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19 CSR 30-60.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
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19 CSR 30-60.050 Staffing Requirements
Compliance
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19 CSR 30-60.060 Health Requirements
Violation
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Violation
Requirements for immunization reports on file were not met as evidenced by verification of required immunizations was not satisfactory in that one child appears to be inadequately immunized.
Licensing Rule Reference
19 CSR 30-60.060 Health Requirements (3) states: Child care facilities shall meet immunization requirements for children as defined by section 210.003, RSMo.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.070 Responsibilities of Caregivers
Compliance
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19 CSR 30-60.080 Fire Safety Requirements
Compliance
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19 CSR 30-60.090 Sanitation Requirements
Violation
| | Provider Comments |
Violation
The use of diapering products did not meet requirements as evidenced by products were not labeled with the child's name.
Licensing Rule Reference
19 CSR 30-60.090 Sanitation Requirements 3 (B) states: Disposable tissues or wipes shall be used to clean the child at each time of diapering. Any diapering creams, powders or other products applied at the time of diapering shall be approved or provided by the parent(s) and labeled with the child's name.
Correction Required
Diapering creams, powders or other products shall be approved or supplied by the parent and labeled with the child's name.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
Hazardous items as follows were accessible to children: sunscreen, hand sanitizer, diaper cream, and gas relief drops. The item(s) was/were located in diaper bags located in lower cubby's inside the infant room.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 1 (D) states: Hazardous materials such as cleaning supplies, poisonous materials, medicines, alcoholic beverages or hazardous personal care items shall be inaccessible to children and stored to prevent cross-contamination of food and food-related materials.
Correction Required
Hazardous material(s) shall be inaccessible to children and stored to prevent cross-contamination of food and food-related items.
Correction Verification
Submit Documentation
Compliance Date
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Violation
Requirements for the outdoor play area were not met as evidenced by the fence had openings that were greater than 3 1/2 inches and allow entrapment - the openings measured greater than 3 1/2 inches. The tension rod was missing on the bottom of the south fence wall which created an entrapment hazard for children.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (A) states: An outdoor play area available on or adjoining the child care property. Facilities with a capacity of more than ten (10) children shall have a fenced play area. Play areas in facilities with a capacity of ten (10) or fewer children shall be fenced when necessary for the protection of children from traffic, water or other hazards. Fences shall be at least forty-two inches (42") high. Openings in fences shall be no greater than three and one-half inches (3 1/2").
Correction Required
The outdoor play area shall be on or adjoining the property and fenced 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 the presence of vines and weeds growing on the south fence wall of the playground.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (C) states: The play area shall be safe for children's activities. It shall be well-maintained and free of hazards such as poisonous plants, broken glass, barbed wire, open wells, rocks and 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 equipment, a slide, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by there is no resilient material present.
Licensing Rule Reference
19 CSR 30-60.100 Physical Plant, Space, Supplies and Equipment 4 (D) states: The fall-zone area under and around outdoor equipment over twenty-four inches (24") high covered with impact-absorbing materials that will effectively cushion the fall of a child. Materials may include sand, pea gravel, tanbark, shredded tires, wood chips, rubber matting or other approved resilient material.
Correction Required
Impact absorbent materials shall be in the fall zone for any equipment over 24 inches high.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-60.110 Transportation and Field Trip Requirements
Compliance
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19 CSR 30-60.120 Admission Procedures and Required Reports and Records
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by one child files did not have the full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (B) states: The full name of the parent(s), guardian or legal custodian, home address, work schedule, home and work telephone numbers, and employer's name and address.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/2/2021
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Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by three child files did not have the name of the individual(s) authorized to take the child.
Licensing Rule Reference
19 CSR 30-60.120 Admission Procedures and Required Reports and Records 2 (E) states: The name of the individual(s) authorized to take the child from the premises.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
8/2/2021
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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 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
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RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
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RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
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RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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