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LITTLE SUNSHINE'S DAYCARE & LEARNING CENTER LLC

Inspection · 2012-10-16

Date
2012-10-16
Complaint Related
No
Licensing Inspector
N/A
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

UC19 CSR 30-61.045-1 License shall be posted near entrance of home: Compliance
UC19 CSR 30-61.045-2 Local SCCR office address and phone number shall be posted near license: Compliance
UC19 CSR 30-61.045-3 License applies only to person/address shown on license and is not transferable.: Compliance
UC19 CSR 30-61.045-4 All day care provided on the premises of a licensed facility shall comply with licensing rules: Compliance
UC19 CSR 30-61.045-5 Conditions specified on license shall not be exceeded: Compliance
UC19 CSR 30-61.045-6 SCCR staff has access to entire premises and facility records during all inspections: Compliance
UC19 CSR 30-61.085 (2)(D)-1 Equipped as required; if catered, approved food source, handling and storage: Compliance
UC19 CSR 30-61.085 (2)(D)-2 Not used for napping; children in kitchen only for supervised activity.: Compliance
UC19 CSR 30-61.085(1)-1 Safe and suitable: Compliance
UC19 CSR 30-61.085(1)-10 Glass doors marked at varying heights: Compliance
UC19 CSR 30-61.085(1)-11 Dry and well-ventilated; temperatures no less than 68°F, no more than 85°F (2' feet from floor): Compliance
UC19 CSR 30-61.085(1)-12 Walls, ceilings, and floors made of approved materials; clean and in good condition: Compliance
UC19 CSR 30-61.085(1)-13 Pads or mats under indoor equipment if more than 24" high: Compliance
UC19 CSR 30-61.085(1)-14 Required lighting in rooms used by children: Compliance
UC19 CSR 30-61.085(1)-15 Clean, free of insects, spiders, rodents, pests: Compliance
UC19 CSR 30-61.085(1)-16 Telephone is in working order for incoming and outgoing calls; answering machine on, if used: Compliance
UC19 CSR 30-61.085(1)-17 Emergency numbers posted near telephone: Compliance
UC19 CSR 30-61.085(1)-18 Smoking prohibited in child care: Compliance
UC19 CSR 30-61.085(1)-19 Children using pools instructed in water safety and supervised by an adult at all times: Compliance
UC19 CSR 30-61.085(1)-2 Restricted to approved space: Compliance
UC19 CSR 30-61.085(1)-20 Swimming and wading pools—constructed, maintained/used safely; water filtered/treated as required; fenced/barricaded as required: Compliance
UC19 CSR 30-61.085(1)-21 Swimming pools with more than 48" water - adult on duty with current lifeguard training certificate including I-T CPR: Compliance
UC19 CSR 30-61.085(1)-22 Swimming and wading pools with less than 48" water - adult on duty who has completed basic water safety including I-T CPR: Compliance
UC19 CSR 30-61.085(1)-3 Stairways well lighted; free of obstructions; handrails and safety gates as required.: Compliance
UC19 CSR 30-61.085(1)-4 Approved barrier for porches, decks, stairwells with drop-off of more than 24"; no entrapment: Compliance
UC19 CSR 30-61.085(1)-5 Heating equipment protected: Compliance
UC19 CSR 30-61.085(1)-6 Hazardous items inaccessible to children: Compliance
UC19 CSR 30-61.085(1)-7 Weapons and ammunition inaccessible in locked cabinets or closets: Compliance
UC19 CSR 30-61.085(1)-8 Open windows and doors screened securely: Compliance
UC19 CSR 30-61.085(1)-9 Barriers at windows less than 24" from floor if no safety glass: Compliance
UC19 CSR 30-61.085(2)(B)-1 35 square feet of usable space per child, available during all hours of operation for each child coming into the home: Compliance
UC19 CSR 30-61.085(2)(B)-2 Napping equipment does not interfere with play activities: Compliance
UC19 CSR 30-61.085(2)(B)-3 Storage for play equipment available; some accessible to children: Compliance
