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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Violation
| | Provider Comments |
Violation
A caregiver has not reviewed the rules of this chapter as evidenced by Penny Gallant did not have a signed form on file that states that she has read and reviewed the rules for License-Exempt facilities. Penny Gallant had the form in her personal belongings and brought the form in during the inspection to CCFS Koetting.
Licensing Rule Reference
19 CSR 30-60.050 Staffing Requirements (2) states: All caregivers shall review the rules of this chapter.
Correction Required
All caregivers shall review the rules as required.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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19 CSR 30-60.060 Health Requirements
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 1 child was missing up to date immunization records.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
Medical examination reports, including TB testing, were not on file for Leda Mathenia and Jerry McKracken as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Medical examination reports, including TB testing, were not on file for Jerry McKracken 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 30-60.060 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that 2 children were missing up to date immunization records.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Compliance
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19 CSR 30-60.090 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The diapering supplies was not located where the caregiver can maintain supervision of his/her group at all times as evidenced by diaper changing table flush against wall, not allowing teachers to actively supervise the rest of the children in the classroom in the red room and yellow room.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (A) states: Diapering supplies and a hand washing sink with warm, running water shall be in a location that allows the caregiver to maintain supervision of the children in care at all times.
Correction Required
The facility shall locate the diapering area, supplies, and handwashing sink where supervision of children can be maintained as required.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled in that urine was present in the boys bathroom in the gym.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 2 (A) states: Toilets, urinals and hand washing sinks shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the presence of trash on the playground in multiple areas, including broken stakes from a Slip-N-Slide, food trash, plastic bags, etc.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and other debris, and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
The premises were not safe and suitable as evidenced by outlet plugs were not covered on a surge protector accessible to children.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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
Corrected on Site
Compliance Date
8/6/2020
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Violation
The premises were not safe and suitable as evidenced by diaper changing pad on diaper changing table had tears in the plastic lining exposing the foam.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 states: The premises of all facilities 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
Corrected on Site
Compliance Date
8/6/2020
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Violation
The walls located in the Red Room was/were not in good condition as evidenced by chipping and peeling paint on the wall above the cots and the corners of the closet.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (F) states: Walls, ceilings, floors and equipment shall be finished with materials that can be cleaned easily and shall be free of splinters, cracks and chipped paint. Floor covering shall be in good condition. The facility shall be free of all lead hazards and asbestos that is friable or dangerous.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name, address and telephone number of another individual (friend or relative) who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (C) states: Full name, address and phone number of a friend or relative who might be reached in an emergency when a parent, guardian or legal custodian cannot be reached.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 children were missing specialized care forms for infant/toddler care and special needs.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by authorization for emergency medical care for 5 children were not completed.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 4 (A) states: S/he has been informed of the required health and safety inspections and that the inspection forms are available for review.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/6/2020
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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 210.115 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.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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