CORNING IOWA NEWS AND BLOG



LATEST NEWS - CORNING IOWA :

New Name For Regional Health System


CHI Health Immanuel – Omaha, Neb. CHI Health Lakeside – Omaha, Neb. CHI Health Mercy Council Bluffs – Council Bluffs, Iowa CHI Health Mercy Corning – Corning, Iowa CHI Health Midlands – Papillion, Neb. CHI Health Missouri Valley – Missouri ...

New name for some Iowa, Nebraska hospitals


For examples, Creighton University Medical Center will be called CHI Health Creighton University Medical Center and Mercy Hospital in Corning, Iowa, will be called CHI Health Mercy Corning. Primary and specialty clinics will continue under the names of CHI ...

Health care network changes name to CHI Health


CHI Health Immanuel – Omaha, Neb. CHI Health Lakeside – Omaha, Neb. CHI Health Mercy Council Bluffs – Council Bluffs, Iowa CHI Health Mercy Corning – Corning, Iowa CHI Health Midlands – Papillion, Neb. CHI Health Missouri Valley – Missouri ...

Officials announce Iowa hospital is getting new name


Mercy Hospital in Corning will be called CHI Health Mercy Corning. Alegent Creighton Health and the other Catholic Health Initiatives facilities are getting a new name, CHI Health. That name is being added as a prefix to the names of hospitals and clinics ...

Joy Corning


Joy Cole Corning served as Lieutenant Governor of Iowa from 1991-1999. As Lt. Governor, she created and led the first statewide effort in Iowa to celebrate diversity by creating a successful campaign of tolerance through community forums, team-building ...

Waterloo teens claim top spots in Iowa State Fair yo-yo competition


In the Sport Ladder class, Shyanne Grace, 13, of Ottumwa took first and Averyle Butcher, 7, of Corning got second. The 2014 Iowa State Fair ended August 17, but the 2015 Iowa State Fair is set for August 13-23.

Motorcyclists tour Freedom Rocks


IA, and Corning, IA. Local 26 is a Maryville-based motorcycle rights organization. The Audubon County rock resides in the Kimballton’s Hans Christian Andersen’s Little Mermaid and Sculpture Garden and features the iconic figure. Seated are Joe Furlong ...

Gaesser touts benefits of ag biotechnology


(Saint Louis)--ASA Illinois Director Ron Moore and CEO Steve Censky, along with President Ray Gaesser of Corning, Iowa spoke with more than 100 farmers, researchers, leaders of agricultural organizations and federal officials yesterday in Washington ...

Grand opening today for restored Johnny Carson birthplace in Corning, Iowa


A celebration is planned in Corning at two o’clock this afternoon to mark the opening of the Johnny Carson Birthplace. The long-time “Tonight Snow” host was born in the home 88 years ago today. Chris Nelson of “The Johnny Carson Birthplace Society ...

New Name For Regional Health System


CHI Health Immanuel – Omaha, Neb. CHI Health Lakeside – Omaha, Neb. CHI Health Mercy Council Bluffs – Council Bluffs, Iowa CHI Health Mercy Corning – Corning, Iowa CHI Health Midlands – Papillion, Neb. CHI Health Missouri Valley – Missouri ...

New name for some Iowa, Nebraska hospitals


For examples, Creighton University Medical Center will be called CHI Health Creighton University Medical Center and Mercy Hospital in Corning, Iowa, will be called CHI Health Mercy Corning. Primary and specialty clinics will continue under the names of CHI ...

Health care network changes name to CHI Health


CHI Health Immanuel – Omaha, Neb. CHI Health Lakeside – Omaha, Neb. CHI Health Mercy Council Bluffs – Council Bluffs, Iowa CHI Health Mercy Corning – Corning, Iowa CHI Health Midlands – Papillion, Neb. CHI Health Missouri Valley – Missouri ...

Officials announce Iowa hospital is getting new name


Mercy Hospital in Corning will be called CHI Health Mercy Corning. Alegent Creighton Health and the other Catholic Health Initiatives facilities are getting a new name, CHI Health. That name is being added as a prefix to the names of hospitals and clinics ...

Joy Corning


Joy Cole Corning served as Lieutenant Governor of Iowa from 1991-1999. As Lt. Governor, she created and led the first statewide effort in Iowa to celebrate diversity by creating a successful campaign of tolerance through community forums, team-building ...

Waterloo teens claim top spots in Iowa State Fair yo-yo competition


In the Sport Ladder class, Shyanne Grace, 13, of Ottumwa took first and Averyle Butcher, 7, of Corning got second. The 2014 Iowa State Fair ended August 17, but the 2015 Iowa State Fair is set for August 13-23.

Motorcyclists tour Freedom Rocks


IA, and Corning, IA. Local 26 is a Maryville-based motorcycle rights organization. The Audubon County rock resides in the Kimballton’s Hans Christian Andersen’s Little Mermaid and Sculpture Garden and features the iconic figure. Seated are Joe Furlong ...

Gaesser touts benefits of ag biotechnology


(Saint Louis)--ASA Illinois Director Ron Moore and CEO Steve Censky, along with President Ray Gaesser of Corning, Iowa spoke with more than 100 farmers, researchers, leaders of agricultural organizations and federal officials yesterday in Washington ...

Grand opening today for restored Johnny Carson birthplace in Corning, Iowa


A celebration is planned in Corning at two o’clock this afternoon to mark the opening of the Johnny Carson Birthplace. The long-time “Tonight Snow” host was born in the home 88 years ago today. Chris Nelson of “The Johnny Carson Birthplace Society ...



