DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

LICENSE EXEMPT PROGRAM INSPECTION REPORT
Facility Information

LAMAR FAMILY DAY CARE

001358945

(417) 681-9901

1201 LEXINGTON
LAMAR
MO  64759

LAMAR FAMILY MINISTRIES CTR

N/A
N/A
MO  N/A-N/A

GRIFFITT, NELLY


N/A

N/A


TIM PHILLIPS

birth - 12 yrs

52

LICENSE EXEMPT PROGRAM

 
Inspection Information

04/08/2013

N/A

N/A

N/A

COMPLIANCE VERIFICATION

5468


DocumentDocument-Date
SANITATION INSPECTION 02/07/2013
FIRE/SAFETY INSPECTION 01/22/2013
NOTICE OF PARENTAL RESPONSIBILITY 04/10/2012




Inspection determined facility to be in compliance with rules.
Open Violations: NA

 
210.252.1 Sanitation Inspection
Compliance
210.252.1. Fire/Safety Inspection
Compliance
210.254.1 Notice of Parental Responsibility
Compliance
UC19 CSR 30-60.020 (5) CRU or Family Care Safety Registry (FCSR) on file
Compliance
UC19 CSR 30-60.050 (1)(A) Caregivers' provide care conducive to health and safety of children.
Compliance
UC19 CSR 30-60.050 (1)(C)-A Prior to starting work, caregivers have read rules per signed statement
Compliance
UC19 CSR 30-60.050 (1)(C)-B Caregivers' signed statements on file
Compliance
UC19 CSR 30-60.050-D Ratio according to NPR (statute)
Compliance
UC19 CSR 30-60.050-E Discipline according to NPR (statute).
Compliance
UC19 CSR 30-60.060 (1)(A) and (9) Communicable diseases reported to parents and local health department as required.
Compliance
UC19 CSR 30-60.060 (1)(B)-B Caregivers use proper handwashing techniques as required, using soap and warm, running water
Compliance
UC19 CSR 30-60.060 (1)(B)-C Caregivers teach and require children to use proper handwashing techniques at appropriate times using soap and warm, running water.
Compliance
UC19 CSR 30-60.060 (1)(C) Caregivers shall not work when ill.
Compliance
UC19 CSR 30-60.060 (1)(D) Caregivers' physical assessment reports on file as required
Compliance
UC19 CSR 30-60.060 (1)(E) No smoking or tobacco products in any child care space while children are in care
Compliance
UC19 CSR 30-60.060 (10)(A) Medication administered only with dated, written permission of parent, stating the length of time medication may be given.
Compliance
UC19 CSR 30-60.060 (10)(B) Prescription and nonprescription medication in original container; labeled with child's name, physician's name, and directions for administration (including times and dosage)
Compliance
UC19 CSR 30-60.060 (10)(C) and (D) Medication inaccessible to children
Compliance
UC19 CSR 30-60.060 (10)(E) Medication refrigerated as required
Compliance
UC19 CSR 30-60.060 (10)(F) Unused medication disposed of immediately or returned to parent when no longer needed.
Compliance
UC19 CSR 30-60.060 (10)(G) Date, time, quantity and name of person giving medication recorded promptly and filed in child's record
Compliance
UC19 CSR 30-60.060 (11)-1 Parent notified immediately
Compliance
UC19 CSR 30-60.060 (11)-2 Parent's written emergency instructions followed.
Compliance
