|
19 CSR 30-61.025 Organization and Administration
Not Observed
|
19 CSR 30-61.045 Licensing Process
Not Observed
|
19 CSR 30-61.055 Annual Requirements
Violation
| Provider Comments |
Violation The Family Care Safety Registry check was not conducted for Tina Mosley, Demetrious Mosley, Mauricia Mckinney,Estella Smith, Kenya Cormier 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
|
|
|
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 4 1/2 inches and 5 1/2 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 Submit Documentation
Compliance Date 3/9/2021
|
|
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 Multiple sections of the chain link fence on the back and south side was loose, leaning, wobbly, and not secured leaving the potential for children to climb over it. . 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 3/9/2021
|
|
Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by vines and tree limbs sticking through fence. 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 3/9/2021
|
|
|
19 CSR 30-61.086 Fire Safety
Not Observed
|
19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for child care as evidenced by first room and backroom by bathroom are missing plan. 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
|
|
|
19 CSR 30-61.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Outdoor equipment, grey and burgundy climbing slide, in the north part of the play area was not free of loose parts as evidenced by missing piece connecting the bridge. Licensing Rule Reference 19 CSR 30-61.095 Furniture, Equipment and Materials 3 (A) states: All outdoor 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 Outdoor equipment shall have no exposed hazards.
Correction Verification Submit Documentation
Compliance Date 3/9/2021
|
|
|
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel
Violation
| Provider Comments |
Violation A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: Kenya Cormier and Mauricia Mckinney. Licensing Rule Reference 19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (1) (J) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include: Correction Required The provider shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation Safe sleep training was not completed within the past 3 years for the provider, Tina Mosely. Licensing Rule Reference 19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions. Correction Required The child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The the assistant(s), Kenya Cormier, Mauricia Mckinney, did not complete safe sleep training within 30 days of employment or volunteering. Licensing Rule Reference 19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (5) (C) states: The provider and any assistant hired or volunteering at the facility after initial licensure shall complete the safe sleep training described in section (5) of this rule within thirty (30) days of employment or volunteering at the facility. Correction Required The department approved safe sleep training must be completed within 30 days of employment or volunteering.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The following information for the assistant(s) was not posted as required: the name, address and telephone number of the assistant(s) was not posted with emergency numbers. Licensing Rule Reference 19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (3) (B) states: The names, addresses, and telephone numbers of all assistants shall be posted with other emergency numbers in the home. Correction Required Assistant information shall be posted.
Correction Verification Submit Documentation
Compliance Date 3/9/2021
|
|
Violation Safe sleep training was not completed within the past 3 years for the assistant(s), Estella Smith. Licensing Rule Reference 19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions. Correction Required The child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
19 CSR 30-61.115 Day Care Family and Household
Not Observed
|
19 CSR 30-61.125 Medical Examination Reports
Violation
| Provider Comments |
Violation A medical examination report was not on file for the assistant and/or volunteer. Licensing Rule Reference 19 CSR 30-61.125 Medical Examination Reports (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home. 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 Mauricia Mckinney. 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
|
|
|
19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
|
19 CSR 30-61.145 Nighttime Care
Not Observed
|
19 CSR 30-61.155 Overlap Care of Children
Not Observed
|
19 CSR 30-61.165 Emergency School Closings
Not Observed
|
19 CSR 30-61.175 Child Care Program
Not Observed
|
19 CSR 30-61.185 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 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
|
|
|
19 CSR 30-61.190 Nutrition and Food Service
Not Observed
|
19 CSR 30-61.200 Transportation and Field Trips
Not Observed
|
19 CSR 30-61.210 Records and Reports
Not Observed
|
19 CSR 30-63.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Kenya Cormier, Mauricia Mckinney, Tina Mosley, Estella Smith, Demetrious Mosley. Licensing Rule Reference 19 CSR 30-63.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department. Correction Required Required results of criminal background checks shall be on file.
Correction Verification Submit Documentation
Compliance Date
|
|
|
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.
Not Observed
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
|
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|