USEFUL INFORMATION: YOU NEED TO KNOW

An NIH study indicates that regular use of aspirin may reduce the risk of ovarian cancer

Women who take aspirin daily may reduce the risk of ovarian cancer by 20 percent, according to a study by scientists at the National Cancer Institute (NCI), which is part of the National Institutes of Health (NIH) . However, it is necessary to conduct more research before we can make clinical recommendations. The study was published on February 6, 2014, in the Journal of the National Cancer Institute .

An estimated 22,240 American women will be diagnosed with ovarian cancer in 2014 and 14,030 will die from the disease. Ovarian cancer in early stage can be treated successfully. However, because the symptoms associated with ovarian cancer may be similar to those of other common conditions, such as diagnosing digestive and bladder disorders, often not determined until the disease is advanced.Ovarian cancer in advanced stage has a poor prognosis and treatment options are limited. That is why prevention strategies can be of great importance in controlling this disease.

It has been proven that chronic or persistent inflammation increases the risk of cancer and other diseases. It is clear from previous studies, the anti-inflammatory properties of aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) without aspirin could reduce the risk of cancer in general. However, studies examining whether the use of these drugs may influence the risk of ovarian cancer have yielded inconclusive results for the most part. This is the largest study to date to evaluate the relationship between these drugs and the risk of ovarian cancer.

Doctors and Nicolas Wentzensen Britton Trabert, Division of Cancer Epidemiology and Genetics, NCI, and colleagues analyzed data collected from 12 epidemiological studies of large volume in order to investigate whether women who took aspirin, nonsteroidal anti-inflammatory drugs (NSAID) without aspirin or acetaminophen had a lower risk of ovarian cancer. These 12 studies (nine of them made ??in the U.S.) were part of the consortium of the Ovarian Cancer Association ( Ovarian Cancer Association Consortium ). Scientists evaluated the benefits of these drugs in approximately 8000 women with ovarian cancer and about 12,000 women without the disease.

Among study participants who reported taking aspirin regularly or not: 18 percent used aspirin, 24 percent consumed nonsteroidal anti-inflammatory drugs (NSAIDs) without aspirin and 16 percent took acetaminophen. Researchers found that participants who reported having used aspirin daily had a risk of ovarian cancer 20 percent lower than those who had taken aspirin less than once a week. The conclusions were less clear with regard to the non-aspirin NSAIDs, among which a variety of drugs is included. In this case, scientists observed an ovarian cancer risk 10 percent lower in women who took NSAIDs at least once a week, compared with those who consumed these drugs less often. However, this result was not statistically significant within the range. In contrast to the results on aspirin and NSAIDs, acetaminophen consumption (which is not an anti-inflammatory drug) was not associated with a reduced risk of ovarian cancer.

The focus of this study adds to a growing list that includes other malignancies, such as colorectal cancer and other cancers that seem to be able to be prevented by the use of aspirin. "Our study suggests that treatment with aspirin, which have proven to protect against heart attack, could also reduce the risk of ovarian cancer effect. Though the results are of great interest, should not influence current clinical practice . further study is necessary to analyze the delicate balance between risks and benefits of this drug with potential chemopreventive properties, as well as other studies to identify the mechanism by which aspirin could reduce the risk of ovarian cancer, "Trabert said.

Adverse effects of daily aspirin use include, upper gastrointestinal bleeding and hemorrhagic stroke.Consequently, scientists warn that daily aspirin therapy should only be undertaken with the approval of a physician.

A House Child-Proof Risk !!!!!!!!!!!!!!!!!!

12 Safety Devices to Protect Your Children

Every year children are injured by hazards found in the home and around it. The good news is that the risk of injury can be reduced or avoided if child safety devices are used and reminded older children who activate or connect the devices after turning them off or disconnected.

Most of these safety devices are relatively inexpensive and are readily available in hardware stores, playground equipment, supermarkets, drug stores that sell products to make home improvements, on the Internet and through catalogs. Safety devices should be firm enough to prevent access of children and at the same time easy to use for an adult.

To be effective, they must be installed properly. Follow the installation instructions carefully. Also, remember that no device is completely childproof; have been known to youngsters who have found a way to disable or disconnect.

Here are some child safety devices that can help reduce injuries in young children. The red numbers correspond to those found in the drawing on the back of the house.

home

Every year children are injured by hazards found in the home and around it. The good news is that the risk of injury can be reduced or avoided if child safety devices are used and reminded older children who activate or connect the devices after turning them off or disconnected.

Most of these safety devices are relatively inexpensive and are readily available in hardware stores, playground equipment, supermarkets, drug stores that sell products to make home improvements, on the Internet and through catalogs. Safety devices should be firm enough to prevent access of children and at the same time easy to use for an adult.

To be effective, they must be installed properly. Follow the installation instructions carefully. Also, remember that no device is completely childproof; have been known to youngsters who have found a way to disable or disconnect.

Here are some child safety devices that can help reduce injuries in young children. The red numbers correspond to those found in the drawing on the back of the house.

 

1.

Use  latches and locks  on cabinets and drawers in the kitchen, bathrooms and other areas to help prevent incidents of poisoning and other injuries. Install locks and latches on cabinets and drawers can help prevent children from gaining access to medicines, cleaning products, matches or cigarette lighters, as well as knives and other sharp objects.

Even products with safety caps must be locked and kept out of reach of children. This packaging is not childproof.Buy locks and latches that can be easily installed and used by an adult, but at the same time be firm enough to withstand children halons.

2.

Use  Safety Gates  to help prevent falls down stairs and to keep children from entering the bedroom and other areas that are potentially dangerous.

Install safety gates that children can not be removed easily, but that adults can open and close easily. At the top of the stairs only use gates that screw to the wall. Use safety gates that meet current safety standards. Replace old doors that have a "V" as the space between bars is large enough so that the head and neck of a child entrapment.

