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19 CSR 30-61.025 Organization and Administration
Not Observed
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19 CSR 30-61.045 Licensing Process
Not Observed
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19 CSR 30-61.055 Annual Requirements
Not Observed
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
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 that were between 3.5 and 9 inches and allow entrapment - the openings measured 3.5 inches and was located at the bottom of the fence. This section of the fence was located near the pirate ship.
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
Submit Documentation
Compliance Date
6/29/2021
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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 that were between 3.5 and 9 inches and allow entrapment - the openings measured 4-4.5 inches and was located at the bottom of the fence. This section of the fence was located in the far left corner.
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
Submit Documentation
Compliance Date
6/29/2021
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Violation
The walls located in the eating area was/were not finished with material which can be cleaned easily as evidenced by paint was chipping off the wall near the hallway, near the closet door and near the table in the eating area.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (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
7/1/2021
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Violation
Hazardous items as follows were accessible to children: one container of diaper cream and three bottles of baby powder . The item(s) was/were located under the diaper table.
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
Submit Documentation
Compliance Date
7/1/2021
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Violation
Hazardous items as follows were accessible to children: glue trap. The item(s) was/were located in the bathroom floor.
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
Submit Documentation
Compliance Date
7/1/2021
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Violation
Hazardous items as follows were accessible to children: hand sanitizer and disinfectant spray. The item(s) was/were located on top of the dishwasher.
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
Submit Documentation
Compliance Date
6/29/2021
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Violation
Hazardous items as follows were accessible to children: Clorox Wipes (4 containers), Wet Ones (2 containers), Spray Deodorant, Hairspray, Baby Oil and Multi-Purpose Drain Cleaner. The item(s) was/were located on a shelf in the restroom.
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
Submit Documentation
Compliance Date
7/1/2021
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Violation
Hazardous items as follows were accessible to children: Carpet Cleaner, Iron Out, Oxi-Clean, CB-80 extra, Drain Pro, Febreze, Pledge, Glade, Lysol, Scrubbing Bubbles, Comet, Bleach, Raid, Windex, Lysol All Purpose Cleaner, Microban Bathroom Cleaner, Moth Cakes and Clorox Hard Surface Sanitizing Spray. The item(s) was/were located in the unlocked closet near the bathroom.
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
Submit Documentation
Compliance Date
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Violation
Hazardous items as follows were accessible to children: Lysol spray and shaving cream. The item(s) was/were located on the shelf in the eating 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
Submit Documentation
Compliance Date
6/29/2021
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Violation
Hazardous items as follows were accessible to children: hand sanitizer. The item(s) was/were located on top of the desk. This desk is located in the main play 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
Submit Documentation
Compliance Date
7/1/2021
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Violation
The premises were not safe and suitable as evidenced by CCFS arrived to the facility at 9:08 A.M. CCFS observed an infant in a car seat. The infant was three months old. The child had a blanket placed over their torso area and legs. The child had a small piece of fabric that appeared to be a burb cloth or hand towel placed around the child's face. The provider stated that the fabric was placed around the child's face to hold in the child's pacifier. It was discussed with the provider that the fabric must be immediately removed and the safety concerns. The provider removed the items out of the car seat. A child grabbed the blanket and was covering the child's face with the blanket. The provider removed the blanket. CCFS observed other children rocking the car seat with the infant in it. When asked, the provider stated that the child was not recently dropped off. According to the sign in sheet, the child was dropped off at 7:20 A.M. The provider stated that the child usually stays in the car seat so the child can always be near the provider. The provider stated that the parents are aware and okay with the child being in the car seat. CCFS discussed with the provider that is is not developmentally appropriate for the child to be in a car seat. CCFS recommended that the child was placed in a bouncer or swing. The provider does not have a bouncer or swing. It was discussed with the provider that she would need to find an alternative and appropriate method. The child was in the car seat for approximately 25 minutes. Once removed from the car seat, the provider held the child. On 7-1-21 a re-inspection was conducted. At arrival, the child was in a bouncer that resembled a car seat. The provider had the original box that stated the seat was a Good Vibes Infant Carrier. The carrier has soothing vibrations, gentle bounce and three positions for carrying ,feeding or soothing motion. The seat also had a waist strap and handle for carrying. The child had a blanket that was placed over the child's legs. This blanket was removed. The provider stated the child is placed in the bouncer for a brief period of time in the morning. It was discussed that the child should not be placed in the bouncer for an extended amount of time.
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
Submit Documentation
Compliance Date
7/1/2021
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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 disaster and tornado drill was not held at least one time every three months.
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
6/29/2021
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19 CSR 30-61.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
The facility's disaster and emergency plan was not available in each room used for child care as evidenced by main play area did not have a plan.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster 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
7/1/2021
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Violation
Requirements of facility's participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
19 CSR 30-61.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, or other disaster drills shall be completed and recorded as required.
Correction Verification
Submit Documentation
Compliance Date
6/29/2021
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19 CSR 30-61.095 Furniture, Equipment and Materials
Not Observed
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19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
Safe sleep training was not completed within the past 3 years for the assistant(s), Dale Duvall.
Licensing Rule Reference
19 CSR 30-61.105 The Child Care Provider and Other Child Care Personnel (5) . states: Safe Sleep Training. Every three (3) years the provider and assistant(s) in a family child care home licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The child care provider and assistant(s) shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.115 Day Care Family and Household
Not Observed
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19 CSR 30-61.125 Medical Examination Reports
Not Observed
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19 CSR 30-61.135 Admission Policies and Procedures
Not Observed
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19 CSR 30-61.145 Nighttime Care
Not Observed
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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
Not Observed
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19 CSR 30-61.185 Health Care
Not Observed
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19 CSR 30-61.190 Nutrition and Food Service
Violation
| | Provider Comments |
Violation
The provider failed to serve nourishing foods appropriate for Infant as specified by parents as evidenced by one Infant and Toddler Feeding and Care plan was not on file.
Licensing Rule Reference
19 CSR 30-61.190 Nutrition and Food Service 2 (A) states: The provider shall serve nourishing foods appropriate for the infant's individual nutritional requirements and developmental stages as specified by his/her parent(s).
Correction Required
The provider shall serve nourishing foods as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.200 Transportation and Field Trips
Not Observed
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19 CSR 30-61.210 Records and Reports
Violation
| | Provider Comments |
Violation
One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 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
6/29/2021
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Violation
One child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 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
6/29/2021
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19 CSR 30-63.020 General Requirements
Not Observed
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19 CSR 30-63.040 Background Screening Findings
Not Observed
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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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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