| |
19 CSR 30-62.032 Organization and Administration
Not Observed
|
19 CSR 30-62.042 Initial Licensing Information
Violation
| | Provider Comments |
Violation
The ages of children was exceeded as evidenced by there was a 13 year old child present who appeared to be in care.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (2) (V) states: The number and ages of children the facility is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility shall maintain compliance with the specifications on the license.
Correction Verification
Return Inspection
Compliance Date
10/28/2020
|
|
|
19 CSR 30-62.052 Annual Requirements
Not Observed
|
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 state or local sanitation as evidenced by there is no approved sanitation inspection for building 1314 Tower Grove.
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
|
|
Violation
The facility has not met the requirements for state or local zoning as evidenced by .The facility has no current business license. There is an occupancy certificate for 1324, none for 1314; there are no fire code compliance certificates for either building and no annual inspection certificate for either building. On 09.26.19 received a certificate of occupancy for address 1324 Tower Grove but no certificate of occupancy for 1312 Tower Grove (school age building). On 10.23.19 received annual fire safety inspection certificate for 1324 Tower Grove but no annual fire safety certificate for 1314 Tower Grove (school age building). No business license has been received. ON 12.1019 There is no current business license. 1314 (school age building) has no certificate of occupancy/zoning, no annual inspection certificate and no fire safety inspection certificate. ON 06.30.20 CCFS Dixon received current Fire Safety Inspection certificates for the addresses 1324 and 1314 Tower Grove Ave. There is no current business license, inspection certificates or certificates of occupancy and zoning for both locations. *** On 10.20.20 there is no certificate of occupancy and zoning for 1314 Tower Grove.
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
|
|
Violation
Lighting requirements for rooms used by children were not met as evidenced by the light was not working.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 4. states: Artificial or natural lighting shall supply at least ten (10) footcandles of light throughout each room used for child care.
Correction Required
Rooms used by children shall be equipped with required lighting.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The floors located in the toddler room of the infant toddler unit was/were not finished with material which can be cleaned easily as evidenced by the repair, made with duct tape, is peeling up exposing sticky, frayed tape.
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 walls located in the school age room was/were not in good condition as evidenced by the dry wall is crumbling near the baseboard to the left of the bathroom door and there is unfinished dry wall patches behind the folding chairs that are stacked on the wall.
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 temperature in the school age room was 60 degrees.
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
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by construction debris such as mesh fencing, pieces of lumber, unused palettes are accessible through out the play area.
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
|
|
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 no resilient material was present.
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
|
|
Violation
The observed surface area under wooden climbing structure by the tree, from which a child might fall consists of bare soil.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured.
Correction Required
The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.
Correction Verification
Submit Documentation
Compliance Date
|
|
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
|
|
|
19 CSR 30-62.087 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Furniture/equipment, two upholstered chairs, in the school age building was not in good condition as evidenced by the seats and fabric are stained with unknown substances and the interior batting it coming out of holes in the fabric.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Return Inspection
Compliance Date
10/28/2020
|
|
Violation
Furniture/equipment, two brown wooden table, in the school age building was unsafe as evidenced by one leg on each table is unstable, creating a situation where the table can fall over.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Return Inspection
Compliance Date
10/28/2020
|
|
Violation
The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by there is insufficient equipment in all categories the school age room .
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 1. states: Children twenty-four (24) months of age and older shall have an ample variety of age-appropriate toys, books, creative materials and activities which provide fun, stimulation, development and opportunities for individual choices.
Correction Required
The facility shall provide age-appropriate equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Outdoor equipment, tricycles (broken wheels and grips), Chair (cracked) , little tykes care (broken wheels), toy baskets (cracked) , sandbox lid (cracked), in the preschool playground was not in good condition as evidenced by parts are cracked and broken.
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
|
|
Violation
Outdoor equipment, the "tree house" wooden climber, in the preschool playground was unsafe as evidenced by the facility has built this structure. There are no railings on the stairs, there are areas that children can climb up and over the top of the structure, there are areas that would entrap a child located on the side by the tree, there are gaps over 3 1/2 inches in multiple areas.
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
|
|
Violation
Stationary equipment, teeter totter, was unsafe as evidenced by the equipment was not securely anchored.