3.

Use  Knob Covers Doors and Locks  to help prevent children from entering areas that are potentially dangerous. The knob covers and door locks can help keep children away from dangerous places.

Make sure the guard door knob to be firm and to allow an adult to open the door quickly in an emergency.

4.

Use  anti-scald devices  for faucets and shower and set the temperature of your water heater to 120 degrees Fahrenheit to help prevent burns from hot water. The devices used to prevent burns for adjusting the temperature of the water can help reduce the chance of burns.

5.

Use  SMOKE ALARMS  at every level of your home, inside each bedroom and outside sleeping areas used to alert your family in case of fire. Examine the smoke alarms once a month to make sure they are working. Replace the batteries at least once a year or consider using batteries that last 10 years.

6.

Use  Window Guards Window and Mesh Networks and Security  to help prevent falls from windows, balconies and terraces. Check these safety devices frequently to make sure they are secure and properly installed and maintained properly. Do not open windows more than four inches. The space between the bars of the grates should not be more than four inches. If you have security bars for windows, make sure at least one window in each room can be easily used for escape in case of fire. The metal nets are not effective for preventing children from falling out of windows.

7.

Use  Receipts edges or corners  to help prevent injuries from falls against sharp edges of furniture and fireplaces. Ensure that guards are tight on the furniture and in the corners of the chimney.

8.

Use  safety covers on outlets Plates  to help prevent electrocution incidents. Safety covers for outlets and plates can help protect children from electrical shock and possible electrocution. Make sure children can not remove the safety covers that easily and are large enough to prevent children can choke on them. If you replace the receptacles, buy those that are resistant to handling children.

9.

Use a  Detector Alarm Carbon Monoxide (CO)  to help prevent incidents of CO poisoning. All consumers should install alarms carbon monoxide near sleeping areas in their homes. Replace the batteries at least once a year.

10.

CPSC recommends the use  of curtains and blinds without cords  in homes where small children were strangled to prevent it. Children can wrap the cord around the neck or reach a cord that seem inaccessible and entangled in the loop formed. If your windows have curtains and blinds 2000 or previous years and can not buy new slip, call the Security Council Curtains and Blinds (Window Coverings Safety Council, WCSC) at 800-506-4636 or visit  www.windowcoverings. org  to request a free repair kit. A potentially deadly bond can be formed in the blinds when a child pulls the cord up inside the blind. Consumers should know that the repair kit WSSC does not eliminate the danger of the cords hanging freely from many shades and blinds common.

11.

Use  fasteners to Avoid Fallen Furniture and Appliances . Furniture, TVs and ranges can tip over and crush children. Deaths and injuries occur when children climb onto, lie down or push on television stands, cabinets, bookcases, desks, chests and stoves. For added security, anchor these products to the floor or attach them to the wall. Independent stoves should be installed with supports to prevent rollovers.

12.

Use  Layers of Protection Around Pools and Spas . It is essential that the pool and spa are completely surrounded by a wall. This should include a fence 4 feet tall and has gates that are closed and secure themselves.If the house is one side of the barrier, the doors leading to the pool should have an alarm or the pool should have a power safety cover. The pool alarms can serve as an additional layer of protection.

Sliding glass doors must be secured after each use is not an effective barrier to prevent access to the pool.


Health care for childrens: basic information.

What should I look for when choosing child care? Information is available at Child Care Aware of Missouri (Resource and Referral).

How can I get a list of child care providers in my area? A list of licensed and license-exempt child care providers is available at Child Care Provider Search and through your regional resource and referral agency Child Care Aware of Missouri.

What inspection requirements do licensed and license-exempt facilities have? Both licensed and license-exempt facilities are required to have regular fire, sanitation and health inspections. In addition, licensed facilities have additional compliance monitoring inspections each year.

Do all persons who care for children (who are not related to the provider) in their homes have to be licensed by the state? No. A person may care for four or fewer children who are not *related to the provider without being licensed.

What should I do if I notice an in-home provider is caring for more than four (4) unrelated children? Providing unlicensed child care for more than 4 children, who are not *related to the provider, is against the law in Missouri. If you know someone who is providing illegal care, contact us and file a complaint.

How many children may a licensed facility care for at one time? There are several criteria that determine a facility’s licensed capacity. These include:

  1. Square footage for indoor and outdoor areas;
  2. Director’s education and work experience; and
  3. Amount of materials and equipment.

What happens if my child gets sick while they are at the licensed facility? Child care rules document what symptoms require providers to observe children more closely and what symptoms require that providers send children home. Your provider is required to contact you when signs of illness are observed.

How will I learn about the provider’s rules and policies? A licensed child care facility is required to provide the parents with written policies, program goals, admission, care and discharge of the child at the time of enrollment. The provider must also have a copy of the child care licensing rules available for review. License-exempt providers are required to give parents a Notice of Parental Responsibility which includes the facility’s discipline philosophy and policy, facility’s staff/child ratio, and the educational philosophy and policy. Sec. 210.254, RSMo

Can my provider give medications to my child? The center or home provider is not required to administer medication. However, if your provider chooses to administer medication, there are guidelines in the rules that must be followed for licensed and license-exempt child care providers.

What happens if my provider breaks a rule? When it is determined that the provider is not in compliance, the provider is notified at the time of inspection. If there is a consistent pattern of non-compliance or areas that present a danger to the health, safety and welfare of children, disciplinary action will be taken.

What types of disciplinary action can be taken? Disciplinary actions include the following:

Denial of Initial License - A formal action notifying a person why he or she cannot receive a child care license, taken when an applicant for initial license does not comply with statute or licensing rule requirements.

