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19 CSR 30-61.025 Organization and Administration
Compliance
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19 CSR 30-61.045 Licensing Process
Compliance
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19 CSR 30-61.055 Annual Requirements
Violation
| | Provider Comments |
Violation
The listing of household members and assistants was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (1) (C) states: A listing of household members and assistant(s).
Correction Required
The child care provider shall submit a listing of all household members and assistants.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (1) (B) states: A current list of available equipment.
Correction Required
The child care provider shall submit an equipment list as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
19 CSR 30-61.055 Annual Requirements (1) (A) states: An Annual Declaration for Licensed Facility form, promulgated as of 2020 and incorporated by reference in this rule. As published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102-0570 and available by the department at https://health.mo.gov/safety/childcare/forms.php indicating the licensee’s intent to continue operating a licensed family child care home and agreement to comply with all statutes and department licensing rules.
Correction Required
The child care provider shall submit the Annual Declaration as required.
Correction Verification
Submit Documentation
Compliance Date
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19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by a table saw and brick pavers are in the play space.
Licensing Rule Reference
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home (3) (A) 5. 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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19 CSR 30-61.086 Fire Safety
Compliance
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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
Violation
| | Provider Comments |
Violation
Arrangement of sleeping equipment was not met as evidenced by no aisle was provided on the long side of napping equipment.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 1 (B) 1 E states: Sleeping equipment shall be arranged to provide at least a two-foot (2') aisle on one (1) long side of the equipment.
Correction Required
The facility shall maintain a two-foot (2') aisle as required.
Correction Verification
Corrected on Site
Compliance Date
9/8/2021
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Violation
Stationary equipment, the "turtle" climber, was unsafe as evidenced by the equipment was placed in close proximity to other equipment which could cause a collision hazard - the equipment location and measured distance from other equipment was 9 inches.
Licensing Rule Reference
19 CSR 30-61.095 Furniture, Equipment and Materials 3 (D) states: Stationary equipment such as swings, slides and climbers shall be securely anchored, have no exposed footings and be placed to avoid accidents or collisions.
Correction Required
Stationary equipment shall be safely installed, stable and securely anchored.
Correction Verification
Submit Documentation
Compliance Date
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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 obtaining 12 clock hours each calendar year were not met. For the calendar year of 2020, the staff listed need the following information: Debbie Bryant needs 3 more clock hours.
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
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Debbie Bryant.
Licensing Rule Reference
19 CSR 30-61.125 Medical Examination Reports (1) (E) . 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 30-61.135 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by one children's record missing the name of the day care provider in the authorization for emergency medical care space.
Licensing Rule Reference
19 CSR 30-61.135 Admission Policies and Procedures (6) (E) 3 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
Corrected on Site
Compliance Date
9/8/2021
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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
Compliance
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19 CSR 30-61.185 Health Care
Compliance
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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
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 date care begins and ends.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports (2) (A) states: The child’s full name, address, birth date and the date care begins and ends.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Corrected on Site
Compliance Date
9/8/2021
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19 CSR 30-63.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Raymond Bryant.
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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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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