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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
Violation
| | Provider Comments |
Violation
The annual sanitation inspection was not conducted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (2) (B) states: Evidence of compliance with local, state, or both, sanitation requirements.
Correction Required
The facility shall submit evidence of compliance with annual sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The premises were not safe and suitable as evidenced by an extension cord was found on the steps leading from the basement to the kitchen. The extension cord found with at least two electronics plugged in and 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
Submit Documentation
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by a space heater plugged in and in use. The heater was sitting on top of a small table and accessible to children and was not stable.
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
Submit Documentation
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by the cubbie shelf used to place the personal items and coats of the children were not secured to the floor.
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
Submit Documentation
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by unlocked closet door was propped open by a bottle of detergent. The closet was observed with a humidifier and a pvc pipe leading into to drain. The door to the laundry room was not locked and laundry products and other hazards were accessible.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Stairways in the facility did not meet requirements as evidenced by the safety gate was not physically secure.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (1) (H) states: Approved safety gates at stairways and doors shall be provided and used as needed.
Correction Required
Stairways shall meet safety standards as required.
Correction Verification
Corrected on Site
Compliance Date
1/25/2021
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Violation
Hazardous items as follows were accessible to children: bottle of Downy, laundry detergent, bleach, and hand sanitizer. The item(s) was/were located in the laundry room and the bottle of Downy propped open the utility closet with the drain. The hand sanitizer and bleach bottle were sitting on top of the cubbie near the changing table.
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
Submit Documentation
Compliance Date
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Violation
The ceilings located in the bathroom was/were not in good condition as evidenced by the light cover was missing.
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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Violation
The walls located in the basement area was/were not in good condition as evidenced by the closet door was splintered at the bottom and along the side, the inside of the door was exposed, and the door panel was detaching.
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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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 was not in good condition in that the gate near the shed was loose and not secured 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
Submit Documentation
Compliance Date
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by the siding along the house was cracked and had sharp edges in the outside play area.
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
Submit Documentation
Compliance Date
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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
A portable electrical space heater was observed in use in the basement.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 12 (A) states: Unvented fuel-fired room heaters and portable electrical space heaters shall not be used during child care hours. The provider shall sign a compliance letter verifying that such equipment will not be used.
Correction Required
Space heaters/floor furnaces shall not be used.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 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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Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (B) 2 states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's list of emergency numbers were not posted in each room used for child care.
Licensing Rule Reference
19 CSR 30-61.090 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 disaster and emergency plan was not available in each room used for child care as evidenced by no plan was available in the basement or the living room of the child care facility.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness 2 (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.
Correction Required
The facilities disaster and emergency plan must be available in required locations.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Requirements for the crib mattress/playpen pad/bedding were not met as evidenced by a fitted sheet was not used.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 2 C states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Furniture/equipment, play pen, in basement was not in good condition as evidenced by a hole was observed in the netting of the play pen.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (A) 1 states: All furniture and 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
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for creative arts. The facility needed an additional 3 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 C states: Creative arts
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for library and language activities. The facility needed an additional 3 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 E states: Library and language activities
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 G states: Dramatic and housekeeping play
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for push-pull toys. The facility needed an additional 2 item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 A states: Push-pull toys.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for balls or other large muscle. The facility needed an additional 2 item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 B states: Balls or other large muscle equipment.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for blocks, stacking toys or other manipulatives. The facility needed an additional 2 item(s) in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (C) 1 C states: Blocks, stacking toys or other manipulatives.
Correction Required
The facility shall provide approved equipment as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the only equipment available to the children were blocks, books and some creative art supplies. All other equipment was put in storage.
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 facility did not meet requirements for manipulatives. The facility needed an additional 4 items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 B states: Manipulatives
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
| | Provider Comments |
Violation
Child care staff member(s), Charlotte Sanders, has a disqualifying background screening result and is/was present on the premises of the facility during child care hours.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (N) states: Child care staff members with disqualifying background screening results as defined in 19 CSR 30-63.020 General Requirements, shall be prohibited from being present on the premises of the facility during child care hours.
Correction Required
Child care staff member(s) with disqualifying background screening results shall be prohibited from being present on the premises of the facility during child care hours.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The provider did not meet requirements for a criminal background check. Results were missing for the following child care staff member(s): Stacia Sanders and Imani Sanders.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care 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
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Violation
Caregiver did not cooperate with the department as evidenced by CCS Koch asked Stacia Sanders child care programming questions and schedule questions. Stacia Sanders did not respond to CCS Koch on multiple occasions and would look at her cell phone and continue to text. For example, CCS Koch asked where Charlotte Sanders (provider) was today. Stacia Sanders did not respond immediately and ignored CCS Koch's questions. Stacia Sanders would not provide details to how often Charlotte Sanders is present in the home and when she would return. CCS Koch asked Stacia Sanders if the children had lunch. Stacia Sanders stated yes, after hesitation. CCS Koch then asked Stacia Sanders what she served for lunch. Stacia Sanders did not respond. CCS Koch then asked the children, who were present, what they had for lunch. Then Stacia Sanders stated they did not have lunch yet. CCS Koch then advised Stacia Sanders that the children need to eat lunch, as it had now been over 4 hours since breakfast.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (F) states: All caregivers shall cooperate with the department.