Denial of Renewal - A formal action notifying a person why the child care license will not be renewed at the expiration of the licensing period. This action occurs when the licensee does not comply with statute and licensing rule requirements.

Letter of Warning - Formal correspondence that notifies a licensee that violations have occurred. It is removed from public record after one year.

Letter of Censure - Formal correspondence that notifies a licensee that violations have occurred. It is filed permanently in the public record.

Probation - Places conditions or terms on a license that may exceed the licensing rule requirements for a specific period of time. It may lead to further discipline if the licensee fails to comply with the terms of the probationary license.

Settlement Agreement - This is a negotiation process by which we and the licensee finalize a formal agreement on specific terms or conditions to allow continuation of the license.

Immediate suspension - This is the only action taken by us that immediately terminates the licensed status. This occurs in situations of imminent bodily harm to children.

Revocation - This is a formal action that removes a child care license.

Injunctive Relief - This is a court order that causes a person to cease operating a child care facility or imposes conditions to protect children who are in care at the facility from imminent danger.

Referral to the Prosecuting Attorney - Our action when there is evidence of a statute violation for care of more than 4 children not related to the caregiver without a license.

What will my provider do in an emergency if I cannot be reached? The provider is required to obtain emergency contact information at the time of enrollment. The provider will typically try to contact the parent first, and if the parent cannot be reached, the persons listed as the emergency contacts will be called. You should review your emergency contacts periodically to ensure your provider has updated information.

What is a ratio? The amount of staff, required by licensing rules, per child required in a licensed facility. In license-exempt facilities, the owner/operator defines the ratio.

What are the ratios for group home and child care centers? The following staff/child ratios apply to group child care homes and child care centers:

  1. Birth to 2 years - 1 caregiver for every 4 children
  2. 2 year olds 1 caregiver for every 8 children
  3. 3 to 5 year olds 1 caregiver for every 10 children
  4. Ages 5 years and up - 1 caregiver for every 16 children
  5. Special requirements apply for mixed age groups.

What is the capacity for family home providers? The number of children and the ages of the children in care is defined on the family home provider’s license which must be posted at the facility. A family home provider is limited to caring for no more than ten *unrelatedchildren. The number of *unrelated children under the age of two will affect the total number of children allowed.

How do I find out about complaints made against a provider? When you tour the facility, ask to see copies of current inspection reports. We maintain copies of inspection reports, substantiated complaints and other licensing information. You can view a copy of a child care facility’s licensing record by contacting the child care licensing office. All complaints are investigated, but only substantiated complaints are placed in the provider’s public record.

How do I file a complaint? You can file a complaint by contacting the child care licensing office. A complaint form is available, but the form is not required. We also accepts complaints by telephone. For more information about how to file a complaint,click here. When filing a complaint, please be prepared to give as much detail as possible. This will assist us in gathering the information needed to conduct a thorough investigation.

How often are providers inspected?

Licensed facilities are inspected at least once annually by staff from:

  • Fire safety; and
  • Environmental sanitation.

Licensed facilities are inspected at least twice annually by staff from:

  • Us

License exempt facilities are inspected once annually by staff from:

  • Fire safety;
  • Environmental sanitation; and
  • Us

Unregulated facilities are not inspected by Section for Child Care Regulation.

Can a facility disenroll my child? Yes. Refer to your provider’s written policies and procedures. Each regional resource and referral office has an Inclusion Specialist who can work with the provider and parent before dis-enrollment occurs. For assistance, contact your regional resource and referral office (Child Care Aware of Missouri).

Can the provider transport my child? We have rules that licensed and license-exempt providers must follow. The provider is responsible for the care, safety and supervision of children on field trips or any other time the children are transported away from the facility. Parents must be informed when field trips are planned and written parental consent must be on file for all field trips and transportation. Drivers and vehicles must meet the requirements of Missouri law. Child safety restraints must be used according to Missouri state law.

What are the general differences between licensed, license-exempt and unregulated facilities? Download this pdf to view a chart of general differences in unregulated child care facilities.

How can I find child care for a child with special needs? Contact United 4 Children at 1-800-467-2322. You will be connected to an Inclusion Specialist who will assist your family in finding care specific to the special needs of your child. If your question has not been answered, email childcare@health.mo.gov.

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Child Care Provider Information FAQ Section

Once I get my child care license, what changes impact my license? Issues such as change in ownership, change in location, change in capacity, or a change in hours (adding care after 9 p.m.) can affect a child care license. Prior to making changes that you believe could affect your licensing status, you must contact us.

How long do I have to complete the application process? An application is valid for six months. If your facility is not licensed within that timeframe, you will need to complete a new application.

Are child care licenses permanent? No. A child care license can be issued for a maximum of a two year period.

How many children can I care for without being licensed? Missouri state law allows you to care for no more than four children not *related to you without a child care license.

What type of training do I need on a yearly basis? The director, child care providers, all caregivers and volunteers who are counted in staff/child ratios of licensed family child care homes, group child care homes and child care centers are required to obtain at least 12 approved clock hours of child care related training during each calendar year.

We contract with qualified training organizations to provide accessible and affordable training for child care providers across the state. The training must be based on competencies (essential knowledge and skill areas) for assuring quality child care. Child care related training topics include: health, safety, nutrition, developmentally appropriate activities and learning experiences for children; positive guidance and discipline; positive communication and interaction with families; planning and setting up an appropriate environment for children; professional and administrative practices.

Child care training and professional development opportunities include:

  • Training workshops on various topics;
  • Child Development Associate (CDA) training and assessment to assist child care providers earn a national CDA credential from the Council for Early Childhood Professional Recognition;
  • College credit training from some colleges and universities;
  • Advanced and specialized training for entry level child care staff, directors, infant/toddler caregivers, and caring for children with special needs; and
  • Individualized technical assistance and training to assist providers to access needs and make improvements in their respective programs.

