| |
19 CSR 30-62.032 Organization and Administration
Compliance
|
19 CSR 30-62.042 Licensing Process
Compliance
|
19 CSR 30-62.052 Annual Requirements
Compliance
|
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: Plastic Bags. The item(s) was/were located under the sink cabinet with the broken latch in the preschool room.
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
Corrected on Site
Compliance Date
9/7/2021
|
|
Violation
The walls located the preschool bathroom and the toddler bathroom to the left of the furnace room was/were not in good condition as evidenced by baseboards are falling off the wall and paint is peeling. ON 07.15.21 the wall in the infant/toddler room to the left of the soap dispenser has peeling paint.
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
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
The walls located all bathrooms and in the toddler room above the diaper table was/were not in good condition as evidenced by there are holes, and unfinished dry wall. ON 07.15.21 walls in rooms and bathrooms still need patching and painting.
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
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
There was evidence of dirt/debris in the lower level of the building, which is the school age. space. Staff member Amelia Vann states the room has not been in use since August, however there are sctttered toys, dirt and debris throughout the space.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located facing the wall in the infant room.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.
Correction Verification
Return Inspection
Compliance Date
9/7/2021
|
|
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 was not in good condition in that there is a section of white vinyl fencing that is not attached at the bottom creating a gap , additionally the blue and yellow fence around the toddler are has peeling and chipping paint. On 09.07.21 the toddler fencing has not been has not been corrected.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 1. states: A fenced 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. For facilities 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. An outdoor play area used exclusively for school-age children shall not be required to have a fence. 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.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by overgrown weedy areas are observed on the toddler play area.
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
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Hazardous items as follows were accessible to children: the toilet back in the toddler bathroom is broken and missing and is covered by a cloth, allowing access to the interior working parts . The item(s) was/were located the toddler room 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
|
|
Violation
The bathroom was not clean and odor free as evidenced by the floor was soiled.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The floors located the lower level school age room was/were not in good condition as evidenced by there are broken tiles with missing sections near the area rug.
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
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by bricks, a turned over shelf, and piles of mats are a hazard in the preschool play area.
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
|
|
|
19 CSR 30-62.087 Fire Safety
Compliance
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
An exit located in the two year old room was blocked by toys piled up outside the exit door.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 2. states: Furniture and equipment shall be arranged to provide a clear passage to all exits.
Correction Required
Caregivers shall keep passageways to all exits clear.
Correction Verification
Corrected on Site
Compliance Date
9/7/2021
|
|
Violation
The facility did not meet requirements for blocks, construction and transportations toys. The facility needed an additional 8 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. A. states: Blocks, construction and transportation toys;
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility did not meet requirements for manipulatives. The facility needed an additional 6 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. B. states: Manipulatives;
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility did not meet requirements for music and rhythm activities. The facility needed an additional 8 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. F. states: Music and rhythm activities;
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility did not meet requirements for dramatic and housekeeping play. The facility needed an additional 6 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. G. states: Dramatic and housekeeping play; and
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility did not meet requirements for science activities and sensory experiences. The facility needed an additional 6 items in this category.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. H. states: Science activities or sensory experiences.
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility had an insufficient amount of equipment and materials. The facility need an additional (unable to be determined-minimum amount of equipment is not readily accessible). (On 07.15.21 there is insufficient equipment in the large school age room with a capacity of 20 children, the minimum number of items/sets of items is 8 in each category) items.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (B) 2. . states: A minimum of forty (40) approved items shall be required for every ten (10) children in the licensed capacity of the facility. The forty (40) items shall include at least four (4) items from each of the following categories:
Correction Required
The facility shall provide appropriate equipment for children as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Krystal Raiford and Jessica Gehm.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
The facility did not conduct a Family Care Safety Registry screening for Krystal Raiford and Jessica Gehm, who was hired on 05.10.21 and 07.19.21 respectively.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (P) states: The child care provider shall conduct a Family Care Safety Registry screening prior to employment for any newly hired child care staff member who has a qualifying criminal background check result.
Correction Required
Required results of the Family Care Safety Registry screening shall be on file.
Correction Verification
Submit Documentation
Compliance Date
|
|
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: Brooke Alexander is short 7; Melissa Brendel is short 3; Jenna Gehm is short 1; Dottie Lutz is short 8; Tara Watson is short 9; Crystal Webb is short 9. On 07.15.21 Brooke Alexander is still short 1 clock hr for 2020.
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
7/20/2021
|
|
Violation
Krystal Raiford did not complete safe sleep training within 30 days of employment or volunteering at the facility.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (C) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall complete safe sleep training described in section (4) of this rule within thirty (30) days of employment or volunteering at the facility.
Correction Required
The department approved safe sleep training must be completed within 30 days of employment or volunteering.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.112 Staff/Child Ratios
Compliance
|
19 CSR 30-62.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for Lacey Malawey and Jerrad Forys 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
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Lacey Malawey and Jerrad Forys On 07.15.21 Jarrad Forys still needs a TB assessment.
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
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Krystal Raiford and Jessica Gehm.
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
|
|
Violation
Medical examination report(s) was/were not on file for Krystal Raiford and Jessica Gehm 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
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
A diet plan for each infant/toddler was not signed by the parent(s).
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 3. states: A diet plan for each infant/toddler signed by the parent(s);
Correction Required
Caregivers shall follow each infant's feeding instructions as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.142 Nighttime Care
Compliance
|
19 CSR 30-62.152 Hourly Care Facilities
Compliance
|
19 CSR 30-62.162 Overlap Care of Children
Compliance
|
19 CSR 30-62.172 Emergency School Closings
Compliance
|
19 CSR 30-62.182 Child Care Program
Compliance
|
19 CSR 30-62.192 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 3 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 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 immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the 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 on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-62.202 Nutrition and Food Service
Compliance
|
19 CSR 30-62.212 Transportation and Field Trips
Compliance
|
19 CSR 30-62.222 Records and Reports
Violation
| | Provider Comments |
Violation
A copy of qualifying background screening results was/were not kept on file for: Lacey Malawey, Emily Craig and Jerrad Forys. On 07.15.21 Jarrod Forys needs the letter of eligibility from the comprehensive screening process.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (9) states: A copy of qualifying background screening results shall be kept on file for child care staff members, as required by 19 CSR 30-63.020 General Requirements.
Correction Required
The facility shall keep on file a copy of qualifying background screening results for child care staff member(s).
Correction Verification
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
Current business license, requested by the department, was/were not submitted.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (12) states: Reports to the department shall be submitted as required.
Correction Required
Requested documents shall be submitted.
Correction Verification
Return Inspection
Compliance Date
9/7/2021
|
|
Violation
1 child(ren) records did not include field trip and transportation authorization.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (F) states: Field trip and transportation authorization.
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
3 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
|
|
Violation
1 child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
19 CSR 30-63.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for Krystal Raiford.
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
|
|
|
19 CSR 30-63.040 Background Screening Findings
Compliance
|
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
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|