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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 Family Care Safety Registry check was not conducted for Saleemah King 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
Submit Documentation
Compliance Date
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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 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 had openings that were between 3.5 and 9 inches and allow entrapment - the openings measured nine inches.
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
Corrected on Site
Compliance Date
1/29/2021
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Violation
The premises were not safe and suitable as evidenced by a deep freezer located in the kitchen area was not locked.
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
Corrected on Site
Compliance Date
1/29/2021
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Violation
The premises were not safe and suitable as evidenced by supply closet in infant room was not locked and was full of items that could fall on children if the closet door was opened.
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
Corrected on Site
Compliance Date
1/29/2021
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Violation
There was evidence of dirt/debris in pile of dirt and leaves in infant room on the floor.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (2) (A) 9. states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Corrected on Site
Compliance Date
1/29/2021
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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 leading to the side yard had spokes missing and spokes with sharp points.
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
There was evidence of spiders/webs in there was a dead spider and another dead insect in the window in the kitchen.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (2) (A) 9. states: The home shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Corrected on Site
Compliance Date
1/29/2021
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Violation
Hazardous items as follows were accessible to children: hand sanitizer, knife, comet cleaning supply, can of paint, tums, drill (tool). The item(s) was/were located the hand sanitizer was located within the entry way and kitchen, the can of paint was located in the pantry, the knife and comet were located in the kitchen, and the drill and tums were located in the closet.
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
Corrected on Site
Compliance Date
1/29/2021
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Violation
The premises were not safe and suitable as evidenced by the toilet lid was not secure, and the toilet itself was not secure to the flooring.
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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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
The requirements for protective outlet covers were not met as evidenced by a cover or insert for electrical receptacles were missing in the kitchen and infant room.
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
Corrected on Site
Compliance Date
1/29/2021
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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
Violation
| | Provider Comments |
Violation
Furniture/equipment, play pen, in the back infant room was not in good condition as evidenced by there were holes in the sides 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 requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the equipment in the areas of dramatic play and manipulatives were not out in the child play area and accessible to children.
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
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for age-appropriate indoor equipment and materials as evidenced by there was not enough play equipment .
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 1 states: Children twenty-four (24) months of age or older shall have an ample variety of age-appropriate toys, books, creative materials and activities which provide fun, stimulation, development and opportunities for individual choices.
Correction Required
The facility shall provide age-appropriate equipment and materials as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional four items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 A states: Blocks, construction and transportation toys
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 manipulatives. The facility needed an additional four 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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Violation
Stationary equipment, blue slide with metal legs, was unsafe as evidenced by the equipment was not securely anchored.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.
Correction Verification
Corrected on Site
Compliance Date
1/29/2021
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Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional five items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 H states: Science activities or sensory experiences
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 two 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 music and rhythm activities. The facility needed an additional five items in this category.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 2 (B) 2 F states: Music and rhythm activities
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
The provider did not meet requirements for a criminal background check. Results were missing for the following child care staff member(s): Michelle Dillard, Ralissa Lakine.
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
The requirements for obtaining 12 clock hours each calendar year were not met. The staff listed need the following information: Michelle Dillard needs eleven clock hours and Charline Riley needs twelve clock hours for 2020 listed in Toolbox.
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Michelle Dillard.
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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Violation
A school-age child's health report was not on file at the time of enrollment as evidenced by no report in the file.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care.
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
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
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
Corrected on Site
Compliance Date
1/29/2021
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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
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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