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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Initial Licensing Information
Compliance
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19 CSR 30-62.052 Annual Requirements
Compliance
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
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
Return Inspection
Compliance Date
10/21/2020
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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
Return Inspection
Compliance Date
10/21/2020
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Violation
The required caregiver/child ratio for infant/toddlers and two-year olds was not maintained. The caregiver/child ratio was not maintained for 2 year-olds outdoors as evidenced by 10 (9 age 2) children with 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (B) 2. states: Staff/child ratios for infant/toddlers and two (2)-year olds shall be maintained at all times.
Correction Required
Caregiver/child ratios for I/Ts and 2-year olds shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
10/21/2020
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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 resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification
Return Inspection
Compliance Date
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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
Return Inspection
Compliance Date
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Violation
The walls located in the two year old room was/were not finished with material which can be cleaned easily as evidenced by the paint has been peeled off the wall by the closet leaving an area that is not washable.
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
Return Inspection
Compliance Date
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Violation
Hazardous items as follows were accessible to children: paint and hand sanitizer. The item(s) was/were located in a wooden storage unit in the first room on the left that is adjacent to the front entry. The items were accessible to children. The paint on the cubbies adjacent to the front door had been moved higher on a storage cubbie. The paint needs to be out of reach of all children. The cubbie unit is of a height that taller children can access the enamel paint.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Submit Documentation
Compliance Date
10/21/2020
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Violation
Stairways in the child care space did not meet requirements as evidenced by the safety gate was not physically secured.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (F) states: Approved safety gates at stairways and doors shall be provided and used as needed.
Correction Required
Stairways shall meet safety standards as required.
Correction Verification
Return Inspection
Compliance Date
10/21/2020
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Violation
Children were not restricted to approved space as evidenced by children had access to the stairs that lead to the upper level. The upper level is not approved child care space. The children also had access to the vault. The door to the vault was open. During the October 8, 2020, re-inspection, CCFS Tuschhoff observed the gate propped against the opening. The gate was not engaged. Tracy Rhodes stated the gate is broken and a new she is getting a new gate.
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
Return Inspection
Compliance Date
10/21/2020
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Violation
The premises were not safe and suitable as evidenced by there are long window cords accessible to children in the large front room.
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
Return Inspection
Compliance Date
10/21/2020
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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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 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 . Maddie Barton has completed 6.5 hours in 2020. The training hours were reviewed during the September 23, 2020,supplemental inspection. To complete 2018 requirements, Maddie Barton must obtain .5 additional training hours to complete 2018 requirements. Tracy Rhodes still needs 6 additional training hours to complete 2018 training hour 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
Return Inspection
Compliance Date
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Violation
The requirements for first aid and CPR training were not met as evidenced by at least one caregiver certified in first aid/CPR was not on site.
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
Return Inspection
Compliance Date
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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. On September 23, 2020, Tonya Maggard stated the all the employees with the exception of Tracy Rhodes were present at the facility today. Since Amelia Sproat is no longer employed, there are no longer any employees at this facility that are certified in first aid/cpr/have first aid/cpr documentation on file.
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
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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. On September 8, 2020, Child Care Facility Specialist Tuschhoff received Tracy Rhodes eligibility letter. On September 1, 2020, CCFS Tuschhoff received Maddie Barton's and Tonya Maggard's eligibility letters. Brooke Ricci does not have an eligibility letter on file as of the September 23, 2020, supplemental inspection. During the October 8, 2020, re-inspection, CCFS Tuschhoff observed that in addition to Brooke Ricci, Taylor Smith does not have an eligibility letter on file.
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
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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. A supplemental inspection was completed on September 23, 2020. Tonya Maggard must have 7 training hours transferred from 2020 to 2018. In addition, one training hours must be transferred from 2020 to 2019. Maddie Barton must have 6.5 of the training hours she has earned in 2020 to the year 2018. New earned training hours must be transferred to 2018 and 2019 as required.
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
Return Inspection
Compliance Date
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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. During the September 23, 2020 supplemental inspection, CCFS Tuschhoff observed Tonya Maggard has completed 8 training hours in 2020. Tonya Maggard must obtain 1 additional training hour to complete 2019 requirements. Maddie Barton still needs 12 training hours to complete 2019 training hour requirements. Tracy Rhodes still needs 12 training hours to complete 2019 requirements. Brooke Ricci still needs 3 training hours to complete 2019 requirements. As of the October 21, 2020, close supervision inspection, Brooke Ricci has completed 3 training in hours in 2020; Tracy Rhodes has completed 6 training hours in 2020; Maddie Barton has completed 6.5 training hours in 2020; Tonya Maggard has completed 11 training hours in 2020.
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
Return Inspection
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Compliance
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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
10/21/2020
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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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. On August 29,2020, the facility submitted immunization records for all but one child. An updated immunization record must be submitted for this one child 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
10/21/2020
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
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
10/21/2020
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19 CSR 30-63.020 General Requirements
Compliance
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19 CSR 30-63.040 Background Screening Findings
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 — report made to another state, when. —
Compliance
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
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