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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Licensing Process
Violation
| Provider Comments |
Violation Posting requirements were not met as evidenced by the license was not posted near the entrance. Licensing Rule Reference 19 CSR 30-62.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date
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Violation The ages of children was/were exceeded as evidenced by 20 month was present and being cared for while the facility is licensed for ages 36 months to 16 years. Licensing Rule Reference 19 CSR 30-62.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center 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 facility shall maintain compliance with the specifications on the license.
Correction Verification Return Inspection
Compliance Date
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Violation Posting requirements were not met as evidenced by the posted license was outdated. Licensing Rule Reference 19 CSR 30-62.042 Licensing Process (12) states: Once granted, the license shall be posted near the entrance of the facility where it may be seen easily by parents or others who visit. Correction Required The official license shall be posted.
Correction Verification Submit Documentation
Compliance Date
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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 Hazardous items as follows were accessible to children: hand sanitizer, resolve carpet cleaner, laundry detergent and vacuum with loose cord. The item(s) was/were located in the unlocked laundry closet and child's desk. 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
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Violation The walls located though out the facility was/were not clean as evidenced by drip stains, handprints and dirt smudges on the walls and on the door. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date
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Violation The facility's outdoor space was not safe for children's activities as evidenced by children have access to the air conditioning unit's blades . 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
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Violation The facility's outdoor space was not safe for children's activities as evidenced by on the rear of the shed near the white gate the siding is damaged and creates a sharp jagged edge. 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
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Violation Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance. Correction Required The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification Corrected on Site
Compliance Date 5/21/2021
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Violation The facility's outdoor space was not safe for children's activities as evidenced by the shed was unlocked and inside was a lawnmower, gas can, fuel and paint cans. On the side of the shed there was a tire, water hose, a disassembled storage structure, wooden slats and safety gates stacked in a pile. 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
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Violation The floors located throughout the childcare space including the bathroom was/were not clean as evidenced by dirt, debris, and crumbs. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. Correction Required Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification Submit Documentation
Compliance Date
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Violation Hazardous items as follows were accessible to children: Lysol spray, bathroom foaming spray and a first aid kit containing alcohol wipes, antibacterial packets and antacid tablets. The item(s) was/were located bathroom. 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
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Violation Stairways in the child care space did not meet requirements as evidenced by there was no safety gate. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (F) 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 Children were not restricted to approved space as evidenced by the door downstairs leading upstairs and the door at the upper part of the stairs were unlocked allowing children free access. Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care. Correction Required Caregivers shall restrict children to approved space.
Correction Verification Return Inspection
Compliance Date
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Violation The facility has not met the requirements for fire and safety as evidenced by verification of Fire and Safety approval was not available . Licensing Rule Reference 19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (B) states: The premises shall conform to the fire and safety requirements of the State Fire Marshal or his/her designee and requirements for state or local zoning, building and sanitation. Correction Required The facility shall comply with fire and safety/zoning/sanitation requirements.
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
Violation
| Provider Comments |
Violation The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by no emergency plan observed in the daycare space. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster and 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
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Violation The facility's list of emergency numbers that are posted do not include the numbers for fire department, police department, ambulance service and local radio station. Licensing Rule Reference 19 CSR 30-62.090 Disaster and Emergency Preparedness (2) (B) 1. B. states: A list of emergency numbers, including 911, if available, the fire department, police department, ambulance service, poison control center, and local radio station; Correction Required The facility must post all emergency numbers as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Furniture/equipment, blue student chair and blue plastic lego tub, in the childcare space was not in good condition as evidenced by corner of the plastic chair is broken off and the plastic tub was cracked on the side. 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
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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: Latosha Hayes and Nicelle Jackson needs 12 clock hours. Alexis Jones needs 5.. 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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Violation Clock hour training records were not recorded in the Missouri Professional Development Registry (MOPD Registry). Licensing Rule Reference 19 CSR 30-62.102 Personnel (3) (F) 2. states: All clock hour training records shall be recorded in the Missouri Professional Development Registry (MOPD Registry) at www.OPENInitiative.org. A summary of training from the MOPD System will serve as documentation of training hours completed. Correction Required Required training hours shall be documented for each employee on the MOPD Registry.