UC19 CSR 30-61.085(2)(C)-1 At least 1 flush toilet and adjacent hand washing sink with running water: Compliance
UC19 CSR 30-61.085(2)(C)-2 One potty chair, junior commode or toilet adapter for I-T; potty chair located in bathroom and emptied, cleaned and disinfected after each use: Compliance
UC19 CSR 30-61.085(2)(C)-3 Convenient and in working order: Compliance
UC19 CSR 30-61.085(2)(C)-4 Clean and odor free: Compliance
UC19 CSR 30-61.085(2)(C)-5 Paper towels (or daily laundered individual cloth towels for each child); soap; toilet paper; accessible to children without assistance: Compliance
UC19 CSR 30-61.085(2)(C)-6 Children monitored while in the bathroom: Compliance
UC19 CSR 30-61.085(3)(A)-1 On or adjoining day care property; accessible without hazard: Compliance
UC19 CSR 30-61.085(3)(A)-2 Swimming and wading pools fenced with locked gate and barricaded as required: Compliance
UC19 CSR 30-61.085(3)(A)-3 Safely designed fence; 42" high; prevents children from crawling or falling through; no entrapment: Compliance
UC19 CSR 30-61.085(3)(A)-4 75 sq. ft. of outdoor space per child: Compliance
UC19 CSR 30-61.085(3)(A)-5 Safe; well maintained; good drainage and free of hazards: Compliance
UC19 CSR 30-61.085(3)(A)-6 Fall-zone area covered/maintained with approved resilient material: Violation
UC19 CSR 30-61.085(3)(A)-7 No concrete, asphalt, carpet or bare soil used under equipment from which child might fall: Compliance
UC19 CSR 30-61.085(3)(A)-8 Adult supervision as required; adult always outside for any child under age 3: Compliance
UC19 CSR 30-61.085-1 Threat to health/safety: off premises or penned securely and inaccessible to children: Compliance
UC19 CSR 30-61.085-2 Pens kept clean; no animal excrement in areas used by children: Compliance
UC19 CSR 30-61.085-3 Litter boxes not in child care space or food preparation space: Compliance
UC19 CSR 30-61.085-4 Food and water dishes used by animals not accessible to children: Compliance
UC19 CSR 30-61.085-5 Parents notified immediately and veterinarian contacted for course of action if an animal bites a child: Compliance
UC19 CSR 30-61.090-1 Facility has written disaster and emergency plan: Compliance
UC19 CSR 30-61.090-2 Disaster and emergency plan, procedures, access to emergency information and disaster and emergency response drills meet all requirements of rules (If no is checked, see notes page for details): Compliance
UC19 CSR 30-61.095(1)-1 Safely constructed; good condition; no hazardous parts; only lead-free paint: Compliance
UC19 CSR 30-61.095(1)-10 Required number of tables/seating spaces for eating/activities for children 12 months/older: Compliance
UC19 CSR 30-61.095(1)-2 Arranged for clear passage to all exits: Compliance
UC19 CSR 30-61.095(1)-3 Required # and type of approved sleeping equipment with 2' aisle on long side; no upper bunk beds: Compliance
UC19 CSR 30-61.095(1)-4 Clean, individually assigned sheet and blanket available for each child; laundered as required: Compliance
UC19 CSR 30-61.095(1)-5 Family beds covered with clean sheet if used for napping; no more than 2 children on double or larger bed: Compliance
UC19 CSR 30-61.095(1)-6 Individual crib, portable crib or playpen for each infant; no stack cribs: Compliance
UC19 CSR 30-61.095(1)-7 Side rail spokes (slats) on playpen/crib not more than 2 3/8" apart: Compliance
UC19 CSR 30-61.095(1)-8 Mattress/pad: sized correctly; in good condition, waterproof, clean and dry: Compliance
UC19 CSR 30-61.095(1)-9 I-T feeding equipment: high chair, infant seat, etc.; appropriate restraints used: Compliance
UC19 CSR 30-61.095(2)-1 Clean; good condition; all parts intact; accessible to children: Compliance
UC19 CSR 30-61.095(2)-2 Preschool/school-age: minimum of 40 approved items per 10 children (blocks, arts, manipulatives,large muscle, library, music, dramatic, science or sensory): Compliance