UC19 CSR 30-60.060 (11)-3 Accident or injury documented with date, time, circumstances, signature of caregiver and supervisor.
Compliance
UC19 CSR 30-60.060 (11)-4 Copy of accident or injury document and necessary explanation given to parent the day of the accident or injury
Compliance
UC19 CSR 30-60.060 (11)-5 Copy of accident or injury document filed in child's record
Compliance
UC19 CSR 30-60.060 (2) and (4) Children's physical assessment reports on file as required
Compliance
UC19 CSR 30-60.060 (3) Children's immunization requirements met
Compliance
UC19 CSR 30-60.060 (5) Children observed for contagious diseases/ other signs of illness on arrival and throughout each day
Compliance
UC19 CSR 30-60.060 (6) Parent/guardian contacted when signs of illness are observed.
Compliance
UC19 CSR 30-60.060 (7) Child sent home when required by symptom(s) of illness; parent contact recorded and filed
Compliance
UC19 CSR 30-60.060 (8) Ill child isolated/caregiver in close proximity until parent arrives.
Compliance
UC19 CSR 30-60.070 (1)(A)(1) Child admitted and dismissed by caregiver
Compliance
UC19 CSR 30-60.070 (1)(A)(2) Napping children shall be seen/heard.
Compliance
UC19 CSR 30-60.070 (1)(A)(3) Alert to needs of thirst, hunger, diaper change, agression by other children and attention
Compliance
UC19 CSR 30-60.070 (1)(D) Animals pose no threat to the health or safety of children in care.
Compliance
UC19 CSR 30-60.070 (1)(E) Children monitored in bathroom.
Compliance
UC19 CSR 30-60.070 (1)(F)(1)-1 Surface is safe, waterproof and washable.
Compliance
UC19 CSR 30-60.070 (1)(F)(1)-2 Diapering area located so caregiver can supervise group of children
Compliance
UC19 CSR 30-60.070 (1)(F)(2) One diapering surface in infant/toddler unit for each group of 8 infants/toddlers and each group of 16 two-year olds
Compliance
UC19 CSR 30-60.070 (1)(F)(3) Diapering surface in preschool unit if child(ren) not toilet trained
Compliance
UC19 CSR 30-60.070 (1)(F)(5) Parent/caregiver agree on when to begin toilet training.
Compliance
UC19 CSR 30-60.070 (1)(F)(6) Extra clothing available for children
Compliance
UC19 CSR 30-60.070 (1)(G) Facility responsible for assuring meals served according to nutrition standards
Compliance
UC19 CSR 30-60.070 (1)(I)(1) Kitchens not used for play activities unless part of the supervised learning program.
Compliance
UC19 CSR 30-60.070 (1)(I)(2) Kitchens not used for napping or as passageways for children
Compliance
UC19 CSR 30-60.070 (1)(I)(3) Kitchens separated from other areas by walls or partitions at least 36" high.
Compliance
UC19 CSR 30-60.070 (1)(I)(4) No animals in food preparation or food storage areas.
Compliance
UC19 CSR 30-60.080 (2)(D) Outside doors not locked
Compliance
UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded
Violation
 Provider Comments
Violation
Fire and tornado drill needed.
Licensing Rule Reference
UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded states: UC19 CSR 30-60.080 (5) Fire/tornado drills conducted/recorded
Correction Required


