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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Licensing Process
Compliance
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19 CSR 30-61.055 Annual Requirements
Violation
| | Provider Comments |
Violation
The listing of household members and assistants was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The Family Care Safety Registry check was not conducted for Ann Johnson and Keisha Hatten 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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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 baskets, play equipment and furniture were stacked haphazardly in all rooms of childcare that would fall easily if bumped into or if a child wanted to retrieve a desired item.
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
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by power and electrical cords hanging down from tv in middle room used .
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
Return Inspection
Compliance Date
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Violation
Stairways in the facility did not meet requirements as evidenced by the safety gate was not latched.
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
Return Inspection
Compliance Date
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Violation
Hazardous items as follows were accessible to children: kitchen knife. The item(s) was/were located on the kitchen stovetop while children were in kitchen area.
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
4/30/2021
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Violation
There was evidence of dirt/debris in at base of stairway there is trash such as empty water bottles, food boxes and bags.
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
Return Inspection
Compliance Date
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Violation
There was evidence of dirt/debris in brown fingerprint residue on doorframe at child height.
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
Return Inspection
Compliance Date
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Violation
The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by potty chair(s) were not located in a bathroom.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (2) (C) 2. states: Infants and toddlers. At least one (1) potty chair, junior commode or toilet with an adaptor seat shall be provided. Potty chairs shall be located in the bathroom and shall be emptied, cleaned and disinfected after each use.
Correction Required
The facility shall provide and clean/sanitize potty training equipment as required.
Correction Verification
Return Inspection
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 had openings large enough for a child to crawl or fall through - the opening measured between approximately 8" x 7' where the back fence meets the garage.
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
Return Inspection
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 had openings large enough for a child to crawl or fall through - the opening measured between approximately 16" x 2' on the railing of the back porch.
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
Return Inspection
Compliance Date
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Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by outdoor space consisted of dirt surface and approximately on foot of grass.
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
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19 CSR 30-61.086 Fire Safety
Compliance
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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
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the green play mat located in front room space, has a surface that is worn away and no longer washable.
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
Corrected on Site
Compliance Date
4/30/2021
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19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by throughout the inspection Laresha Morgan was observed to provide minimal supervision and interaction with children. Children were observed running, crying, falling, throwing things and Ms Laresha did not respond to the behaviors. Ms Ann continously had to step in and provide assistance and direction to the children.
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child 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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Violation
The the assistant(s), Pierre Morgan, Keisha Hatten and Destiny Johnson, 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
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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 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
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Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Leresha Morgan.
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
Not Observed
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19 CSR 30-61.165 Emergency School Closings
Not Observed
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19 CSR 30-61.175 Child Care Program
Violation
| | Provider Comments |
Violation
Child(ren) was left without competent adult supervision as evidenced by a child, 7 years old, was doing virtual school lessons upstairs in the living space unsupervised.
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
Corrected on Site
Compliance Date
4/30/2021
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Violation
Caregiver did not provide frequent, direct contact as evidenced by a child, 7 years old, was doing virtual school lessons upstairs in the living space unsupervised.
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
Corrected on Site
Compliance Date
4/30/2021
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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
Violation
| | Provider Comments |
Violation
The provider did not supply and serve food according to the Meal and Snack Food Chart as evidenced by provider did not serve a meat or meat alternate with lunch.
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
Corrected on Site
Compliance Date
4/30/2021
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Violation
One serving of fluid milk was not served with each meal.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 1 (E) states: One (1) serving of fluid milk shall be served with each meal.
Correction Required
Milk shall be served as required.
Correction Verification
Corrected on Site
Compliance Date
4/30/2021
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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
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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19 CSR 30-63.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Pierre Morgan, Destiny Johnson and Keisha Hatten.
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.
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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