UC19 CSR 30-61.095(2)-3 Preschool/school-age: minimum of 4 items from the required categories: Compliance
UC19 CSR 30-61.095(2)-4 I/T minimum of 1 item per child from required categories: safe, washable; sized to prevent swallowing: Compliance
UC19 CSR 30-61.095(3)-1 Equipment sufficient for ages/# children: Compliance
UC19 CSR 30-61.095(3)-2 Safely constructed; in good condition; hazardous parts covered; S-hooks pinched; exposed bolts recessed, covered or filed: Compliance
UC19 CSR 30-61.095(3)-3 Stationary equipment securely anchored; no exposed footings; placed to avoid collisions: Compliance
UC19 CSR 30-61.095(3)-4 Maximum 6' height from which children might fall: Compliance
UC19 CSR 30-61.095(3)-5 Approved swing seats: Compliance
UC19 CSR 30-61.095(3)-6 No ropes, loops or hanging apparatus that might entrap, close or tighten upon a child: Compliance
UC19 CSR 30-61.095(3)-7 Trampolines not used: Compliance
UC19 CSR 30-61.095(3)-8 Mini-trampolines and jumping equipment used only with close supervision: Compliance
UC19 CSR 30-61.095(3)-9 Children instructed in safe use of outdoor play equipment: Not Observed
UC19 CSR 30-61.105-1 Caregiver 18 years of age or older: Compliance
UC19 CSR 30-61.105-2 Caregivers of good character/intent; knowledgeable of and sensitive to the needs of children: Compliance
UC19 CSR 30-61.105-3 Licensing rules available; provider/assistant knowledgeable of rules: Compliance
UC19 CSR 30-61.105-4 Provider routinely on duty at least 40 hours per week during hours of highest attendance: Compliance
UC19 CSR 30-61.105AA-1 License capacity met: Compliance
UC19 CSR 30-61.105AA-2 License limitations met: Compliance
UC19 CSR 30-61.105AA-3 Approved assistant as required: Compliance
UC19 CSR 30-61.105AA-4 No more than 18 consecutive hours of care at maximum capacity; 1/3 license capacity for remaining 6 hours of 24 hour day.: Compliance
UC19 CSR 30-61.115-10 Another adult present for person requiring extensive care: Compliance
UC19 CSR 30-61.115-11 SCCR notified of any change in household members; adult members agree to share home with day care children: Compliance
UC19 CSR 30-61.115-12 SCCR notified immediately of any change in assistants: Compliance
UC19 CSR 30-61.115-13 Caregivers capable of handling emergencies promptly and intelligently: Compliance
UC19 CSR 30-61.115-14 All caregivers/personnel shall cooperate with the department: Compliance
UC19 CSR 30-61.115-15 No adverse action by owner against employees who report licensing deficiencies: Compliance
UC19 CSR 30-61.115-16 Home provider not engaged in other employment while on duty: Compliance
UC19 CSR 30-61.115-17 Caregivers and other staff shall report suspected child abuse an neglect as required (1-800-392-3738): Compliance
UC19 CSR 30-61.115-18 At least one caregiver with first aid/CPR present at all times children are present: Compliance
UC19 CSR 30-61.115-5 Assistant available as required; parents notified of assistant on duty in absence of provider: Compliance
UC19 CSR 30-61.115-6 Names, addresses and telephone numbers of all assistants posted with emergency #s: Compliance
UC19 CSR 30-61.115-7 Provider/others free of influence from alcohol and illegal drugs during child care hours; caregivers not impaired by medication while providing child care: Compliance
UC19 CSR 30-61.115-8 No individual on premises who presents a threat to children: Compliance
UC19 CSR 30-61.115-9 Household relationships provide positive environment: Compliance
UC19 CSR 30-61.125-1 Caregivers in good physical and emotional health with no physical or mental conditions that would interfere with care of children: Compliance