For a list of approved trainings and professional development, contact Child Care Aware of Missouri at 800-200-9017. Click on Training & Professional Development, then choose the training calendar in your area.

Are there grants or funding available to operate my child care program? We do not provide grants or funding, however there are other resources that may be available to you.

  1. The Child Care Food Program
  2. Department of Social Services, Child Care Subsidy
  3. Department of Elementary and Secondary Education
  4. Child Care Aware® of Missouri
  5. T.E.A.C.H. Scholarship

What happens if I don´t get licensed and I care for more than four (4) children who are not related to me? If we determine that you are providing care to more than four (4) children not *related to you, we will expect you to immediately limit the number of children in your care to 4 or fewer in compliance with Missouri law. Parents of children in your care will be notified if you are operating illegally. Additionally, local law enforcement will be notified. Legal referrals may also be made to the local prosecuting attorney for further action.

Is there a fee for a license? The State of Missouri does not charge a fee, but you may incur costs to meet required rules. (Examples include install a fence, obtain a medical examination, etc.) In addition, you will need to contact your local city or county to determine if any fees apply to your business.

What types of inspections do I need to obtain a child care license?

  1. Health
  2. Sanitation
  3. Fire safety

How long does it take to get licensed? The exact time to become licensed varies depending on how quickly the applicant is able to meet the licensing rules. The licensing process includes inspections by the Department of Health and Senior Services, Section for Child Care Regulation, Bureau of Environmental Regulation and Licensure, and the Department of Public Safety, Division of Fire Safety. There may also be local building and zoning ordinances that apply. Therefore, it is advisable to begin the licensing process as soon as possible.

What are the educational requirements for a licensed group home or child care center director? Click here to view a chart of the educational requirements.

What is a registered provider? Some families may be eligible for financial help with their child care costs. The Department of Social Services, Family Support Division may contract with licensed and license-exempt providers to pay for child care services for eligible children. If you are interested in this program, contact your local county Family Support Division office.

What should I do if I suspect child abuse or neglect (CA/N)? Child care providers are mandated (required) by law to report any suspicion of child abuse or neglect. These reports must be made to the Child Abuse and Neglect (CA/N) hotline at 1-800-392-3738.

Why does the Section for Child Care Regulation do background screenings? Our rules require background screenings. We have adopted a policy to address background screenings. The following rules and statutes provide the authority for the section to conduct background screenings.

19 CSR 30-62.102(1)(A) states: “Day care personnel shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.” Similar rules for family homes exist 19 CSR 30-61.105(1)(D)

19 CSR 30-62.102(1) (K) states: “Volunteers counted in staff/child ratios, caregivers and other personnel shall be screened for child abuse/neglect. The screening shall be requested by the provider within ten (10 days) of any individual beginning employment or volunteering in the facility. Any investigated allegation of child abuse or neglect in which the investigator finds reasonable cause to believe that the individual is the alleged perpetrator of child abuse or neglect, shall be evaluated by the department. After review, the department may prohibit the person from being present in the facility during child care hours.” Similar rules for family homes exist 19 CSR 30-61.105(1)(K)

19 CSR 30-62.102(1)(L) states in part: “The child care provider shall request and have on file the results of a criminal record review from the Missouri State Highway Patrol as defined by 19 CSR 30-62.042 Initial Licensing Information and 19 CSR 30-62.052 License Renewal. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in the staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation.…

2. Any information received by the department that indicates that the subject of the criminal record review poses a threat to the safety or welfare of children shall be evaluated by the department. After review, the department may prohibit such person from being present on the premises of the facility during child care hours.” Similar rules for family homes exist 19 CSR 30-61.105(1)(L)

19 CSR 30-62.102(1)(M) states: “Any person present at the facility during the hours in which child care is provided shall not present a threat to the health, safety or welfare of the children” Similar rules for family homes exist 19 CSR 30-61.115(5)

Section 210.221, RSMo sets for the powers and duties of the department concerning child care licensing.

Section 210.906, RSMo requires every child care worker hired on or after Jan. 1, 2001 to complete registration with the Family Care Safety Registry.

Section 210.922, RSMo allows the department to use information contained in the Family Care Safety Registry to carry out its statutory duties.

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Environmental Sanitation FAQ Section

I am interested in opening a new child care facility or home, who should I contact? The Missouri Department of Health and Senior Services’ Section for Child Care Regulation will assist potential child care providers in getting started with the initial licensing process.  Once the prospective provider has completed an application for licensure, the Section for Child Care Regulation will notify the Division of Fire Safety and Environmental Child Care Program of the provider’s need for initial inspections.

How often are child care providers inspected? For sanitation, child care providers are inspected at least annually.  Providers that routinely fail to meet sanitation requirements may be inspected more frequently.

Who conducts child care sanitation inspections? Inspections may be conducted by Environmental Public Health Specialists from the Department of Health and Senior Services’ Environmental Child Care Program or from the Local Public Health Agency.

How do I file a sanitation complaint regarding a child care facility or home? You can file a complaint by contacting the child care licensing office.  A complaint form is available, but the form is not required.  The Section for Child Care Regulation also accepts complaints by telephone.  For more information about how to file a complaint, click here.  When filing a complaint, please be prepared to give as much detail as possible.  This will assist the Section in gathering the information needed to conduct a thorough investigation.  The Environmental Child Care Program assists the Section for Child Care Regulation in investigating complaints as needed.

Are there differences in sanitation requirements for licensed family homes, group homes, centers, and license-exempt facilities?   Yes, there are a number of differences in sanitation requirements for the different types of child care in Missouri.  Please refer to the sanitation guidelines or contact us for questions about specific issues.