Correction Verification


Compliance Date
4/8/2013
UC19 CSR 30-60.080 (5)(A) Evacuation/emergency plan posted
Compliance
UC19 CSR 30-60.090 (1) Clean, no insects, spiders, rodents.
Compliance
UC19 CSR 30-60.090 (1)(B) Toys sanitized.
Compliance
UC19 CSR 30-60.090 (1)(D) Personal items labeled with childs name
Compliance
UC19 CSR 30-60.090 (2)(A) and (B) Bathrooms clean and odor free; in working order; convenient for use
Compliance
UC19 CSR 30-60.090 (2)(C) Soap, paper towels or air dryer, toilet paper accessible
Compliance
UC19 CSR 30-60.090 (2)(D) Potty chair emptied, cleaned and sanitized after each use
Compliance
UC19 CSR 30-60.090 (2)(E) Bathrooms enclosed with full walls and solid doors
Compliance
UC19 CSR 30-60.090 (3)(B) Diapering creams, powders or other products approved or supplied by the parent/labeled with the child's name
Compliance
UC19 CSR 30-60.090 (3)(C) Diapering surface sanitized after each use
Compliance
UC19 CSR 30-60.090 (3)(D) Diapers and wet clothing changed promptly when soiled or wet.
Compliance
UC19 CSR 30-60.090 (3)(E) Diapers discarded into airtight container and removed daily; cloth diapers in airtight bags, removed daily
Compliance
UC19 CSR 30-60.090 (3)(F)-5 Diapering/handwashing area separate from food service area
Compliance
UC19 CSR 30-60.090 (4)(A) Catered food from approved source
Compliance
UC19 CSR 30-60.090 (4)(B) Sufficient equipment in kitchen
Compliance
UC19 CSR 30-60.090 (4)(D)-G Kitchen floor approved surface
Compliance
UC19 CSR 30-60.090 (4)(D)-I Food items covered/packaged/protected from contamination
Compliance
UC19 CSR 30-60.090 (5) Proper storage and service
Compliance
UC19 CSR 30-60.090 (8) Adequate refuse disposal and storage
Compliance
UC19 CSR 30-60.100 (1) Premises safe, suitable.
Compliance
UC19 CSR 30-60.100 (1)(A) Children shall have no access to unapproved areas.
Compliance
UC19 CSR 30-60.100 (1)(B) Handrails and guardrails as required. spacing at bars no more than 3 1/2".
Compliance
UC19 CSR 30-60.100 (1)(C) Approved safety gates and doors as required.
Compliance
UC19 CSR 30-60.100 (1)(D) Hazardous material(s) inaccessible to children and stored to prevent cross-contamination of food and food related items.
Compliance
UC19 CSR 30-60.100 (1)(E) Weapons/ammunition stored in locked cabinet or closet.
Compliance
UC19 CSR 30-60.100 (1)(F) Walls, ceilings, floors in good condition and easily cleaned.
Compliance
UC19 CSR 30-60.100 (2)(A) Adequate lighting.
Compliance
UC19 CSR 30-60.100 (2)(B) Room temperature
Compliance
UC19 CSR 30-60.100 (2)(C) Working telephone available.
Compliance
UC19 CSR 30-60.100 (2)(D) Emergency numbers posted
Compliance
UC19 CSR 30-60.100 (2)(E)(3) If in permanent residence, and more than 10 children, child care area separate from living quarters.
Compliance
UC19 CSR 30-60.100 (2)(E)-1 45 square feet usable floor space per infant/toddler
Compliance
UC19 CSR 30-60.100 (2)(E)-5 35 square feet usable floor space per preschool/school-age child.
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-2 Floor covered with material that can be cleaned
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-3 Carpets/rugs spot cleaned when soiled.
Compliance
UC19 CSR 30-60.100 (2)(F)(1)-4 Carpets/rugs sanitized when contaminated with body fluids
Compliance
UC19 CSR 30-60.100 (2)(F)(2) If more than 20 children or more than 4 infants/toddlers, play, sleeping and bathroom space separated from older children by floor to ceiling walls
Compliance
UC19 CSR 30-60.100 (2)(F)(3)-7 No more than 24 infants/toddlers per room
Compliance
UC19 CSR 30-60.100 (2)(F)(3)-8 Stable partitions at least 4' high used to separate I-T and 2-year old groups within a room.
Compliance
UC19 CSR 30-60.100 (2)(F)(4) No more than 8 infants/toddlers or 16 two-year olds in a group
Compliance
UC19 CSR 30-60.100 (3)(A) Flush toilet/adjacent handwashing sink for every 20 preschool/school-age children
Compliance
UC19 CSR 30-60.100 (3)(C) No locks or latches for children below first grade
Compliance
UC19 CSR 30-60.100 (3)(D) Separate bathroom/stall for caregivers if over 50 children
Compliance
UC19 CSR 30-60.100 (3)(E) Separate girls and boys bathroom when more than 20 children including school-age
Compliance
UC19 CSR 30-60.100 (3)(F)-5 Potty chair, junior commode or adapter in bathroom for every 4 children being trained
Compliance
