DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SEYMOUR R-II SCHOOL SEYMOUR PRESCHOOL

001378950

(417) 935-2287

123 N CORDIE ST
SEYMOUR
MO  65746

SEYMOUR R-II SCHOOL SEYMOUR PRESCHOOL

416 E CLINTON AVE
SEYMOUR
MO  65746-8938

PRUETT, LESSLI LAVERNE


LPRUETT@SEYMOURSCHOOL.NET



VICKI PETTY

36 MONTHS - 5 YEARS

30

GROUP HOME AND CENTER

 
Inspection Information

10/20/2015

1:10 PM

2:04 PM

UNANNOUNCED

COMPLIANCE MONITORING

2265183429


DocumentDocument-Date
DIAGRAM/INDOOR 11/24/2004
DIAGRAM/OUTDOOR 11/24/2004
DIRECTOR'S QUALIFICATIONS 11/16/2005
LOCAL ZONING APPROVAL 10/08/1999
LINES OF ADMINISTRATIVE AUTHORITY 11/19/1999
JOB RESPONSIBILITIES 11/19/1999
SAMPLE WEEKLY MENU 11/19/1999
SAMPLE FORMS 01/14/2000
LOCAL BUILDING APPROVAL 03/30/2011
CHILD CARE PRACTICES 11/19/1999
DISCIPLINE POLICIES 11/19/1999
POLICIES 11/19/1999
DAILY SCHEDULE 10/18/1999
APPLICATION 02/26/2015
EQUIPMENT LIST 03/11/2015
STAFF SHEET 03/11/2015
SANITATION INSPECTION 03/25/2015
FIRE/SAFETY INSPECTION 03/18/2015




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 3
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 4
Total Children 23
StaffChildClass AgeNote
2 11 PRESCHOOL
2 12 PRESCHOOL

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Initial Licensing Information
Compliance
19 CSR 30-62.052 License Renewal
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor play equipment, plastic retaining wall, located in the outdoor play space was not safe as evidenced by exposed bolts or screws were not recessed into the frame, covered or filed to avoid sharp edges.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (H) states: Exposed bolts and screws shall be recessed into the frame, covered or filed to avoid sharp edges.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Corrected on Site

Compliance Date
10/20/2015
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews for personnel as evidenced by there was no request/result of a current background check on file. Reviews were missing/out of date for the following personnel/volunteers Simpson, C.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (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 involving these persons 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. A copy of the screening request and the response shall be filed in the employee's record.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for one caregiver, Simpson C., as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Medical examination reports including TB testing were not on file for one caregiver, Simpson, C., as evidenced by a completed Risk Assessment for Tuberculosis form was not on file for adults.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 3 child(s) file did not have the child’s full name, address, birth date and the date care begins and ends.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
10/20/2015