19 CSR 30-62.192 Health Care
Violation
 Provider Comments
Violation
Medication was observed left out after being administered to a child; the medication was located in the infant room. There was no medication form, staff said the child is no longer using the medication. Medication needs to be sent home when no longer in use. .
Licensing Rule Reference
19 CSR 30-62.192 Health Care (3) (F) states: Medication shall be returned to storage immediately after use.
Correction Required
Medication shall be stored as required.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
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 9 PCV shot given one month before age 1 year, not yet 5 years old) 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
4/6/2020
19 CSR 30-62.202 Nutrition and Food Service
Violation
 Provider Comments
Violation
The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that Child B needs an updated diet plan for table food.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (2) (B) states: The written diet plan for each infant/toddler shall be followed. The parent(s) shall update the plan according to the individual needs of the child until they grant permission in writing for the child to eat table foods.
Correction Required
A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.212 Transportation and Field Trips
Violation
 Provider Comments
Violation
Identifying information in the vehicle was not available.
Licensing Rule Reference
19 CSR 30-62.212 Transportation and Field Trips (3) (B) states: Identifying information regarding the name of the provider, the names of the children and the names, addresses and telephone numbers of each child's parent(s) shall be carried in the vehicle.
Correction Required
During transport, the facility shall carry identifying information for provider and children as required.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
1 (Child 2) 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
4/6/2020
Violation
1 (Child 3) 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
4/6/2020
Violation
5 (Children 2, 3, 5, 6, 9) 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
4/6/2020
Violation
2 (Child 8 current inspection/child from previous inspection) child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
4/6/2020
Violation
Daily attendance records were not maintained on file as evidenced by there was no staff/volunteer attendance record for the following staff: Dottie Lutz ***Dottie sent a statement to correct this violation on 04.06.20. However, on 07.28.20, there were no director attendance records available. Dottie stated that she records her hours in her phone. CCFS Dixon stated that the attendance records need to be available on site. Dottie stated she would begin to log her attendance on the computer. CCFS Dixon asked for a statement in writing to that effect.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
1 (Child E) child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
2 (Child A and Child D) 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

Violation
1 (Child D) child(ren) records did not include work 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

Violation
1 (Child D) 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

Violation
1 (Child D) 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

19 CSR 30-63.040 Background Screening Findings
Not Observed
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
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Not Observed