UC19 CSR 30-60.100 (3)(F)-6 For infants/toddlers and children not toilet trained, one toilet and one adjacent handwashing sink available for every 24 children in an infant/toddler unit.
Compliance
UC19 CSR 30-60.100 (4)(A)-1 Outdoor play area on or adjoining property
Compliance
UC19 CSR 30-60.100 (4)(A)-2 Fenced if more than 10 children or to protect from hazard.
Compliance
UC19 CSR 30-60.100 (4)(A)-3 Fence is at least 42" high
Compliance
UC19 CSR 30-60.100 (4)(A)-4 Openings in fence no greater than 31/2".
Compliance
UC19 CSR 30-60.100 (4)(B) Play area 75 square feet per child for one-third capacity/minimum 750 square feet
Compliance
UC19 CSR 30-60.100 (4)(C) Play area safe, well maintained and free of hazards; proper drainage
Compliance
UC19 CSR 30-60.100 (4)(D) Impact absorbent materials in fall zone for any equipment over 24" and higher
Compliance
UC19 CSR 30-60.100 (4)(E) Infant/toddler outdoor play space separate area or used at different time from older children (if more than 20 children or more than 4 infants/toddlers).
Compliance
UC19 CSR 30-60.100 (4)(F) Swimming and wading pools fenced, filtered, gate locked, treated, cleaned and maintained
Compliance
UC19 CSR 30-60.100 (4)(G) Play equipment well maintained, safely constructed, free of sharp, loose, pointed parts; stationary equipment anchored
Compliance
UC19 CSR 30-60.100 (4)(H) No part of play equipment from which child can fall exceeds 6'.
Compliance
UC19 CSR 30-60.100 (5)(A)-1 Individual mat, cot or bed with individually assigned sheet and blanket for each child who naps.
Compliance
UC19 CSR 30-60.100 (5)(A)-2 Mats appropriate size, non-absorbent, use only on carpet, washed and sanitized weekly or before used by another child.
Compliance
UC19 CSR 30-60.100 (5)(B) Bedding laundered weekly or when soiled and before use by another child
Compliance
UC19 CSR 30-60.100 (5)(C) At least a 2' aisle on one long side of all sleeping equipment
Compliance
UC19 CSR 30-60.100 (5)(D) Individual crib/playpen, no stacked cribs, no mats for infants, mats for toddlers with parental consent
Compliance
UC19 CSR 30-60.100 (5)(D)(1) Cribs/playpen rail spokes no more than 23/8" apart
Compliance
UC19 CSR 30-60.100 (5)(D)(2)-7 Crib mattress/playpen sized properly, waterproof, in good condition clean and dry
Compliance
UC19 CSR 30-60.100 (5)(D)(2)-8 Sheets and covers changed when soiled or wet.
Compliance
UC19 CSR 30-60.100 (6) Sufficient chairs and tables for meals and activities
Compliance
UC19 CSR 30-60.100 (7)-10 Indoor play equipment provided; clean, in good condition/safe
Compliance
UC19 CSR 30-60.100 (7)-11 Toys, parts of toys, or other materials do not present a choking threat
Compliance
UC19 CSR 30-60.110 (1)(A) Written parental consent
Compliance
UC19 CSR 30-60.110 (1)(B) Parents informed
Compliance
UC19 CSR 30-60.110 (1)(D) Seat belt/child restraint device in use in accordance with missouri law
Compliance
UC19 CSR 30-60.110 (1)(E) Identifying information in vehicle
Compliance
UC19 CSR 30-60.110 (1)(F) Children seated while vehicle moving
Compliance
UC19 CSR 30-60.110 (1)(G)-F Children enter and leave vehicle safely
Compliance
UC19 CSR 30-60.110 (1)(G)-G Children not left unattended
Compliance
UC19 CSR 30-60.110 (1)(H) Head counts taken as required
Compliance
UC19 CSR 30-60.110 (2) Licensed driver 18 years of age or older.
Compliance
UC19 CSR 30-60.110 (3)-J Vehicle licensed in accordance with missouri law
Compliance
UC19 CSR 30-60.110 (3)-K No transportation in camper, trailer, back of trucks.
Compliance
UC19 CSR 30-60.120 (1)-A Admitting procedure for each child in care with plan for ill children and emergency medical care.
Compliance
UC19 CSR 30-60.120 (1)-D Special care plan on file for child with special health needs identified through a physical assessment by a qualified medical source.
Compliance
UC19 CSR 30-60.120 (1,2 and 4) Individual file with required information for each child. (enrollment form, immunizations, medical)
Compliance
UC19 CSR 30-60.120 (6) Required records filed in an unlocked place known to caregivers; accessible for inspection by the SCCR; kept on premises during operating hours.
Compliance
UC19 CSR 30-60.120-C Notice of parental Responsibility signed by parent and retained in facility files. (Statute)
Compliance
UC20 CSR 30-60.060 (1)(D)(3) Caregivers' TB test results on file as required.
Compliance