What do child care sanitation inspectors look for? Child care sanitation inspectors conduct thorough inspections to ensure the health and safety of children in care.  Inspectors evaluate cleanliness, facility maintenance, water and sewer services, hygiene, food protection, diapering, and other various procedural issues that promote a healthy environment.

Is lead-based paint allowed in child care? Prior to 1978 lead-based paint was widely used, and any pre-1978 structure may contain lead-based paint.  It is important to understand the difference between lead-based paint and a lead hazard.  Lead hazards are not permitted in child care, but the simple existence of lead-based paint does not necessarily constitute a lead hazard.  Lead-based paint that is deteriorating or on a friction surface are examples of a lead hazard that is not permitted in child care. What are the sanitation requirements for having pets in child care? All animals must be considered to be in good health.  Pets such as cats and dogs should be routinely evaluated by a veterinarian and vaccinated according to the veterinarian’s recommendations or as required by local ordinance.  Birds of the parrot family must be tested for psittacosis.  Reptiles are prohibited in child care.  Other animals are evaluated on a case-by-case basis. NOTE:  the Section for Child Care Regulation also has safety requirements for animals in child care.

What is considered an approved food source in child care? Child care providers must utilize foods from an approved source.  The following are examples of approved sources:

  • Schools and restaurants
  • Grocery and other retail food stores
  • Commercial food warehouses and distributors
  • Local farmer’s market for whole, uncut fruits and vegetables
  • Provider’s garden for whole, uncut fruits and vegetables

The following are examples of unapproved food sources:

  • Custom-exempt processed beef and pork
  • Wild game
  • Farm fresh eggs from individuals without a valid egg license from the Missouri Department of Agriculture
  • Unpasteurized milk
  • Home-canned foods
  • Foods prepared at an uninspected facility such as an employee’s home

If you have questions regarding approved food sources, contact us or your local public health agency.

What are the expectations for a child care provider operating under a boil water order? Depending on the type of water supply, a boil water order may be issued by DHSS, Local Public Health Agency, Department of Natural Resources, or the water supplier.  A boil water order indicates that the water may not be safe for consumption.  Child care providers are expected to follow boil water orders to protect children in care.  If you have questions regarding a boil water order, contact us or your local public health agency.

Why is the required cleaning process so complicated? Certain surfaces are required to be washed, rinsed, sanitized, and air-dried.  The process ensures that surfaces of critical importance such as diapering pads are not only clean to sight and touch, but free of harmful microorganisms as well.

Where can I get sanitizer test strips for my child care? Providers are required to have a test kit for testing sanitizer solution concentrations.  Restaurant supply stores are generally considered the best place to obtain test strips for the various approved sanitizers.

What is ‘date-marking?’ Date-marking certain foods is required for most child care providers.  Refrigerated foods prepared at the facility that are potentially hazardous, ready-to-eat, and held over 24 hours must be labeled with a discard-by date of the preparation day plus seven days.  Commercially processed, refrigerated food items that are potentially hazardous, ready-to-eat, and held over 24 hours must also be date-marked once the product has been opened.  If you have questions about which foods require date-marking, contact us or your local public health agency.

Why is hand washing so important? Good hand washing is the single most important thing a child care provider can do to prevent the spread of disease.  It is critical that provider and child alike learn to wash their hands frequently.


A House Child-Proof Risk !!!!!!!!!!!!!!!!!!

12 Safety Devices to Protect Your Children

Every year children are injured by hazards found in the home and around it. The good news is that the risk of injury can be reduced or avoided if child safety devices are used and reminded older children who activate or connect the devices after turning them off or disconnected.

Most of these safety devices are relatively inexpensive and are readily available in hardware stores, playground equipment, supermarkets, drug stores that sell products to make home improvements, on the Internet and through catalogs. Safety devices should be firm enough to prevent access of children and at the same time easy to use for an adult.

To be effective, they must be installed properly. Follow the installation instructions carefully. Also, remember that no device is completely childproof; have been known to youngsters who have found a way to disable or disconnect.

Here are some child safety devices that can help reduce injuries in young children. The red numbers correspond to those found in the drawing on the back of the house.

home

Every year children are injured by hazards found in the home and around it. The good news is that the risk of injury can be reduced or avoided if child safety devices are used and reminded older children who activate or connect the devices after turning them off or disconnected.

Most of these safety devices are relatively inexpensive and are readily available in hardware stores, playground equipment, supermarkets, drug stores that sell products to make home improvements, on the Internet and through catalogs. Safety devices should be firm enough to prevent access of children and at the same time easy to use for an adult.

To be effective, they must be installed properly. Follow the installation instructions carefully. Also, remember that no device is completely childproof; have been known to youngsters who have found a way to disable or disconnect.

Here are some child safety devices that can help reduce injuries in young children. The red numbers correspond to those found in the drawing on the back of the house.

 

1.

Use  latches and locks  on cabinets and drawers in the kitchen, bathrooms and other areas to help prevent incidents of poisoning and other injuries. Install locks and latches on cabinets and drawers can help prevent children from gaining access to medicines, cleaning products, matches or cigarette lighters, as well as knives and other sharp objects.

Even products with safety caps must be locked and kept out of reach of children. This packaging is not childproof.Buy locks and latches that can be easily installed and used by an adult, but at the same time be firm enough to withstand children halons.

2.

Use  Safety Gates  to help prevent falls down stairs and to keep children from entering the bedroom and other areas that are potentially dangerous.

Install safety gates that children can not be removed easily, but that adults can open and close easily. At the top of the stairs only use gates that screw to the wall. Use safety gates that meet current safety standards. Replace old doors that have a "V" as the space between bars is large enough so that the head and neck of a child entrapment.

