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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
Violation
| Provider Comments |
Violation Posting requirements were not met as evidenced by the posted license was outdated. Licensing Rule Reference 19 CSR 30-62.042 Initial Licensing Information (2) (N) states: The official license shall be granted for up to two (2) years and may be renewed upon reapplication and inspection. The official license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Corrected on Site
Compliance Date 11/6/2020
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19 CSR 30-62.052 Annual Requirements
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Ashley Finder, Pamela Broeker and Christine Kluba within thirty (30) days prior to the anniversary date. Licensing Rule Reference 19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license. Correction Required Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.
Correction Verification Submit Documentation
Compliance Date
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Violation The staff sheet was not submitted. Licensing Rule Reference 19 CSR 30-62.052 Annual Requirements (1) (D) states: A current staff sheet. Correction Required The facility shall submit a current staff sheet as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The equipment list was not submitted. Licensing Rule Reference 19 CSR 30-62.052 Annual Requirements (1) (C) states: A current list of available equipment. Correction Required The facility shall submit an equipment list as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation The premises were not safe and suitable as evidenced by the program children were sharing the same space at the same time in the schools outdoor play area. 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 Submit Documentation
Compliance Date
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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 children were observed playing outdoors in unapproved space - the space was located on the school grounds. This space was approved for use by the program children but they were required to have their own dedicated outside time. CCFS Dixon observed the outdoor time where the licensed preschool program was sharing the same space, at the same time, with the elementary school children. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility did not have an adequate number of flush toilets/urinals and hand wash sinks as evidenced by the signs dedicating one stall to be used by the licensed program are no longer in place. The program's licensing requires a stall to be dedicated for the program use only. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 1. and 2. states: One (1) flush toilet and one (1) adjacent hand washing facility with running water shall be available for every twenty (20) children. Urinals may be substituted for up to one-half (1/2) the required number of toilets, with a minimum of one (1) toilet per bathroom. Correction Required The facility shall provide bathroom fixtures as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Doors to the bathroom or stalls did not meet requirements as evidenced by there was a latch on the bathroom door. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 5. states: Locks or latches shall not be used on bathroom or bathroom stall doors used by children below the first grade. Correction Required Doors to bathrooms or stalls, used by children below the first grade, shall not have locks or latches.
Correction Verification Submit Documentation
Compliance Date
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Violation The premises were not safe and suitable as evidenced by the route being used to go outside is along an unfenced side walk which is open to the parking lot and requires children to cross a road in the parking area. 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 Corrected on Site
Compliance Date 11/6/2020
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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
Violation
| Provider Comments |
Violation The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (1) (A) states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for: Correction Required Facility must have plan on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility’s list of emergency numbers was not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's special instructions for infants and non-ambulatory children were not posted in each room. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children; Correction Required Facility must post information as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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19 CSR 30-62.102 Personnel
Compliance
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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
Violation
| Provider Comments |
Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Pamela Broeker (no page 2). Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required TB reports shall be on file as required
Correction Verification Submit Documentation
Compliance Date
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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
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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
Compliance
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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
Compliance
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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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