| | Provider Comments |
Violation
The facility's written emergency plan did not include plans for medical and non-medical emergencies and disaster situations.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (A) 1. states: Medical and non-medical emergencies hazard to staff and children, such as a fire, tornado, flood, chemical spill, exposure to carbon monoxide, power failure, bomb threat, person coming to the facility whose health or behavior may be harmful to a child or staff member, or kidnapping.
Correction Required
Facility emergency plan must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written emergency plan did not include plans for evacuation from the facility.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (A) 2. states: Evacuation from the facility in the event of a disaster emergency that could cause damage to the facility or pose a hazard to the staff and children.
Correction Required
Facility emergency plan must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written emergency plan did not include plans for lock-down procedures.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (A) 3. states: Lock-down procedures in a situation that may result in harm to persons inside the facility such as a shooting, hostage incident, intruder, trespassing, or disturbance or to be used at the discretion of the director, designee, or public safety personnel.
Correction Required
Facility emergency plan must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written emergency plan did not include plans for evacuation from a vehicle used to transport children.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (A) 4. states: Evacuation from a vehicle used to transport children.
Correction Required
Facility emergency plan must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility has not developed, implemented or maintained policies and procedures for responding to a disaster emergency.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (A) . states: The facility shall develop, implement, and maintain policies and procedures for responding to a disaster emergency, including a written plan for:
Correction Required
Facility must have plan on file as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written plan does not consider the age or physical/mental abilities of children in care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (B) 1. states: The age and physical and mental abilities of the children.
Correction Required
Facilities emergency plan should consider all contingencies.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written plan does not consider the types of services currently offered to children in care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (B) 2. states: The types of services offered, including whether the facility provides care for nonambulatory children or overnight care.
Correction Required
Facilities emergency plan should consider all contingencies.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written plan does not consider the types of disasters or emergencies likely to affect the facility.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (B) 3. states: The types of disasters likely to affect the area.
Correction Required
Facilities emergency plan should consider all contingencies.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written plan does not consider the requirements of the Division of Fire Safety and the DHSS's The ABC's of Emergency Preparedness Ready in 3 Program.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (B) 4. states: The requirements of the Division of Fire Safety and the Department of Health and Senior Services' The ABC's of Emergency Preparedness Ready in 3 Program (2006), which is incorporated by reference and is published by the Department of Health and Senior Services, Center for Emergency Response and Terrorism, PO Box 570, Jefferson City, MO 65102-0570, telephone number 573-526-4768, and is available at www.health.mo.gov, and advice from the Red Cross or other health and emergency professionals. This rule does not include any later amendments or additions.
Correction Required
Facilities emergency plan should consider all contingencies.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's written plan does not consider the need for ongoing communication with other agencies.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (B) 5. states: The need for ongoing communication and data sharing with other types of agencies providing services to children and with state and local emergency management agencies.
Correction Required
Facilities emergency plan should consider all contingencies.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster plan did not include location of emergency information.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 1. states: The location of the child's attendance record and emergency information and emergency supplies.
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster plan did not include exit routes to a safe location out of the facility.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes.
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster plan did not include exit routes to a safe location within the facility.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 2. states: Diagrams that identify exit routes from each area of the facility used for child care to a safe location out of the facility and to a safe location within the facility where children and staff members can stay until the threat of danger passes.
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include use of alarms.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. A. states: Use of alarms to warn other building occupants and summon staff;
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include an emergency call to the fire department.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. B. states: Emergency telephone call to the fire department.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include response to alarms.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. C. states: Response to alarms.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include isolation of a fire.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. D. states: Isolation of a fire, including confinement by closing doors to the fire area.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include evacuation of the immediate area.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. E. states: Evacuation of the immediate area.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include two off-site locations.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. F. states: Two (2) off-site locations identified as meeting places in case of evacuation.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include details for relocation.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. G. states: Relocation as detailed in the disaster and emergency plan, including individuals with special needs, such as non-ambulatory children and children who sleep overnight, if applicable.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's emergency procedure plan did not include system of parental notification and re-unification.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. H. states: System of contact for parents of children and notification of parents of the plan to assist in re-unification.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster plan did not include disaster and emergency procedures to be followed.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 4. . states: The disaster and emergency procedures to be followed, which include but are not limited to the following:
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's lock-down procedures did not include announcement of lock-down by the director or designee.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 5. A. states: An announcement of the lockdown by the director or designee. The alert may be made using a pre-selected code word.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's lock-down procedures did not include children kept in their classroom or other designated area.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) 5. B. states: In a lock-down situation, staff shall keep children in their rooms or other designated location that are away from the danger.
Correction Required
Facilities emergency procedure must include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster plan did not identify the staff responsible for implementing the plan and ensuring the safety of children.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (1) (C) . states: At a minimum, a disaster emergency plan shall identify the staff members responsible for implementing the plan and ensuring the safety of the children and shall include:
Correction Required
Facilities disaster plan shall include required components.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's disaster and emergency plan was not available in the office.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (A) states: At all times, a copy of the facility's disaster emergency plan is readily available in the office area and in each room used for care of children.
Correction Required
The facilities disaster and emergency plan must be available in required locations.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's evacuation route diagram was not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 2. states: A diagram of evacuation routes from the room.
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
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Violation
The facility's special instructions for infants and non-ambulatory children were not posted in each room used for child care.
Licensing Rule Reference
5 CSR 25-400.090 Disaster and Emergency Preparedness (2) (B) 3. states: Any special instructions for infants and non-ambulatory children.
Correction Required
Facility must post information as required.
Correction Verification
Submit Documentation
Compliance Date
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