|
5 CSR 25-400.025 Organization and Administration
Not Observed
|
5 CSR 25-400.045 Licensing Process
Not Observed
|
5 CSR 25-400.055 Annual Requirements
Violation
| Provider Comments |
Violation The equipment list was not submitted. Licensing Rule Reference 5 CSR 25-400.055 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
|
|
Violation The listing of household members and assistants was not submitted. Licensing Rule Reference 5 CSR 25-400.055 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
|
|
Violation The Family Care Safety Registry check was not conducted for Milton Green, Lucretia Wilks, Karyn Rhodes, Marissa Green within thirty (30) days prior to the anniversary date. Licensing Rule Reference 5 CSR 25-400.055 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
|
|
|
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
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 chain link fencing at the top is detached from the chain link fencing at the bottom. Licensing Rule Reference 5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (3) (A) 1. states: An 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. It shall be fenced when necessary for the protection of children from traffic, water or other hazards. For family day care homes 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. 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 and provide a safe fence around the outdoor play area as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation The facility's outdoor space was not safe/well-maintained for children's activities as evidenced by multiple broken branches were all over the playground, the degrading stomp with brutal edging located at the back corner, a potential poison ivy plant on the left side of the fence, a broken flower pot, overgrowth . Licensing Rule Reference 5 CSR 25-400.085 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
|
|
|
5 CSR 25-400.086 Fire Safety
Violation
| Provider Comments |
Violation Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by fire drills were not held at least one time each month. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 2 (C) 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 Submit Documentation
Compliance Date
|
|
Violation Requirements of 19 CSR 30-61.086 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months. Licensing Rule Reference 5 CSR 25-400.086 Fire Safety 2 (C) 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 Submit Documentation
Compliance Date
|
|
|
5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
|
5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| Provider Comments |
Violation Soft objects, loose bedding or any object that can increase risk of entrapment, suffocation or strangulation was observed as evidenced by there was a nursing pillow present in the crib with an 8-months-old child. Licensing Rule Reference 5 CSR 25-400.095 Furniture, Equipment and Materials 1 (B) 2 E states: Cribs, portable cribs and playpens shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation. Examples include bumper pads, pillows, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diapers, bibs, pillow-like toys, wedges, infant positioners, special mattresses, special sleep surfaces, and other similar items. Correction Required Infant napping equipment shall be free of soft objects, loose bedding or any object that can increase the risk of entrapment, suffocation or strangulation.
Correction Verification Return Inspection
Compliance Date
|
|
|
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Not Observed
|
5 CSR 25-400.115 Child Care Family and Household
Not Observed
|
5 CSR 25-400.125 Medical Examination Reports
Violation
| Provider Comments |
Violation A medical examination report was not on file for the provider. Licensing Rule Reference 5 CSR 25-400.125 Medical Examination Reports (1) (B) states: The provider shall have a medical examination report on file at the time of initial licensure. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation A medical examination report was not on file for assistant(s): Karyn Rhodes, Marissa Green. Licensing Rule Reference 5 CSR 25-400.125 Medical Examination Reports (1) (D) states: Assistants who are employed or volunteer more than five (5) hours per week shall have a medical examination report on file within thirty (30) days of beginning work in the home. Correction Required Medical reports shall be on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Karyn Rhodes, Milton Green, Marissa Green, Lucretia Wilks. Licensing Rule Reference 5 CSR 25-400.125 Medical Examination Reports (1) (E) . states: Medical examination reports shall include either a Tuberculosis (TB) Risk Assessment form, completed and signed by a health care professional, or a negative tuberculin skin test (TST) completed not more than twelve (12) months before beginning work in the facility. The Tuberculosis (TB) Risk Assessment form, revised March 2014, is incorporated by reference in this rule, as published by the Missouri Department of Health and Senior Services, PO Box 570, Jefferson City, MO 65102 and available by the Missouri Department of Health and Senior Services at https://health.mo.gov/living/healthcondiseases/communicable/tuberculosis/tbmanual/pdf/RiskAssessmentform.pdf. If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur. Correction Required Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberulin skin test (TST) as required.
Correction Verification Submit Documentation
Compliance Date
|
|
Violation Child's medical examination report did not contain evidence that child’s current health is satisfactory for participation in a child care program. Licensing Rule Reference 5 CSR 25-400.125 Medical Examination Reports (2) (B) states: Examination reports shall determine if a child’s medical history and current state of health is satisfactory for participation in a child care program. Correction Required Child medical requirements shall be completed and on file as required.
Correction Verification Submit Documentation
Compliance Date
|
|
|
5 CSR 25-400.135 Admission Policies and Procedures
Compliance
|
5 CSR 25-400.145 Nighttime Care
Not Observed
|
5 CSR 25-400.155 Overlap Care of Children
Not Observed
|
5 CSR 25-400.165 Emergency School Closings
Not Observed
|
5 CSR 25-400.175 Child Care Program
Not Observed
|
5 CSR 25-400.185 Health Care
Not Observed
|
5 CSR 25-400.190 Nutrition and Food Service
Violation
| Provider Comments |
Violation Requirements for feeding infants unable to hold their own bottle were not met as evidenced by an 8-months-old child was left by herself in the crib with a bottle propped. Licensing Rule Reference 5 CSR 25-400.190 Nutrition and Food Service 2 (C) states: Until infants can hold a bottle comfortably, they shall be held by a caregiver during bottle feeding. Bottles shall not be propped. Correction Required Caregivers shall hold infants during bottle feeding.
Correction Verification Return Inspection
Compliance Date
|
|
|
5 CSR 25-400.200 Transportation and Field Trips
Not Observed
|
5 CSR 25-400.210 Records and Reports
Violation
| Provider Comments |
Violation Records were not available for inspection by the department upon request as evidenced by the files for Milton Green, Marissa Green, Lucretia Wilks were not available for a review . Licensing Rule Reference 5 CSR 25-400.210 Records and Reports (10) states: All records shall be available in the home for inspection by the department upon request. Correction Required All required records shall be kept on file at the facility and accessible at all time.
Correction Verification Return Inspection
Compliance Date
|
|
|
5 CSR 25-600.020 General Requirements
Violation
| Provider Comments |
Violation Criminal background check results were not on file for Milton Green, Marissa Green, Lucretia Wilks. Licensing Rule Reference 5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care 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
|
|
|
5 CSR 25-600.040 Background Screening Findings
Not Observed
|
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.
Not Observed
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
|
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
|