UC19 CSR 30-61.125-2 Caregivers shall not work when ill if the health or well-being of children is endangered: Compliance
UC19 CSR 30-61.135-1 Personal interview with parent and child when enrolling: Compliance
UC19 CSR 30-61.135-2 Parents have access to the facility during child care hours: Compliance
UC19 CSR 30-61.135-3 Facility has plan for continued communication with parent, plan for care on scheduled school closing days and when child is ill: Compliance
UC19 CSR 30-61.135-4 Facility's written policies given to parents: Compliance
UC19 CSR 30-61.135-5 Intermittent care only by appointment and all required procedures followed: Compliance
UC19 CSR 30-61.145-1 No child care between 9 p.m. and 6 a.m. unless specified on license: Compliance
UC19 CSR 30-61.145-2 Only staff and authorized individuals on premises: Compliance
UC19 CSR 30-61.145-3 Individualized care at bedtime and on awakening per parental instructions: Compliance
UC19 CSR 30-61.145-4 Night lights as required: Compliance
UC19 CSR 30-61.145-5 Personal items marked with child's name: Compliance
UC19 CSR 30-61.145-6 Separate school age dressing and sleeping areas: Compliance
UC19 CSR 30-61.145-7 Caregiver in close proximity to children in sleeping area: Compliance
UC19 CSR 30-61.145-8 Room arrangement allows for undisturbed sleep: Compliance
UC19 CSR 30-61.155-1 Prior written approval from SCCR: Not Observed
UC19 CSR 30-61.155-2 No overlap for children under 2: Not Observed
UC19 CSR 30-61.155-3 All procedures for admitting children followed: Not Observed
UC19 CSR 30-61.165-1 Total (including overlap) not more than 1/3 capacity: Compliance
UC19 CSR 30-61.165-2 Date of closing, reason for closing and number of children in care documented: Compliance
UC19 CSR 30-61.175(1)(E)-1 Safe diapering table or other approved area with waterproof washable surface to change diapers; cleaned and sanitized after each use: Compliance
UC19 CSR 30-61.175(1)(E)-2 Supplies/ handwash sink with warm running water adjacent to diapering area; disposable tissues or wipes used during diapering: Compliance
UC19 CSR 30-61.175(1)(E)-3 Diapering products provided by parents and labeled with child's name: Compliance
UC19 CSR 30-61.175(1)(E)-4 Diapering/hand wash areas separate from food areas: Compliance
UC19 CSR 30-61.175(1)(E)-5 Child not left unattended on diapering surface: Compliance
UC19 CSR 30-61.175(1)(E)-6 Wet or soiled diapers/clothing changed promptly; parents provide extra change of clothing: Compliance
UC19 CSR 30-61.175(1)(E)-7 Wet or soiled cloth diapers returned to parents daily in individual airtight plastic bags: Compliance
UC19 CSR 30-61.175(1)(E)-8 Wet or soiled diapers placed in airtight disposal container: Compliance
UC19 CSR 30-61.175(1)(E)-9 Caregiver washes hands after each diaper change: Compliance
UC19 CSR 30-61.175-1 Competent adult supervision for each child; frequent direct contact; daily individual attention; special attention to child in distress: Compliance
UC19 CSR 30-61.175-10 Children not allowed to intimidate/harm others; harm themselves; destroy property: Compliance
UC19 CSR 30-61.175-11 Fire, tornado and disaster drills as required: Compliance
UC19 CSR 30-61.175-12 At least 1 hour outdoor play for children attending full day; I/T outdoor play weather permitting: Compliance
UC19 CSR 30-61.175-13 School age: separate space for study; quiet time after noon meal with napping equipment available: Not Observed
UC19 CSR 30-61.175-14 Infant feeding schedule per parent's request: Compliance
UC19 CSR 30-61.175-15 I/T receive constant care and supervision; caregiver alert to I/T child's needs: Compliance
UC19 CSR 30-61.175-16 I/T supervised nap; infants remain in crib no longer than 30 minutes if awake and content; toddlers taken out of bed when they awaken; infants on back to sleep: Compliance
