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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Licensing Process
Compliance
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19 CSR 30-62.052 Annual Requirements
Compliance
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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 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 no resilient material was present. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 5. states: The fall-zone area under and around outdoor equipment where children might fall and be injured shall be covered with impact absorbing materials which will effectively cushion the fall of a child. This material may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material. Correction Required The facility shall maintain approved resilient material in all fall-zone areas.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
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19 CSR 30-62.102 Personnel
Violation
| Provider Comments |
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: Kent Adams needs 1 hour, Amy Grailer needs 10.5 hours. The following staff need 12 clock hours: Michael Atkin, Mary Beth Anderson, Gena Banks, Liz Barry, Autumn Bemis, Donna Butler, Kay Castello, Debbie Cole, Pamela Deloney, Janice Dilorenzo, Susan Fazio, Cheryl Garlich, Vickie Jarnagin, Menis Johsnon, Dannitha Johnson, Patricia Johnson, K’She Jones, Zachary Kenny, Kari Lane, Maya Lane, Wanda Long, Jill Luthenauer, Michelle Miller, Ann Moerschell, Amanda Montgomery, Katrina Noah-Hubbard, Anna Petroff, Stephanie Phillips, Melissa Pingel, Catherin Rapp, Dialma Nobles, Jeanne Schottmueller, Deanna Scott, Beverly Shupe, Valerie Stanfull, Heather Stanley, Susan Stygar, Linda Voelkel, Shelley Van Doren, Mary Walker, Shannon White, Lauren Williams, and Barbara Young. 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 4/20/2021
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Violation The facility does not have an approved director on staff. Licensing Rule Reference 19 CSR 30-62.102 Personnel (2) (A) 3. states: The licensee is required to maintain an approved certificated group child care home provider or center director on staff. Correction Required The facility shall have an approved director/group home provider.
Correction Verification Submit Documentation
Compliance Date 5/10/2021
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Violation
| Provider Comments |
Violation Medical examination report(s) was/were not on file for Michael Atkin, Jerra Ferguson and Gaberial Imperial as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date 3/16/2021
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Violation Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 1/19/2021. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission. 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 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source. Correction Required An individualized plan from a professional source shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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19 CSR 30-62.192 Health Care
Violation
| Provider Comments |
Violation The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when an accident/injury occurred. This was observed on a report in a child's file that did not state a parent was notified when an injury occurred. Licensing Rule Reference 19 CSR 30-62.192 Health Care (5) (A) states: In case of accident or injury to a child, the provider shall notify the parent(s) immediately. If the child requires emergency medical care, the provider shall follow the parent's(s') written instructions. Correction Required The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.202 Nutrition and Food Service
Not Observed
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation 3 child(ren) records did not include telephone number of family physician or hospital. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency; Correction Required Child enrollment information shall be completed and on file as required.
Correction Verification Submit Documentation
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 K’She Jones, Kari Lane, Mary Walker, Jill Fryer, Catherine Rapp, Sue Fazio, Autumn Bemis, Mary Beth Anderson, Donna Butler, Kay Castello, Janice Dilorenzo, Pamela Doll, Amy Grailer, Asma Hassan, Candice Hayes, Gabriel Imperial, Jill Luternauer, Amanda Montgomery, Katrena Noah-Hubbard, Lauren Williams, Barbara Young. 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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