3.

Use  Knob Covers Doors and Locks  to help prevent children from entering areas that are potentially dangerous. The knob covers and door locks can help keep children away from dangerous places.

Make sure the guard door knob to be firm and to allow an adult to open the door quickly in an emergency.

4.

Use  anti-scald devices  for faucets and shower and set the temperature of your water heater to 120 degrees Fahrenheit to help prevent burns from hot water. The devices used to prevent burns for adjusting the temperature of the water can help reduce the chance of burns.

5.

Use  SMOKE ALARMS  at every level of your home, inside each bedroom and outside sleeping areas used to alert your family in case of fire. Examine the smoke alarms once a month to make sure they are working. Replace the batteries at least once a year or consider using batteries that last 10 years.

6.

Use  Window Guards Window and Mesh Networks and Security  to help prevent falls from windows, balconies and terraces. Check these safety devices frequently to make sure they are secure and properly installed and maintained properly. Do not open windows more than four inches. The space between the bars of the grates should not be more than four inches. If you have security bars for windows, make sure at least one window in each room can be easily used for escape in case of fire. The metal nets are not effective for preventing children from falling out of windows.

7.

Use  Receipts edges or corners  to help prevent injuries from falls against sharp edges of furniture and fireplaces. Ensure that guards are tight on the furniture and in the corners of the chimney.

8.

Use  safety covers on outlets Plates  to help prevent electrocution incidents. Safety covers for outlets and plates can help protect children from electrical shock and possible electrocution. Make sure children can not remove the safety covers that easily and are large enough to prevent children can choke on them. If you replace the receptacles, buy those that are resistant to handling children.

9.

Use a  Detector Alarm Carbon Monoxide (CO)  to help prevent incidents of CO poisoning. All consumers should install alarms carbon monoxide near sleeping areas in their homes. Replace the batteries at least once a year.

10.

CPSC recommends the use  of curtains and blinds without cords  in homes where small children were strangled to prevent it. Children can wrap the cord around the neck or reach a cord that seem inaccessible and entangled in the loop formed. If your windows have curtains and blinds 2000 or previous years and can not buy new slip, call the Security Council Curtains and Blinds (Window Coverings Safety Council, WCSC) at 800-506-4636 or visit  www.windowcoverings. org  to request a free repair kit. A potentially deadly bond can be formed in the blinds when a child pulls the cord up inside the blind. Consumers should know that the repair kit WSSC does not eliminate the danger of the cords hanging freely from many shades and blinds common.

11.

Use  fasteners to Avoid Fallen Furniture and Appliances . Furniture, TVs and ranges can tip over and crush children. Deaths and injuries occur when children climb onto, lie down or push on television stands, cabinets, bookcases, desks, chests and stoves. For added security, anchor these products to the floor or attach them to the wall. Independent stoves should be installed with supports to prevent rollovers.

12.

Use  Layers of Protection Around Pools and Spas . It is essential that the pool and spa are completely surrounded by a wall. This should include a fence 4 feet tall and has gates that are closed and secure themselves.If the house is one side of the barrier, the doors leading to the pool should have an alarm or the pool should have a power safety cover. The pool alarms can serve as an additional layer of protection.

Sliding glass doors must be secured after each use is not an effective barrier to prevent access to the pool.

You have the right to a safe workplace

You have the right to a safe workplace. The Law on Occupational Safety and Health Act of 1970 (OSH Act) was enacted to prevent death, injury or illness of workers in their workplaces. The law requires employers to provide free working conditions hazards and unsafe conditions. The Act (OSH Act) created the Administration Occupational Safety and Health (OSHA), which sets and enforces standards that protect the safety and health at workplaces. OSHA also provides information, training and assistance to workers and employers. Workers can make a complaint to OSHA inspect their workplace if they believe their employer is not following OSHA standards or there are serious risks. Contact us with questions or to make a complaint . We will keep your information confidential. We are here to help.

The rights of workers under the OSHA Act

Workers have the right to conditions of work without risk of serious harm. Site to ensure safe and healthful workplace, OSHA also provides workers the right to:
  • Ask OSHA to conduct an inspection of the workplace.
  • Exercise their rights under the law of revenge free or discrimination.
  • Receive information and training about hazards, methods to prevent damage and OSHA standards that apply to your workplace. The training must be in a language you can understand;
  • Having access to the results of the tests done to find hazards in the workplace,
  • Read the archives of injuries and work-related diseases ;
  • Access to copies of your medical records ;

Who covers the OSHA

Private sector workers Most employees in the country are under the jurisdiction of the OSHA law. OSHA covers employers and private sector workers in all 50 states, the District of Columbia, and other jurisdictions of the United States, either directly by the OSHA Federal, or anOSHA-approved state program . State Programs health and safety should be at least as effective as federal OSHA program. To find the contact information for the Office of Federal or state program of the nearest OSHA, see the map of the regional offices. Employees of state and local government Employees who work for state and local governments are not covered by the federal OSHA, but have protection under the OSHA law if they work in states that have a state program approved by OSHA. Four states and a territory of the USA. UU. have OSHA-approved plans that cover only public sector employees. These include: Connecticut, Illinois, New Jersey, New York, and the Virgin Islands. Workers in the private sector in these four states and the Virgin Islands are covered by federal OSHA. Federal workers Federal agencies must have a safety and health program that meets the same standards as private employers. Although OSHA does not assign fines to federal agencies, yes the monitors and responds to complaints from their workers. The States Postal Service (USPS) is covered by OSHA. Not covered by the OSHA Act:
  • Freelance workers;
  • Members of the immediate family of the owners of a farm that did not employ outside workers; and
  • Workplace hazards that are regulated by another federal agency (eg Administration Mine Safety and Health Administration (MSHA), the Federal Aviation Administration (FAA), the Coast Guard)

