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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Initial Licensing Information
Not Observed
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19 CSR 30-62.052 License Renewal
Violation
| Provider Comments |
Violation The fire inspection was not approved. Licensing Rule Reference 19 CSR 30-62.052 License Renewal (1) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee; Correction Required The facility shall submit evidence of compliance with fire and safety requirements for renewal.
Correction Verification Submit Documentation
Compliance Date
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Violation The sanitation inspection was not conducted. 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
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Violation The application for renewal of the facility's license was not completed correctly as evidence by the legal name of the program is incorrect and the person who signed the application has not been approved as a designee by the current Board President. 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
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Violation The facility did not meet requirements for a criminal background check. Results were not on file for board president: Marianne Whitehouse and Kathy Thomure (designee). Licensing Rule Reference 19 CSR 30-62.052 License Renewal (3) states: The facility owner(s), board president or chairperson, and the center director or group day care home provider, 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
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Not Observed
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19 CSR 30-62.087 Fire Safety
Not Observed
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Requirements for infant/toddler sleeping equipment were not met as evidenced by a crib/playpen was not provided for each infant in that four (4) cribs were missing from the equipment list. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. A. states: An individually assigned crib, portable crib or playpen shall be provided and used for each infant and toddler. Stack cribs shall not be used. Correction Required The facility shall provide approved sleeping equipment as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for sleeping materials were not met as evidenced by there was an inadequate amount of approved sleeping equipment - the number short was fifty-six (56). Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. A. states: An individual cot or bed shall be provided for each child who naps or sleeps. An individually assigned sheet and blanket shall be provided for each child twelve (12) months and older who naps or sleeps. Upper levels of bunk beds shall not be used. Correction Required The facility shall provide sleeping equipment and bedding as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for push-pull toys. The facility needed an additional twelve (12) items in this category. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (2) (C) 1. A. states: Push-pull toys; Correction Required The facility shall provide approved equipment as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not meet requirements for balls or other large muscle. The facility needed an additional one (1) items in this category. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (2) (C) 1. B. states: Balls or other large muscle equipment; Correction Required The facility shall provide approved equipment as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.102 Personnel
Not Observed
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19 CSR 30-62.112 Staff/Child Ratios
Not Observed
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kailey Bode, Lindsey Ritter, and Allison Wolfer. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required TB reports shall be on file as required
Correction Verification Submit Documentation
Compliance Date
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Violation Medical examination report(s) was/were not on file for Melissa Hill, Shannon Nevels, and Allison Wolfer as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
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19 CSR 30-62.142 Nighttime Care
Not Observed
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Not Observed
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19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when their children were involved in accidents/incidents at the daycare. Licensing Rule Reference 19 CSR 30-62.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions. Correction Required The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for immunization reports on file were not met as evidenced by one (1) 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
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19 CSR 30-62.202 Nutrition and Food Service
Not Observed
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation One (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
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19 CSR 30-63.040 Background Screening Findings
Not Observed
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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. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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