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19 CSR 30-62.032 Organization and Administration
Compliance
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19 CSR 30-62.042 Licensing Process
Compliance
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19 CSR 30-62.052 Annual Requirements
Violation
| | Provider Comments |
Violation
The Family Care Safety Registry check was not conducted for Jessica Chronister, Enyya Harrell, Jeanylla Webster, Amber Jones, Pat Pender, Melody Ragland-Smith, Melissa Ragland-Williams, Kimberly Thompson, David Thompson, Chuck Willett and Gayla Willett within thirty (30) days prior to the anniversary date.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (2) (C) states: The child care provider shall conduct a Family Care Safety Registry check for all child care staff members within thirty (30) days prior to the anniversary date as printed on the license.
Correction Required
Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (D) states: A current staff sheet.
Correction Required
The facility shall submit a current staff sheet as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 Annual Requirements (1) (C) states: A current list of available equipment.
Correction Required
The facility shall submit an equipment list as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
The Annual Declaration was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 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 group child care home or child care center and agreement to comply with all statutes and department licensing rules.
Correction Required
The facility shall submit the Annual Declaration as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
The facility's outdoor space was not safe for children's activities as evidenced by there is standing water filled with outdoor debris in the water table on the playground.
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
8/25/2021
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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 7 inches.
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
8/25/2021
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Violation
The walls located in the school aged classroom was/were not finished with material which can be cleaned easily as evidenced by the window on the far left of the school aged classroom has paint chipping leaving paint debris on the floor and causing the window to not be easily cleanable.
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
8/25/2021
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Violation
The walls located in the school aged classroom was/were not finished with material which can be cleaned easily as evidenced by the paint is chipping in multiple spots in the far left corner of the classroom causing paint debris to be present on the floor and exposing the wall underneath the 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
Submit Documentation
Compliance Date
8/25/2021
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Violation
Hazardous items as follows were accessible to children: hand sanitizer. The item(s) was/were located the shelf across from the i/t 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
Submit Documentation
Compliance Date
8/25/2021
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Violation
Hazardous items as follows were accessible to children: hand sanitizer and lotion. The item(s) was/were located white shelf by the kitchen.
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
8/25/2021
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Violation
Hazardous items as follows were accessible to children: disinfectant spray. The item(s) was/were located on the red cart near the entrance.
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
8/25/2021
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Violation
The premises were not safe and suitable as evidenced by the front door is broken and is propped open.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (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
8/25/2021
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19 CSR 30-62.087 Fire Safety
Compliance
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19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
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19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, the green and yellow hashtags, in the playground by the wall was not free of sharp parts as evidenced by the signs are cracked causing sharp edges.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the yellow and green hashtag toys were cracked making the edges sharp.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (2) (A) 1. states: Play equipment and materials shall be clean, in good condition with all parts intact and accessible to children.
Correction Required
Indoor play equipment, clean and in good repair, shall be accessible to children.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
Furniture/equipment, the white shelf with an attached mirror, in in the school aged classroom was not in good condition as evidenced by the paint at the bottom is chipping showing exposed wood that is not easily cleanable.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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Violation
Furniture/equipment, the green shelf, in the first classroom on the right side of the hallway was not in good condition as evidenced by the paint was chipped showing exposed wood and making the shelf not easily cleanable.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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19 CSR 30-62.102 Personnel
Violation
| | Provider Comments |
Violation
Safe sleep training was not completed within the past 3 years for the following staff Jeanylla Webster.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center 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 director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.
Correction Verification
Submit Documentation
Compliance Date
8/25/2021
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19 CSR 30-62.112 Staff/Child Ratios
Compliance
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19 CSR 30-62.122 Medical Examination Reports
Compliance
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19 CSR 30-62.132 Admission Policies and Procedures
Violation
| | Provider Comments |
Violation
The facility did not meet requirements for child enrollment and health information as evidenced by two children are missing addresses for their emergency contacts.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 4. 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
Submit Documentation
Compliance Date
8/25/2021
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19 CSR 30-62.142 Nighttime Care
Compliance
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19 CSR 30-62.152 Hourly Care Facilities
Compliance
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19 CSR 30-62.162 Overlap Care of Children
Compliance
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19 CSR 30-62.172 Emergency School Closings
Compliance
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19 CSR 30-62.182 Child Care Program
Compliance
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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 one 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
8/25/2021
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19 CSR 30-62.202 Nutrition and Food Service
Compliance
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19 CSR 30-62.212 Transportation and Field Trips
Compliance
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19 CSR 30-62.222 Records and Reports
Compliance
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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 210.115. 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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