Correction Required
Caregivers shall be cooperative.
Correction Verification
Return Inspection
Compliance Date
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Violation
A caregiver was not knowledgeable of the needs of children as evidenced by Stacia Sanders did not know the ages of the children in her care.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel (1) (C) states: Caregivers shall be eighteen (18) years of age or older, have knowledge of the needs of children, and be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall be 18 years of age or older and meet childcare personnel requirements.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Violation
| | Provider Comments |
Violation
An individual was present on the premises that presented a threat to the health, safety or welfare of the children as evidenced by Charlotte Sanders was issued a letter of ineligibility on December 16, 2020.
Licensing Rule Reference
19 CSR 30-61.115 Day Care Family and Household 5 states: Any household member or any person present at the home during hours in which child care is provided shall not present a threat to the health, safety or welfare of the children.
Correction Required
No person who presents a threat to children shall be on the premises during child care hours.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.125 Medical Examination Reports
Violation
| | Provider Comments |
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Stacia Sanders.
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
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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
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
Provider did not offer opportunities that encouraged development of motor skills as evidenced by an infant was observed in care during the inspection and remained in a bouncer seat, except for brief moments when Stacia Sanders picked up the infant and changed the infants diaper.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 2 (C) 7 states: Encouragement in the development of motor skills by providing opportunities for supervised "tummy time," reaching, grasping, pulling up, creeping, crawling, and walking.
Correction Required
Caregivers shall provide infants/toddlers with appropriate activities.
Correction Verification
Return Inspection
Compliance Date
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Violation
The disposal of wet or soiled diapers did not meet requirements as evidenced by a wet or soiled diaper was not placed in an airtight disposal container.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (E) 6 states: Wet or soiled diapers shall be placed in an airtight disposal container. If cloth diapers are provided by the parent(s), individual airtight plastic bags shall be used to store each soiled diaper for return each day to the parent(s).
Correction Required
Caregivers shall dispose of wet or soiled diapers as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The use of diapering products did not meet requirements as evidenced by diapering product(s) were not labeled with the child’s name.
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (E) 3 states: Disposable tissues or wipes shall be used to cleanse the child at each time of diapering. Any diapering creams, powders, or other products applied at the time of diapering shall be provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering products shall be provided and used as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Infants and toddlers did not have constant care and supervision as evidenced by the CCFS observing Stacia Sanders leave the basement area and went upstairs leaving two infant/toddlers unattended.
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
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Violation
Caregiver did not provide frequent, direct contact as evidenced by the CCFS observing Stacia Sanders leave the basement area and went upstairs, leaving the children unattended. .
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 1 (A) 3 states: Caregivers shall provide frequent, direct contact so children are not routinely left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Child(ren) was left without competent adult supervision as evidenced by during the inspection a preschool aged child climbed up on top of a plastic storage bin, reached for a back pack that was hanging on the back of the propped open splintering door. CCFS had to tell the child to get down, as Stacia Sanders did not notice the child had climbed onto the plastic storage bin. During the inspection, a child under the age of 24 months old was observed sticking his head through a hole in the mesh netting of the play pen 2-3 times. CCS Koch informed Stacia Sanders of this during the inspection, as she was not aware.
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
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19 CSR 30-61.185 Health Care
Compliance
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
The provider failed to supply and serve food required as evidenced by more than four hours passed between any meal or snack.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 1 (B) states: The required meal schedule shall include breakfast or a midmorning snack, lunch and a mid-afternoon snack for children in care during daytime hours, with a maximum time of four (4) hours between any meal or snack. School-age children shall be served a snack after school.
Correction Required
Nourishing food shall be provided as required.
Correction Verification
Return Inspection
Compliance Date
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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
Daily attendance records were not maintained on file as required as evidenced by there were no child attendance records.
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 attendance records shall be maintained and retained as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Daily attendance records were not maintained on file as required as evidenced by there were no caregiver/volunteer attendance records.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports (6) states: Daily attendance records for all caregivers shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Caregiver/Volunteer attendance records shall be maintained and retained as required.
Correction Verification
Return Inspection
Compliance Date
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Violation
Enrollment, medical and attendance records were not accessible at all times as evidenced by Stacia Sanders did not have access to the children's file. Stacia Sanders stated they were stored away.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports (7) states: All enrollment records, medical examination records and attendance records shall be filed in a place known to caregivers and shall be accessible at all times. Records shall not be in a locked area or removed from the home during the hours the home is open and operating.
Correction Required
All required records shall be kept on file at the facility and accessible at all times.
Correction Verification
Return Inspection
Compliance Date
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Violation
1 child(ren) records did not include child's full name, address, date of birth and 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
Return Inspection
Compliance Date
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Violation
1 child(ren) records did not include full name 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
Return Inspection
Compliance Date
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Violation
1 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
Return Inspection
Compliance Date
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Violation
1 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
Return Inspection
Compliance Date
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Violation
1 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
Return Inspection
Compliance Date
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Violation
1 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
Return Inspection
Compliance Date
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Violation
Records were not available for inspection by the department upon request as evidenced by the provider's file was unavailable.
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
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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