Standards OSHA: Occupational

OSHA standards are regulations that describe the methods that employers must use to protect their employees from hazards and risks. There are OSHA standards for the construction , agriculturemarine operations , and general industry. latter category are the standards that apply to most workplaces. Standards limit the amount of hazardous chemicals to which workers can be exposed;require the use of certain safe practices and equipment; and require employers to monitor hazards and keep reports of injuries and illnesses in the workplace. Examples of OSHA standards include requirements to: provide fall protection; prevent the collapse of excavations; prevent some infectious diseases; ensure that workers entering confined spaces safely; prevent employees from being exposed to harmful substances such as asbestos; put guards on machines; provide respirators or other safety equipment; and provide training for certain dangerous jobs. Employers must also conform to the General Duty Clause of the OSHA Act ​​requires employers to keep their workplace free of hazards that are recognized as serious. This clause is usually cited when no OSHA standard applies directly to danger.

Workers can request that OSHA inspect your workplace

Workers or their representatives, may file a complaint and request OSHA to conduct an inspection of your workplace if they believe there is a serious danger or your employer is not complying with OSHA standards. A worker can tell OSHA to keep your identity confidential. 's a violation of the OSH Act an employee is fired, demoted, transferred, or discriminated against in any way for filing a complaint or exercise other rights of OSHA. You can make a complaint online , download the form and mail or fax to the office of the nearest OSHA ; or by calling 1-800-321-OSHA (6742). Most of the complaints received from the Internet can be resolved informally by phone with your employer. Written complaints that are signed by an employee or representative and sent to the OSHA office nearest are more likely to result in an OSHA inspection at your workplace. When the OSHA inspector arrives, workers and their representatives have the right to:
  • Be present during the inspection.
  • Talk to the OSHA inspector privately.
  • Take part in meetings between the inspector and the employer before and after the inspection.
When no union representative or the employee, the OSHA inspector must speak confidentially to a reasonable number of employees during the course of the inspection. When an inspector finds violations of OSHA standards or serious hazards, OSHA can issue citations and fines. A citation includes the methods that an employer can use to fix the problem, and the date when these corrective actions must be completed. Workers have the right to challenge only the date when the problem has to be solved. But employers have the right to dispute whether there is a violation, or any other part of the citation. Workers or their representatives must notify OSHA if they want to be involved in the appeal process, if the employer challenges a subpoena. "If you send a complaint requesting an OSHA inspection, you are entitled to a copy of the results of the OSHA inspection and request that they be revised if OSHA decides not to issue citations."

Employer Responsibilities

Employers have a responsibility to provide a safe workplace. Employers MUST provide a workplace free of serious hazards and follow all health and safety standards of OSHA .Employers have to find and fix security issues and health. OSHA also requires employers to try to eliminate or reduce hazards by making changes in working conditions, rather than simply wear masks, gloves, ear plugs, or other types of personal protective equipment (PPE for short in English). Switching to safer chemicals, processes to trap harmful gases, or using ventilation systems to clean the air are examples of effective ways to eliminate or reduce risks. Employers also MUST:
  • Inform employees about the dangers workout, tags, alarms, color-coded systems, information sheets on chemicals and other methods.
  • Save accurate reports of injuries and work-related diseases .
  • Testing in the workplace, such as air sampling, required by some OSHA standards
  • Providing hearing tests or other medical tests required by OSHA standards
  • Locate OSHA citations, data on injuries and illnesses, and the OSHA poster at the jobsite in a place where employees can see them.
  • Report to OSHA within 8 hours after an incident in the workplace where there is a death or when three or more workers to go to hospital.
  • Not discriminate and not retaliate against an employee for exercising their rights under the law.

You can not be punished or discriminated against for exercising their rights under the law of the OSHA

OSHA law protects workers who complain to their employer, OSHA or other government agencies on working conditions that are not healthy or safe, or environmental problems. You can not be transferred, denied a raise, have your hours reduced, be fired, or punished in any other way for exercising their rights under the law of OSHA. OSHA There is help for whistleblowers . If you have been punished or discriminated against for asserting your rights, you must file a complaint with OSHA within 30 days of the alleged retaliation have occurred to most complaints. No form is required, but you must send a letter or call the office nearest OSHA explaining the situation and the alleged discrimination.

What if there is a dangerous situation at work?

If you believe that your work conditions are not healthy or safe, we recommend that you notify your employer of the conditions, if possible. You can make a complaint with OSHA about a hazardous job at any time. But you should not leave the job site only because you made ​​a complaint. If the condition clearly presents a risk of death or serious physical harm, there is insufficient time for OSHA consider, and, whenever possible, you have shown the condition to your employer, you may have a legal right reused to work in a situation where you would be exposed to danger.

Additional information for workers

Does OSHA has reviewed my employer? You can research the history of inspection through their employer seeking establishment of OSHA . Just enter the name of your company and choose the dates you want to examine. What is the danger most commonly cited in my industry? You'll need to know the standard industry classification code (SIC, for its acronym in English) from their employer . Once you know your four-digit code, visit the OSHA Standards that are frequently cited , enter your SIC code and see the information for the last year. Does OSHA provides technical information on hazards? OSHA provides technical information to help workers, employers and professionals in health and safety issues, to reduce occupational injuries and illnesses. For example, you can find information on pathogens, and ergonomic machine guards or fall protection. What is the OSHA materials that may be of interest to workers? OSHA publishes a variety of publications on many topics. Some of the most useful publications for workers are listed below. See OSHA publications for a complete list of materials published by the agency. You can also order publications online.


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