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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Initial Licensing Information
Compliance
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19 CSR 30-61.055 Annual Requirements
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there are tall weeds within the playground.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
Return Inspection
Compliance Date
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there is plastic protruding through the pea gravel that presents a tripping hazard.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
Return Inspection
Compliance Date
11/4/2020
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there is polk growing within the fenced playground.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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
Return Inspection
Compliance Date
11/4/2020
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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 outdoor space did not adjoin the child care property - the space was located adjacent to the fenced playground and the front of the facility. The following items were observed within the space children walk through to get to the fenced playground: Adult scissors, an opened can of paint, two packs of cigarettes and a lighter, insect repellent, a bag of construction tools including a hammer, a full size spade/shovel, weed eater, a rake, a two vat sink, a bucket of cigarette butts, and cigarette butts on the ground . On October 30, 2020, CCFS Tuschhoff observed a gate propped against the area containing paint, a weed eater, a rake, and a two vat sink. The gate was not secured. While there is a door that leads directly into the fenced playground, a child in care verified that sometimes the children enter the playground through the front door. In addition, the school-age children walk to this front area to enter the facility after school. The equipment in this area can also be reached through the gaps in the railing of the fence. There are also cigarette butts in the leaves on the ground adjacent to the fence.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An 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. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes 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. 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 and provide a safe fence around the outdoor play area as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
The walls located at the bottom of one window in the playroom was/were not finished with material which can be cleaned easily as evidenced by the paint and sheetrock have been chipped away with other pieces still chipping.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
The floors located in the back playroom closet was/were not clean as evidenced by the carpet appears dirty with dark spots and some debri. The closet area is open and accessible to children.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
The floors located in the back playroom was/were not in good condition as evidenced by the bottom wood trim has broken off. Park of the trim has been removed. There is a jagged piece of wood trim exposed.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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: ground popping fireworks and snake fireworks. In addition, one child in care told CCFS Tuschhoff that smaller children are allowed to hold sparklers. Tabatha Thurman told CCFS Tuschhoff that she has only used the poppers and the snakes. The child in care stated the previously approved assistant allowed all children, including the babies, to hold sparklers. The item(s) was/were located to where children had access. Specifically, the children were allowed to hold and be around the fireworks used on the premises. The fireworks were not observed at this inspection.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (J) 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
Return Inspection
Compliance Date
11/4/2020
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Violation
Hazardous items as follows were accessible to children: tacks hanging from a tarp attached to the ceiling. Part of the tarp has torn from the wall. There are still tacks within the hanging tarp. The item(s) was/were located in the back playroom.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (J) 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
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by one small book shelf is unstable within the nap room. CCFS Tuschhoff observed a one year old climbing this equipment. The equipment was starting to wobble. In addition, there is one bookshelf in the back room that is unsecured. CCFS Tuschhoff also observed approximately 6 cots stacked on one long side that pose a falling hazard to children. The unsteady cots were observed in the na proom which is accessible to children.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
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Violation
The premises were not safe and suitable as evidenced by there is an uncovered trashcan in the kitchen. CCFS Tuschhoff observed a one year old child trying to climb and lean over the pressure safety gate. The one year old child was able to raise himself to grab the trashcan full of garbage and trash. CCFS move the trashcan away from the gate to prevent the child from having access.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
11/4/2020
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Violation
The premises were not safe and suitable as evidenced by there are boards propped in one of the back room with protruding metal rods.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
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Violation
The premises were not safe and suitable as evidenced by there are screws and nails protruding from the walls in the front room. The "heads" of these screws/nails pose a protrusion/laceration hazard to children.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
11/4/2020
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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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured 5". In addition, the railings are pulling away from the fencing. In addition, there are sharp screws and nails exposed to children. One railing that is not secured is adjacent to the porch entryway. Another unsecured railing is immediately adjacent to the road in front of the facility. The unsecured railing is behind a playhouse. .
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An 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. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes 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. 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 and provide a safe fence around the outdoor play area as required.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
The walls located in the back playroom was/were not in good condition as evidenced by there are holes in the wall. On October 30, 2020, CCFS Tuschhoff also observed areas on the walls where the paint is chipping. The holes and chipped paint are located throughout the facility.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
The walls located in the front room and the nap room was/were not finished with material which can be cleaned easily as evidenced by the trim has come off one doorframe in the nap room and in the front room. There is unfinished sheetrock exposed in these two rooms. On October 26, 2020, CCFS Tuschhoff observed an additional wall trim outside of the playroom pulling away from the wall. There are nails accessible to children. On October 30, 2020, CCFS Tuschhoff observed the protruding nails on the wall trim have been removed. The wall trim is not secured to the wall at the bottom half. .
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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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19 CSR 30-61.086 Fire Safety
Compliance
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
The requirements for sleeping materials were not met as evidenced by 2 children 12 months or older was/were sleeping/napping on /within infant swings and bouncy seats. Home Provider Tabatha Thurman and one child in care told CCFS Tuschhoff that two of the toddlers nap in swings and bouncy seats. This was not observed at this inspection.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib 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
Return Inspection
Compliance Date
11/4/2020
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Violation
The requirements for sleeping materials were not met as evidenced by 2 children 12 months or older, who nap or sleep, did not have a sheet.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 A states: A cot, bed, sofa, padded playpen or crib 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
Return Inspection
Compliance Date
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Violation
Outdoor equipment, one riding trike, in the fenced playground was not in good condition as evidenced by the plastic piece in the middle of the steering wheel is broken. This leaves jagged broken pieces of plastic exposed.