UC19 CSR 30-61.175-17 Developmental, exploratory play experiences, and free choice play for I/T: Compliance
UC19 CSR 30-61.175-18 No effort to toilet train a child prior to parent/provider agreement: Compliance
UC19 CSR 30-61.175-19 Child not punished for soiling clothes: Compliance
UC19 CSR 30-61.175-2 Child admitted and dismissed by caregiver: Compliance
UC19 CSR 30-61.175-3 Children under age 3 supervised and assisted in bathroom: Compliance
UC19 CSR 30-61.175-4 Developmentally appropriate activities; in/out; quiet/active; individual/group; free choice; toileting: Compliance
UC19 CSR 30-61.175-5 Caregiver present on same floor as napping children; frequent checks; door(s) remain open if caregiver not in room during napping: Compliance
UC19 CSR 30-61.175-6 At least 30 minutes supervised nap or rest period for preschoolers after noon meal; not forced to remain on sleeping equipment more than 1 hour: Compliance
UC19 CSR 30-61.175-7 Children not subjected to child abuse or neglect (CA/N) as defined by 210.110 RSMo: Compliance
UC19 CSR 30-61.175-8 Provider shall establish simple, understandable rules for children's behavior and shall explain them to the children: Compliance
UC19 CSR 30-61.175-9 Constructive, age appropriate discipline; no physical punishment: Compliance
UC19 CSR 30-61.185-1 Staff/children wash hands as required: Compliance
UC19 CSR 30-61.185-10 Communicable diseases reported and control measures implemented as required: Compliance
UC19 CSR 30-61.185-11 Children taught to wash hands before eating/after toileting: Compliance
UC19 CSR 30-61.185-12 Ill child not accepted for care or isolated and sent home as required; caregiver in close proximity; documented as required.: Compliance
UC19 CSR 30-61.185-2 Children observed for contagious diseases and illness on arrival and throughout the day: Compliance
UC19 CSR 30-61.185-3 Each child's parent notified immediately of any contagious disease in the home: Compliance
UC19 CSR 30-61.185-4 Parent contacted when illness is observed; agreement reached to stay in care or send home; documented as required: Compliance
UC19 CSR 30-61.185-5 All medications given by written, dated permission; administrations documented and filed as required: Compliance
UC19 CSR 30-61.185-6 All medications in original containers; properly labeled with names and dosages: Compliance
UC19 CSR 30-61.185-7 Medications inaccessible to children; properly stored; disposed of or returned to parent: Compliance
UC19 CSR 30-61.185-8 Remaining medicine immediately returned to storage after dosage is administered to child: Compliance
UC19 CSR 30-61.185-9 Accident, injury, emergency care: parents notified immediately; instructions followed; documented as required; emergency plan when care is off-premises: Compliance
UC19 CSR 30-61.190-1 Food provided per meal/snack chart and approved schedule as required: Compliance
UC19 CSR 30-61.190-10 I/T food/bottles labeled if provided by parents: Compliance
UC19 CSR 30-61.190-11 School-age children served snack after school: Compliance
UC19 CSR 30-61.190-12 Sack lunches per rule if licensed exclusively for school-age: Compliance
UC19 CSR 30-61.190-13 Menus available to parents upon request: Compliance
UC19 CSR 30-61.190-2 Not more than 4 hours between any meal or snack: Compliance
UC19 CSR 30-61.190-3 1 serving of fluid milk served with each meal; powdered milk not used for drinking: Compliance
UC19 CSR 30-61.190-4 Meals enjoyable and relaxed; children not forced to eat: Compliance
UC19 CSR 30-61.190-5 Drinking water near playrooms: Compliance
UC19 CSR 30-61.190-6 Correct storage, preparation and serving of food: Compliance
UC19 CSR 30-61.190-7 Provider serves nourishing foods appropriate for I/T as specified by parents: Compliance