Correction Verification Submit Documentation
Compliance Date
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Violation The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site. Licensing Rule Reference 19 CSR 30-62.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. 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. 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 [and] approved by the department. 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 Corrected on Site
Compliance Date 5/21/2021
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19 CSR 30-62.112 Staff/Child Ratios
Violation
| Provider Comments |
Violation Staff/child ratio requirements were not met as evidenced by 13 children, ages 20 months to 13 years, were cared for by 1 caregiver(s). Licensing Rule Reference 19 CSR 30-62.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children. Correction Required Correct staff/child ratios shall be maintained.
Correction Verification Return Inspection
Compliance Date
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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 Alexis Jones 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
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Violation A school-age child's health report was not on file at the time of enrollment as evidenced by 1 child did not include a health report. Licensing Rule Reference 19 CSR 30-62.122 Medical Examination Reports (2) (D) states: The parent(s) of a school-age child shall provide a report at the time of enrollment indicating the child's health history, any current health problems, and any restrictions necessary for the child's care. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
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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 child. 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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Violation A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Alexis Jones. 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
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| Provider Comments |
Violation The facility did not meet requirements for child enrollment and health information as evidenced by 2 children's files did not give AAA Extended Education permission for emergency medical care. Licensing Rule Reference 19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. states: Instructions for action to be taken if the parent(s) or physician designated by the parent(s) cannot be reached in an emergency and permission for emergency medical care; 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 30-62.142 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
Not Observed
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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
Violation
| Provider Comments |
Violation Child(ren) was left without competent adult supervision as evidenced by Alexis Jones went upstairs with the 20 month old and left 5 children unattended. Licensing Rule Reference 19 CSR 30-62.182 Child Care Program (1) (A) 1. states: Caregivers 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 Return Inspection
Compliance Date
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Violation The requirements for admitting and dismissing children were not met as evidenced by the caregiver did not personally dismiss each child upon departure. Licensing Rule Reference 19 CSR 30-62.182 Child Care Program (1) (A) 2. states: A caregiver personally shall admit each child upon arrival and personally shall dismiss each child upon departure. Children shall be dismissed only to the parent(s), guardian, legal custodian, or to individuals approved by the parent(s), guardian, or legal custodian. Correction Required Each child shall be admitted and dismissed by a caregiver as required.
Correction Verification Submit Documentation
Compliance Date
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19 CSR 30-62.192 Health Care
Compliance
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Violation
| Provider Comments |
Violation A vehicle used to transport children was not licensed in accordance with Missouri law. Licensing Rule Reference 19 CSR 30-62.212 Transportation and Field Trips (2) (B) states: All vehicles used to transport children shall be licensed in accordance with Missouri law. Correction Required All vehicles used to transport children shall be licensed in accordance with Missouri law.
Correction Verification Submit Documentation
Compliance Date
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Violation Identifying information in the vehicle was not available. Licensing Rule Reference 19 CSR 30-62.212 Transportation and Field Trips (3) (B) states: Identifying information regarding the name of the provider, the names of the children and the names, addresses and telephone numbers of each child's parent(s) shall be carried in the vehicle. Correction Required During transport, the facility shall carry identifying information for provider and children as required.
Correction Verification Return Inspection
Compliance Date
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19 CSR 30-62.222 Records and Reports
Violation
| Provider Comments |
Violation The provider failed to maintain accurate records to meet administrative requirements as evidenced by 8 children were signed in under the Kinderconnect System and 13 children were present upon arrival. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (1) states: The child care provider shall maintain accurate records to meet administrative requirements and to ensure knowledge of the individual needs of children and their families. Correction Required Accurate records shall be maintained.
Correction Verification Submit Documentation
Compliance Date
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Violation 2 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the 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
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Violation Daily attendance records were not maintained on file as evidenced by child attendance records were not maintained for a minimum of one year. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (5) states: Daily child attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Child attendance records shall be maintained and retained as required.
Correction Verification Submit Documentation
Compliance Date
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Violation Daily attendance records were not maintained on file as evidenced by there were no staff/volunteer attendance records. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year. Correction Required Staff/volunteer attendance records shall be maintained and retained as required.
Correction Verification Submit Documentation
Compliance Date
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Violation A written record of fire and disaster drills not available at the facility. Licensing Rule Reference 19 CSR 30-62.222 Records and Reports (8) states: The provider shall maintain a written record at the facility for fire and disaster drills. Correction Required Fire and disaster drills shall be recorded and kept on file.
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 Alexis Jones, Nichelle Jackson, and Latosha Hayes. 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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