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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Licensing Process
Violation
| | Provider Comments |
Violation
The number of children was/were exceeded as evidenced by there were 11 children present.
Licensing Rule Reference
19 CSR 30-61.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the specifications on the license.
Correction Verification
Corrected on Site
Compliance Date
3/25/2021
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19 CSR 30-61.055 Annual Requirements
Compliance
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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 wax warmer plugged in and on with melted wax on a low shelf in the living room of the home accessible to children. Kristi Hines moved the wax warmer during the inspection to a higher shelf.
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
3/25/2021
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Violation
The premises were not safe and suitable as evidenced by outlet plugs in the bathroom did not have outlet covers. Kristi Hines replaced the covers during the inspection.
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
3/25/2021
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Violation
Hazardous items as follows were accessible to children: cleaning supplies with the label "Keep Out of Reach of Children". The item(s) was/were located under the sink in an unlocked cabinet left ajar and accessible to children. Kristi Hines closed the cabinet and locked the cabinet during the inspection.
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
3/25/2021
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Violation
The bathroom was not clean and odor free as evidenced by urine present in the toilet. Kristi Hines flushed the toilet during the inspection.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (2) (C) 1. E. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Corrected on Site
Compliance Date
3/25/2021
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19 CSR 30-61.086 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the fire drill record was not available on the premises.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the disaster and tornado drill record was not available on the premises.
Licensing Rule Reference
19 CSR 30-61.086 Fire Safety 2 (C) states: Child care staff shall conduct at least one (1) fire drill each month and a disaster drill at least every three (3) months. The disaster drills shall include tornado drills. The provider shall maintain a written record at the facility of the date, type of drill, time required to evacuate the building, and number of children present during the drill.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
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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
Compliance
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19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
The requirements for first aid and CPR certification were not met as evidenced by there was no documentation on file showing completion of age-appropriate CPR certification.
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (1) (S) states: The provider shall have documentation on file at the home of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. First aid/CPR training may count toward the annual clock hour training requirement.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Staff/child ratio requirements were not met as evidenced by two children under age two and nine children over age two were cared for by one caregiver(s).
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.
Correction Verification
Corrected on Site
Compliance Date
3/25/2021
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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: Kristi Hines needs 12 clock hour training credits.
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child 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 who works or volunteers 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 caregiver.
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
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 07/11/2020.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (2) (A) states: The provider shall require, within thirty (30) days following the admission of each infant, toddler or preschool child, a medical examination report signed by a licensed physician or registered nurse who is under the supervision of 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 30-61.135 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
Violation
| | Provider Comments |
Violation
Emergency school closing overlap was used for a scheduled day of school closing as evidenced by a school age child was present during the inspection due to the school being closed for spring break, which is a scheduled school closing, and is not permitted.
Licensing Rule Reference
19 CSR 30-61.165 Emergency School Closings 3 states: Emergency school closing overlap shall not be permitted for scheduled days of school closing.
Correction Required
The provider shall not use overlap for scheduled days of school closing.
Correction Verification
Return Inspection
Compliance Date
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19 CSR 30-61.175 Child Care Program
Compliance
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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 one 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
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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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