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19 CSR 30-62.032 Organization and Administration
Not Observed
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19 CSR 30-62.042 Licensing Process
Not Observed
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19 CSR 30-62.052 Annual Requirements
Not Observed
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| Provider Comments |
Violation The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that power strip in the infant/toddler unit did not have covers and was accessible to the children. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children. Correction Required The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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Violation Hazardous items as follows were accessible to children: the refrigerator and microwave need to be anchored to the wall. The item(s) was/were located in infant/toddler unit. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 3/22/2021
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Violation Hazardous items as follows were accessible to children: plastic grocery sacks. The item(s) was/were located near the diapering station in arms reach of children in the infant/toddler unit. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) 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 3/22/2021
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Violation The facility's outdoor space was not safe for children's activities as evidenced by trash bag full of trash on the south side of the infant/toddler playground. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 3/22/2021
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Violation The facility's outdoor space was not safe for children's activities as evidenced by 4 large metal signs on the west corner of the preschool playground. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. 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 3/22/2021
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Violation The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date
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Violation The observed surface area under slide, from which a child might fall consists of concrete. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 8. states: Concrete, asphalt, carpet, grass or bare soil is not an acceptable surface under outdoor equipment from which children might fall and be injured. Correction Required The facility shall not use concrete, asphalt, carpet, grass or bare soil under equipment from which a child might fall.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.087 Fire Safety
Violation
| Provider Comments |
Violation The smoke detector in the kitchen is hanging loose from the ceiling. Licensing Rule Reference 19 CSR 30-62.087 Fire Safety (12) (D) states: A smoke detector(s) shall be installed in each room where children are being cared for and all other areas that are deemed necessary by the fire inspector. Smoke detectors shall be in good operating condition and functional at all times. If smoke detectors are not operational, the provider shall install smoke detectors as required by 19 CSR 30-62.087 (12)(F)1. Fire Safety. Correction Required Smoke detectors shall be installed and be in good operating condition.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, toy shelf, in the baby room was not in good condition as evidenced by paint that was chipping and peeling. Licensing Rule Reference 19 CSR 30-62.092 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 3/22/2021
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Violation Sleeping equipment was not arranged to provide required spacing as evidenced by there was no aisle on the long side of the napping equipment. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment. Correction Required Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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Violation Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. D. 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. Only fitted sheet 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 3/22/2021
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Violation Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by 1 crib had a stuffed animal. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. G states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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Violation Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available. Licensing Rule Reference 19 CSR 30-62.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used. Correction Required Safe and secure feeding equipment shall be provided as required.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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Violation Outdoor equipment, cream metal toy bin, in the infant and toddler playground was not in good condition as evidenced by paint chipping and rust being visible.. Licensing Rule Reference 19 CSR 30-62.092 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 play equipment shall be safe and in good repair.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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Violation Stationary equipment, 4 pieces equipment, was unsafe as evidenced by the equipment had exposed footings. Licensing Rule Reference 19 CSR 30-62.092 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 Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
Violation A caregiver did not submit the Clock Hour Training Reassignment form to apply current year's clock hours for the prior year. The following staff need clock hours reassigned to the previous year: Raymond Recob needs 6 clock hours reassigned on March 10th 2021. As of March 22nd 2021 Raymond Recob needs 5 hours reassigned. Licensing Rule Reference 19 CSR 30-62.102 Personnel (3) (K) states: Clock hours earned to complete the previous year’s requirements shall not be applied to the current year’s clock hour requirements. Caregivers shall submit the Clock Hour Training Credit Reassignment form to the OPEN Initiative to assign clock hours to the appropriate year. See Clock Hours Training Credit Reassignment form promulgated as of 2018 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php. This rule does not incorporate any subsequent amendments or additions. Correction Required Caregivers shall submit the Clock Hour Training Credit Reassignment form to reassign current year's clock hours to the prior year.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Cecilia Bartista needs 7 clock hours (corrected 3/22/2021) and Sarah Cox needs 2 clock hours. Licensing Rule Reference 19 CSR 30-62.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department. Correction Required Required training hours shall be documented for each caregiver.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.112 Staff/Child Ratios
Not Observed
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Sylvia Stewart. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required TB reports shall be on file as required
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The policy did not state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys in that 1 crib had a stuffed animal and 6 cribs had loose fitting sheets. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (2) B. 1. states: The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys. Correction Required The policy shall state that cribs and playpens must have a firm mattress and tight fitting sheets, be free of loose bedding, bumper pads, pillows, and soft toys.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.142 Nighttime Care
Not Observed
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19 CSR 30-62.152 Hourly Care Facilities
Not Observed
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19 CSR 30-62.162 Overlap Care of Children
Not Observed
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19 CSR 30-62.172 Emergency School Closings
Not Observed
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19 CSR 30-62.182 Child Care Program
Violation
| Provider Comments |
Violation Caregiver did not provide frequent, direct contact as evidenced by caregivers were observed leaving the preschool and walking in the kitchen and office area, School age children were observed in the area with a half wall without a caregiver. Licensing Rule Reference 19 CSR 30-62.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not 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 3/22/2021
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19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation Medication was not stored out of children's reach. Licensing Rule Reference 19 CSR 30-62.192 Health Care (3) (E) states: All medication shall be stored out of reach of children or in a locked container. Correction Required Medication shall be inaccessible to children and handled as required.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.202 Nutrition and Food Service
Violation
| Provider Comments |
Violation Requirements for food sanitation were not maintained as evidenced by food left on stove top and in the refrigerator that were not labeled properly or being stored properly. Licensing Rule Reference 19 CSR 30-62.202 Nutrition and Food Service (1) (I) states: State or local rules, or both, governing food service sanitation shall be maintained in the storage, preparation and service of foods. Correction Required The facility shall follow state and local rules regarding food service sanitation.
Correction Verification Submit Documentation
Compliance Date 3/22/2021
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19 CSR 30-62.212 Transportation and Field Trips
Not Observed
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 1 student child(ren) records did not include employers' name of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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 3/22/2021
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Violation 1 student child(ren) records did not include work schedule of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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 3/22/2021
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Violation 1 student child(ren) records did not include work telephone number of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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 3/22/2021
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Violation 1 student child(ren) records did not include employers' address of parent(s), guardian or legal custodian. Licensing Rule Reference 19 CSR 30-62.222 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 3/22/2021
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19 CSR 30-63.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Sarah Cox (corrected 3/22/2021), Harris Gibson (corrected 3/22/2021), Cecilia Bartista, Raymond Recob (corrected 3/22/2021), Edward Mollet (corrected 3/22/2021), and Sylvia Stewart (corrected 3/22/2021). 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
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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. —
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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