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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
Violation
| Provider Comments |
Violation Posting requirements were not met as evidenced by the posted license was outdated. Licensing Rule Reference 19 CSR 30-61.045 Initial Licensing Information (2) (M) 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 home where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-61.055 Annual Requirements
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Owner; Danielle Scott and Assistant; Cathy Brown Dortch within thirty (30) days prior to the anniversary date. Licensing Rule Reference 19 CSR 30-61.055 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 Return Inspection
Compliance Date
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Violation The annual fire safety inspection was not approved. Licensing Rule Reference 19 CSR 30-61.055 Annual Requirements (2) (A) states: Evidence of compliance with a fire and safety inspection as conducted by the State Fire Marshal or his/her designee. Correction Required The facility shall submit evidence of compliance with annual fire safety requirements.
Correction Verification Return Inspection
Compliance Date
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Violation The listing of household members and assistants was not submitted. Licensing Rule Reference 19 CSR 30-61.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s). Correction Required The child care provider shall submit a listing of all household members and assistants.
Correction Verification Return Inspection
Compliance Date
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Violation The equipment list was not submitted. Licensing Rule Reference 19 CSR 30-61.055 Annual Requirements (1) (B) states: A current list of available equipment. Correction Required The child care provider shall submit an equipment list as required.
Correction Verification Return Inspection
Compliance Date
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Violation The Annual Declaration was not submitted. Licensing Rule Reference 19 CSR 30-61.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 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 indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules. Correction Required The child care provider shall submit the Annual Declaration as required.
Correction Verification Return Inspection
Compliance Date
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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 viewed piles of leaves posing as an area snakes, and other animals can hide in. 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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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation The door, located at the front entrance, used as an exit from the facility was locked. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 4 (F) states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Return Inspection
Compliance Date
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Violation The door, located to the side of the facility which opens into the outdoor playground area, used as an exit from the facility was locked. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 4 (F) states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor. Correction Required Exit doors shall not be locked/impede exit from the building.
Correction Verification Return Inspection
Compliance Date
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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
Compliance
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| Provider Comments |
Violation Verification of safe sleep training was not documented and maintained as evidenced by not viewing confirmation that assistant, Cathy Brown Dortch's safe sleep training is current . Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) (A) states: The training shall be documented and maintained as described in paragraph (4)(E)2. of this rule. Correction Required Safe sleep training shall be documented and maintained.
Correction Verification Submit Documentation
Compliance Date
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Violation Requirements for safe sleep training were not met as evidence by the child care provider, Danielle Scott, did not complete safe sleep training within the past three years. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at ttp://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016- 2938.full.pdf. This rule does not incorporate any subsequent amendments or additions. Correction Required The child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Danielle Scott needs 12 hours of approved training to meet 2019 requirement. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (4) (A) states: The provider shall obtain at least twelve (12) clock hours of child care-related training during each calendar year. Any assistant working more than five (5) hours per week shall meet the same training requirements. 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
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Violation The requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of first aid certification. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (R) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. 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. First aid/CPR training may count toward the annual clock hour training requirement. 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 requirements for first aid and CPR training were not met as evidenced by there was no documentation on file showing completion of CPR certification. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (R) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification approved by the department. 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. First aid/CPR training may count toward the annual clock hour training requirement. 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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19 CSR 30-61.115 Day Care Family and Household
Compliance
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19 CSR 30-61.125 Medical Examination Reports
Compliance
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19 CSR 30-61.135 Admission Policies and Procedures
Compliance
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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
Not Observed
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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
Compliance
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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 one child's 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
Compliance
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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
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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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