| |
19 CSR 30-62.032 Organization and Administration
Compliance
|
19 CSR 30-62.042 Initial Licensing Information
Compliance
|
19 CSR 30-62.052 Annual Requirements
Compliance
|
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
Corrected on Site
Compliance Date
1/5/2021
|
|
Violation
The infant/toddler space had groups that were not separated by a partition.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. (V) states: In facilities initially licensed for infant/toddler care after the effective date of these rules or facilities adding new infant/toddler space, no more than twenty four (24) infants/toddlers and/or two (2)-year olds shall be in a room. A room shall be defined as an area separated from other parts of the building by floor-to-ceiling walls. Stable partitions a minimum of four feet (4') in height shall be used to separate the infant/toddler or two (2)-year old groups, or both, in a room;
Correction Required
The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Children were not restricted to approved space as evidenced by the in room E was not locked or latched leaving unapproved space accessible to children.
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
Corrected on Site
Compliance Date
1/5/2021
|
|
|
19 CSR 30-62.087 Fire Safety
Compliance
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
|
19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for a criminal background check. Results were not on file for the following staff member(s): Mikayla Haegele.
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
|
|
Violation
A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: Addie Bryan, Destiny Boyer & Mikayla Haegele all need 2 Clock Hours for 2020.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (C) states: Caregivers who were employed after the first of the year shall obtain one (1) clock of hour training for each one (1) month of employment, regardless of the date employment began.
Correction Required
Required training hours shall be documented for each employee.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Lesley Shores - .5, Brittany Pashia - 1.5 & Ashley Yochum - 3.5.
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
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Compliance
|
19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for Addie Bryan Destiny Boyer, Mikayla Haegele & Stephanie Robinson as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Addie Bryan & Destiny Boyer.
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
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
|
19 CSR 30-62.142 Nighttime Care
Compliance
|
19 CSR 30-62.152 Hourly Care Facilities
Compliance
|
19 CSR 30-62.162 Overlap Care of Children
Compliance
|
19 CSR 30-62.172 Emergency School Closings
Compliance
|
19 CSR 30-62.182 Child Care Program
Violation
| | Provider Comments |
Violation
The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by children were observed having no developmentally appropriate activities to play or participate in for the course of an hour and a half to two hours.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (2) (B) 1. states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children;
Correction Required
Daily activities for preschool and school-age children shall be provided as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
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 4 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
1/5/2020
|
|
Violation
Requirements for handwashing were not met as evidenced by children were not observed washing their hands prior to eating lunch or after being diapered.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (6) (B) states: Caregivers shall teach children to wash their hands before eating and after toileting.
Correction Required
Staff/children shall wash hands as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Requirements for handwashing were not met as evidenced by staff were not observed washing their hands prior to serving lunch or after changing diapers.
Licensing Rule Reference
19 CSR 30-62.192 Health Care (6) (A) states: Caregivers shall wash their hands with soap and running water after toileting or assisting a child with toileting, after diapering a child, before food preparation or serving of food and at other times as needed.
Correction Required
Staff/children shall wash hands as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
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 1 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
|
|
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 1 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
Compliance
|
19 CSR 30-62.212 Transportation and Field Trips
Compliance
|
19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
Trainings required per the Probationary Terms (were not completed), requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (12) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-63.020 General Requirements
Compliance
|
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. —
Compliance
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|