UC19 CSR 30-61.190-8 Infant held by caregiver during bottle feeding, if unable to hold own bottle; bottles not propped: Compliance
UC19 CSR 30-61.190-9 Child encouraged and permitted to feed self when able: Compliance
UC19 CSR 30-61.200-1 Prior written parental consent on file for field trips and transportation: Compliance
UC19 CSR 30-61.200-10 Children not left unattended in vehicle: Compliance
UC19 CSR 30-61.200-11 Children restrained in permanent seats per Missouri law: Compliance
UC19 CSR 30-61.200-12 Caregiver waits until child released only to authorized person: Compliance
UC19 CSR 30-61.200-13 Facility and children's identifying information in vehicle as required: Compliance
UC19 CSR 30-61.200-14 vehicle inspected to assure all children exited: Compliance
UC19 CSR 30-61.200-2 Caregiver/child ratio maintained while transporting children to and from child care: Compliance
UC19 CSR 30-61.200-3 Parents informed about field trips: Compliance
UC19 CSR 30-61.200-4 "Head count" as required: Compliance
UC19 CSR 30-61.200-5 Driver at least 18 years of age; valid driver license as required: Compliance
UC19 CSR 30-61.200-6 Children enter and leave vehicle safely; assisted as needed: Compliance
UC19 CSR 30-61.200-7 Vehicle licensed and used in accordance with Missouri law: Compliance
UC19 CSR 30-61.200-8 Children seated; doors locked; and order maintained in moving vehicle: Compliance
UC19 CSR 30-61.200-9 Children not transported in camper, trailer or back of trucks: Compliance
UC19 CSR 30-61.210-1 Accurate records maintained per records reviewed by SCCR: Compliance
UC19 CSR 30-61.210-10 Related child form on file as required: Compliance
UC19 CSR 30-61.210-11 Child and caregiver attendance records maintained for 1 year: Compliance
UC19 CSR 30-61.210-12 Annual Immunization Summary Report: Compliance
UC19 CSR 30-61.210-13 Individual children's records retained at least 1 year after discontinued attendance: Compliance
UC19 CSR 30-61.210-2 All records of children shall be confidential and available to parents upon request: Compliance
UC19 CSR 30-61.210-3 All required records for children and caregivers kept on file at the facility and accessible at all times: Compliance
UC19 CSR 30-61.210-4 Requests/results of current background checks for adults on file as required: Compliance
UC19 CSR 30-61.210-5 Medical/TB reports as required: Compliance
UC19 CSR 30-61.210-6 Twelve training hours documented for each year of employment: Compliance
UC19 CSR 30-61.210-7 Child enrollment form, medical, immunizations completed and on file as required: Violation
UC19 CSR 30-61.210-8 Information from parents regarding child's behavior; emergency instructions; permission for schoolage child to leave facility: Compliance
UC19 CSR 30-61.210-9 Individualized plan and instructions from professional source on file for child with special needs: Compliance

Inspector Notes

Type: COMPLIANCE MONITORING
Specialist: ANGELA EVELYN EASLEY
Visit: 9:00 AM - 9:45 AM
Open Violations: 2

Violations

2
Standard UC19 CSR 30-61.085(3)(A)-6 Fall-zone area covered/maintained with approved resilient material states: UC19 CSR 30-61.085(3)(A)-6 Fall-zone area covered/maintained with approved resilient material
Outdoor Equipment: Red slide needs to be on the grass where children may fall. The end of the slide ends in an area where dirt is exposed.
Plan of Correction: Verification: Submit Documentation
Standard UC19 CSR 30-61.210-7 Child enrollment form, medical, immunizations completed and on file as required states: UC19 CSR 30-61.210-7 Child enrollment form, medical, immunizations completed and on file as required
Child A needs dad's work phone# and emergency contact address on enrollment form.
Plan of Correction: Verification: Submit Documentation