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
|
|
|
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 prior to employment or presence in the facility for the following staff: On 12.10.19 it was observed that no comprehensive background screenings have been requested for Toney Davis (pastor), Violet Wood. ON 05.29.20 no screenings were submitted for the limited inspection for Toney Davis, Violet Wood and Ebony Davis (rehired 03.2020). On 07.14.20 the following staff need evidence of criminal background checks: Toney Davis and Tierra Tillman. *** ON 07.24.20 Toney Davis needs evidence of requesting a background screening.
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
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: AS OF 05.27.20 Lewis Claybon needs 12 hours 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 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: Needed for 2018: Lewis Claybon has 0/12; Bobbie Davis has 11.5/12; Ebony Davis has 7.5/12, Eunice Head has 10.5/12; Jennifer Jones has 8.5/12; Collie King has 11.25/12; Terry Mays has 0/12; Larissa Saunders has 10/12; Falisha Wilkins has 8/12; Daysha Benson has 0/1; Linda Wilks has 0/6; Kenya Templer has 0/2 and Denise Word has 0/1. On 06.26.19 the following staff need the additional clock hours noted for 2018: Bobbie Davis .50, Ebony Davis 4.5, Lewis Claybon 12, Collie King .75, Larissa Saunders 2, Falisha Wilkins 4, Eunice Head 3, Jennifer Jones 3.5, Linda Wilks 6, Denise Word 1. Kenya Templer .50 On 09.26.19: The following staff need verification of completion of 2018 clock hours: Ebony Davis has 7.50 on 2018 toolbox and needs an additional 4.5 /none available on 2019 tool box to be moved; Kenya Templer has 1.5 on 2018 tool box and needs an additional .50/none are available on the 2019 toolbox to be moved; Falisha Wilkins has 8 on the 2018 toolbox and needs an additional 4/only 3 are available on the 2019 toolbox to be moved, she will still be short 1 clock hour; Linda Wilks has 0 hours on the toolbox for 2018 and needs 6 hours/none are available on the 2019 toolbox to move; Denise Word has 0 hours on the 2018 toolbox and needs 1/there is 1 hour on the 2019 toolbox to move; Lewis Claybon has 0 on the 2018 toolbox and 0 on the 2019 toolbox to move. On 10.23.19 CCFS Dixon received certificates for clock hour training it is unclear if those clock hours have been moved from 2019 clock hours to 2018 clock hours to meet the 2018 requirements. Linda Mosby, director, will need to contact Open Initiative to reassign the clock hours from 2019 to 2018. Once this is done CCFS Dixon will be able to verify if 2018 requirements have been met. On 12.10.19 Lewis Claybon needs 12 hours for 2018; Kenya Templer needs .50; Falisha Wilkins need 4; Linda Wilks needs 6; Denise Word needs 1. (Linda stated she will move these clock hours today) AS 5.27.20 Lewis Claybon needs 12, Kenya Templer needs .50 for 2018. ON 07.14.20 Lewis Claybon needs 12 clock hours (Kenya Templer was terminated).
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: Lewis Claybon needs 4 clock hours to be applied to 2016 hours. AS OF 05.27.20 Lewis Claybon needs 4 clock hours for 2016.
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: as of 3.27.2018, staff needing additional clock hours for 2017: Lewis Claybon needs 12 hours. AS OF 05.27.20 Lewis Claybon needs 12 clock hours for 2017 .
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
Lewis Claybon; AS OF 05.27.20 Lewis Claybon, AS OF 07.14.20 Lewis Claybon, and Tierra Tillman. ***ON 07.24.20 Lewsi Claybon needs safe sleep training did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Not Observed
|
19 CSR 30-62.122 Medical Examination Reports
Not Observed
|
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
|
|
|
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 required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for Child A and Child I are missing doses 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
Violation
| | Provider Comments |
Violation
One serving of fluid milk was not served with each meal.
Licensing Rule Reference
19 CSR 30-62.202 Nutrition and Food Service (1) (E) states: One (1) serving of fluid milk shall be served with each meal.
Correction Required
Milk shall be served as required.
Correction Verification
Corrected on Site
Compliance Date
10/28/2020
|
|
|
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
|
19 CSR 30-62.222 Records and Reports
Not Observed
|
19 CSR 30-63.020 General Requirements
Not Observed
|
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. —
Not Observed
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
|