| |
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
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 the top of the fence on the left side near the tree has a gap approximately 3 inches tall and twelve inches wide.
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 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 the latch on the left side of the gate does not secure making it possible for children to exit the playground.
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 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 the fence was able to be pushed back in multiple places resulting in large gaps.
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
Children were not restricted to approved space as evidenced by the shed located on the playground was unlocked and accessible to children.
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
Corrected on Site
Compliance Date
9/16/2021
|
|
|
19 CSR 30-62.087 Fire Safety
Violation
| | Provider Comments |
Violation
Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the date of the drill was not recorded.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (2) (F) 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
Corrected on Site
Compliance Date
9/16/2021
|
|
|
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
|
19 CSR 30-62.092 Furniture, Equipment and Materials
Compliance
|
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: Alisa Brookshire.
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 Alisa Brookshire, who was hired on 8/30/21.
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
Background screening information was not available for review for Alisa Brookshire.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
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 Kim Thompson as evidenced by the medical examination was not signed by the required medical source.
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
|
|
Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Kim Thompson.
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
|
|
|
19 CSR 30-62.132 Admission Policies and Procedures
Compliance
|
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
Compliance
|
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
Compliance
|
19 CSR 30-63.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were older than five (5) years for Alisa Brookshire.
Licensing Rule Reference
19 CSR 30-63.020 General Requirements (5) states: Criminal background checks shall be completed for each child care staff member every five (5) years.
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
|