Licensing Rule Reference
19 CSR 30-61.095 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 equipment shall have no exposed hazards.
Correction Verification
Return Inspection
Compliance Date
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Violation
Outdoor equipment, one clear plastic bucket, in in the fenced playground was not in good condition as evidenced by the plastic is cracked/broken with jagged pieces.
Licensing Rule Reference
19 CSR 30-61.095 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 equipment shall have no exposed hazards.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the highchair seat was soiled with crumbs and debris.
Licensing Rule Reference
19 CSR 30-61.095 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
Return Inspection
Compliance Date
11/4/2020
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by one tub in the closet of the back room has ripped with a sharp plastic piece exposed.
Licensing Rule Reference
19 CSR 30-61.095 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
Return Inspection
Compliance Date
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Violation
The requirements for sleeping materials were not met as evidenced by the sheet(s) was/were soiled.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 D states: All bedding shall be clean with sheets laundered at least once a week. Once bedding has been used by a child, it shall not be used by another child until it has been laundered.
Correction Required
The facility shall provide sleeping equipment and bedding as required.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
Requirements for an approved assistant were not met as evidenced by an approved assistant was not available.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (3) (A) states: An approved assistant shall be available. If there is a change of assistants, the provider shall notify the department immediately.
Correction Required
An approved assistant shall be available as required.
Correction Verification
Return Inspection
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: Tabatha Thurman must have 4 training hours from 2020 assigned to 2019 requirements.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (4) (I) 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, promulgated as of July 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, to the OPEN Initiative to assign clock hours to the appropriate year.
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
Submit Documentation
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a day care program.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (2) (B) states: Examination reports shall determine if a child's medical history and current state of health is satisfactory for participation in a day care program.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
11/4/2020
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Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were varies: there are two children in care that do not have medicals on file.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.135 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 30-61.135 Admission Policies and Procedures (4) 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
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19 CSR 30-61.145 Nighttime Care
Compliance
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19 CSR 30-61.155 Overlap Care of Children
Compliance
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19 CSR 30-61.165 Emergency School Closings
Compliance
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
Infants and toddlers did not have constant care and supervision as evidenced by Substitute Chantel Bosman and Provider Tabby Thurman smoke on the front porch while the children are inside without an adult present. Toddlers are present during these times. The provider does not live at this residence. There was a bucket of cigarette butts, cigarette butts on the ground, a lighter and a pack of marlboro cigarettes in a chair,and a pack of marboro cigarettes on a stand on the facility's porch. In addition, Tabatha Thurman stated she smokes on the front porch while the children are inside the facility. A child in care also told CCFS Tuschhoff that Tabatha Thurman and Assistant Chantel Bosman smokes on the front porch while kids (including the babies) are inside the facility. There are no other adults present inside the facility. On October 30, 2020, Home Provider Tabatha Thurman told CCFS Tuschhoff that she smokes outside on the front porch while children are napping. A child in care also stated Tabatha Thurman smokes outside while the children are within the facility without an adult present.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (D) 1 states: Infants and toddlers shall have constant care and supervision.
Correction Required
Infants/toddlers shall receive constant care and supervision as required.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
Requirements for supervision of napping children were not met as evidenced by the caregiver was too far away to hear all children.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 5 states: Caregivers shall check on the children frequently during napping or sleeping and shall remain in close enough proximity to the children to be able to hear them if they have difficulty during napping or when they awaken. Home monitors or commercial devices marketed to reduce the risk of Sudden Infant Death Syndrome (SIDS) shall not be used in place of supervision while children are napping or sleeping.
Correction Required
A caregiver shall supervise napping children.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
Child(ren) was left without competent adult supervision as evidenced by while substitute Chantel Bosman was smoking outside on the front porch, the children present (including toddlers) were inside the facility without an adult present inside with them. Tabby Thurman stated she smokes on the front porch, but watches the kids inside the facility through the front window. The children (including toddlers) are inside the facility without an adult present. The provider does not live at this residence. There was a bucket of cigarette butts, cigarette butts on the ground, a lighter and a pack of marlboro cigarettes in a chair,and a pack of marboro cigarettes on a stand on the facility's porch. In addition, Tabatha Thurman stated she smokes on the front porch while the children are inside the facility. A child in care also told CCFS Tuschhoff that Tabatha Thurman and Assistant Chantel Bosman smoke on the front porch while kids (including the babies) are inside the facility. There are no other adults present inside the facility. On October 30, 2020, Home Provider Tabatha Thurman told CCFS Tuschhoff that she smokes outside on the front porch while children are napping. A child in care also stated Tabatha Thurman smokes outside while the children are within the facility without an adult present.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 1 states: Child care providers shall not leave any child without competent adult supervision.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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19 CSR 30-61.185 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by 4 additional immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
11/4/2020
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Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file .
Licensing Rule Reference
19 CSR 30-61.185 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 adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of 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 completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
Requirements for food sanitation were not maintained as evidenced by there were peanuts scattered on a table in the back playroom. The peanuts were not on a plate or napkin.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 1 (I) states: State or local rules, or both, governing food service sanitation shall be maintained in the storage, preparation and service of foods.
Correction Required
The facility shall follow state and local rules regarding food service sanitation.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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19 CSR 30-61.200 Transportation and Field Trips
Compliance
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19 CSR 30-61.210 Records and Reports
Violation
| | Provider Comments |
Violation
The provider failed to maintain accurate records to meet administrative requirements as evidenced by 3 children enrolled and attending the facility do not have paperwork on file.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families.
Correction Required
Accurate records shall be maintained.
Correction Verification
Return Inspection
Compliance Date
11/4/2020
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Violation
2 child(ren) records did not include child's address.
Licensing Rule Reference
19 CSR 30-61.210 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
Return Inspection
Compliance Date
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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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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