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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Violation Posting requirements were not met as evidenced by the posted license was outdated.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
Compliance
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| Provider Comments |
Violation The walls located in room 3 was/were not in good condition as evidenced by chipping paint in on the outer edge of the closet wall a hole in wall behind the door.. 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 9/16/2020
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Violation The walls located in room 3 was/were not clean as evidenced by baseboard ,walls, and door is visibly dirty. 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 9/16/2020
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Violation The facility did not have a telephone in working order for incoming and outgoing calls as evidenced by there was no telephone. Licensing Rule Reference 19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (2) (A) 10. states: A telephone in working order shall be available for incoming and outgoing calls. If a telephone answering machine is used, it must be turned on so incoming messages can be heard and parents' calls can be returned promptly. Correction Required A working telephone and answering machine shall be used as required.
Correction Verification Submit Documentation
Compliance Date 1/13/2021
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Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by there was sticks and branches of varying sizes and bits of trash. 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 9/16/2020
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Violation The walls located in the living below the tv next to bookshelf was/were not in good condition as evidenced by there is chipping paint. 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 Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| Provider Comments |
Violation Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the fire drill record was not available on the premises. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 2 (C) 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
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Violation The requirements for protective outlet covers were not met as evidenced by an electrical outlet was uncovered in Room #3. Licensing Rule Reference 19 CSR 30-61.086 Fire Safety 11 (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children. Correction Required The facility shall use protective outlet covers as required.
Correction Verification Submit Documentation
Compliance Date 9/16/2020
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months. Licensing Rule Reference 19 CSR 30-61.090 Disaster and Emergency Preparedness 3 (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan. Correction Required Fire, tornado, or other disaster drills shall be completed and recorded as required.
Correction Verification Submit Documentation
Compliance Date 3/3/2021
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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 The provider did not meet requirements for a criminal background check. The provider did not request the results of a criminal background check for Shariece Barton and Charry Hogan, prior to their employment or presence in a family child care home. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care 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 3/3/2021
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Violation Prospective child care staff member(s), Stephanie Ross, was/were not supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five years. Licensing Rule Reference 19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (O) states: A prospective child care staff member may begin work for a child care provider after the criminal background check has been requested from the department; however, pending completion of the criminal background check, the prospective child care staff member shall be supervised at all times by another child care staff member who received a qualifying result on the criminal background check within the past five (5) years. Correction Required All prospective child care staff member(s) who have requested a criminal background check shall be supervised at all times by another child care staff member who has received a qualifying result on the criminal background check within the past five years.
Correction Verification Submit Documentation
Compliance Date 3/8/2021
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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: Alkisha Grady needs 12 clock hours for 2019. Jessica Lee and Stephanie Ross needs 11 clock hours for 2019 . 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 3/31/2021
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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: Alkisha Grady needs 6.75 clock hours, Stephanie Ross 3.75 clock hours for 2020. 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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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 Medical examination report did not include a completed Risk Assessment for Tuberculosis form. Licensing Rule Reference 19 CSR 30-61.125 Medical Examination Reports (1) (E) . 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 9/16/2020
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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 unknown for 5 children. 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 9/16/2020
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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 4/3/2020 for 1 child. 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 The facility did not meet requirements for child enrollment and health information as evidenced by 10 children files did not include authorization for emergency medical care . Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 3 states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 A states: They have received a copy of the provider's policies pertaining to the admission, care and discharge of children. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Family Day Care Homes in Missouri are available for review. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 B states: They have been informed that the Licensing Rules for Family Day Care Homes in Missouri are available in the home for their review. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 C states: They and the provider have agreed on a plan for continuing communication regarding the child’s development, behavior and individual needs. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 D states: They understand and agree that the child may not be accepted for care when ill. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider’s safe sleep policy when enrolling children less than 1 year of age. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 E states: They have received a copy of the provider’s safe sleep policy when enrolling children less than one (1) year of age. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The facility did not meet requirements for child enrollment and health information on file as evidenced by 5 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility. Licensing Rule Reference 19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 7 F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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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
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 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 3/31/2021
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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 30-61.185 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 3/31/2021
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by The breakfast served was grits and milk. The breakfast served did not include a serving of each of the 3 required food components, the fruit/fruit juice component was missing. Licensing Rule Reference 19 CSR 30-61.190 Nutrition and Food Service 1 (A) states: The provider shall supply and serve nourishing food according to the Meal and Snack Food Chart provided in this rule. Correction Required Nourishing food shall be provided as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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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 8 child(ren) records did not include date care begins and ends. 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 Submit Documentation
Compliance Date 3/31/2021
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Violation 10 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation Daily attendance records were not maintained on file as required as evidenced by child attendance records were not maintained/kept on file for one year. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Child and caregiver/volunteer attendance records shall be maintained/retained as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by the children records are dated for April 2019 and no other attendance is available. 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 Submit Documentation
Compliance Date 3/31/2021
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Violation 6 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 Submit Documentation
Compliance Date 3/31/2021
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Violation 5 child(ren) records did not include name, address and telephone number of another individual who might be reached in an emergency. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation 8 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation 7 child(ren) records did not include name and phone number of the family physician or hospital. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (D) states: Name and phone number of the family physician, or hospital, or both, to be used in an emergency. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation 5 child(ren) records did not include name of individual authorized to take the child from the home. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (E) states: Name of the individual(s) authorized to take the child from the home. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation 8 child(ren) records did not include field trip and transportation authorization. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (F) states: Field trip and transportation authorization. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation A copy of qualifying background screening results was/were not kept on file for: Tamika Luckett ,Stephanie Ross, Shariece Baton, and Charry Hogan . Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (9) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 19 CSR 30-63.020 General Requirements. Correction Required The provider shall keep on file a copy of qualifying background screening results for child care staff member(s).
Correction Verification Submit Documentation
Compliance Date 3/8/2021
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Violation Records were not available for inspection by the department upon request as evidenced by 5 children did not have an individual file that included child enrollment forms for each child. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (11) states: All records shall be available in the home for inspection by the department upon request. Correction Required All required records shall be kept on file at the facility and accessible at all time.
Correction Verification Submit Documentation
Compliance Date 3/31/2021
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Violation 1 child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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Violation 2 child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-61.210 Records and Reports (2) (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers. Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
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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