| |
5 CSR 25-300.020 Application for Annual Fire Safety and Health and Sanitation Inspections and Inspection Procedures
Compliance
|
5 CSR 25-300.040 Staffing Requirements
Compliance
|
5 CSR 25-300.050 Health Requirements
Violation
| | Provider Comments |
Violation
Medical examination reports, including TB testing, were not on file for Sophie Horowitz as evidenced by a cleared TB report was not on file for caregivers within 30 days of working in the facility.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) . states: All caregivers working in a facility during child care hours shall be in good health. They shall have a physical assessment, including a tuberculosis status assessment by a licensed physician or registered professional nurse. A physical assessment report, signed by a licensed physician or registered professional nurse, shall be on file at the time of employment or within thirty (30) days following employment.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
Violation
Medical examination reports including TB testing were not on file for caregivers as evidenced by the medical form did not contain all required information in that Hannah Fahrenthold's medical exam needs the yes/no box completed.
Licensing Rule Reference
5 CSR 25-300.050 Health Requirements (1) (D) 2. states: The facility may use the department's physical assessment form, MO 580-1879 (6- 94), or the facility may use its own form if it contains all the information on the department's form.
Correction Required
Medical/TB reports shall be on file as required.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-300.060 Responsibilities of Caregivers
Compliance
|
5 CSR 25-300.070 Fire Safety Requirements
Compliance
|
5 CSR 25-300.080 Sanitation Requirements
Compliance
|
5 CSR 25-300.090 Physical Plant, Space, Supplies and Equipment
Violation
| | Provider Comments |
Violation
The equipment, a tire swings, that is over 24 inches high, does not have sufficient impact absorbing material present as evidenced by the space under the tire swings in bare soil.
Licensing Rule Reference
5 CSR 25-300.090 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
|
|
|
5 CSR 25-300.100 Transportation and Field Trip Requirements
Compliance
|
5 CSR 25-300.110 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 5 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
5 CSR 25-300.110 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
Submit Documentation
Compliance Date
|
|
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child files did not have the name and phone number of the family physician, or hospital, or both.
Licensing Rule Reference
5 CSR 25-300.110 Admission Procedures and Required Reports and Records 2 (D) states: Name and phone number of a physician and preferred hospital to be used in an emergency.
Correction Required
An individual file with required information for each child shall be maintained.
Correction Verification
Submit Documentation
Compliance Date
|
|
|
5 CSR 25-600.020 General Requirements
Compliance
|
5 CSR 25-600.040 Background Screening Findings
Compliance
|
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
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.
Compliance
|
RSMo 210.254 Religious organization operating facilities exempt under licensing laws required to file parental notice of responsibility and fire, safety inspections annually.
Compliance
|
RSMo 210.255 Religious organizations operating facility in violation, procedure - noncompliance after notice, prosecutor may act or attorney general.
Compliance
|
RSMo 252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|