DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT
Facility Information

LITTLE TYKES CHILDCARE AND PRESCHOOL

000176474

(573) 486-2854

1100 WEIN ST
HERMANN
MO  65041

RATERMAN, BRENDA



 


braterman@centurytel.net


BROOKE POSKIN

BIRTH - 12 YEARS

10

FAMILY HOME

IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER
 
Inspection Information

08/23/2016

11:35 AM

1:12 PM

UNANNOUNCED

COMPLIANCE MONITORING

2287331689


DocumentDocument-Date
CHILD CARE/DISCIPLINE POLICIES 06/17/1993
POLICIES 06/17/1993
DIAGRAM/INDOOR 09/14/1987
OWNER/PROVIDER REFERENCES 08/03/1987
ASSISTANT APPROVAL REQUEST 08/05/2009
DAILY SCHEDULE 06/12/1987
DIAGRAM/OUTDOOR 09/14/1987
SAMPLE WEEKLY MENU 06/12/1987
SANITATION INSPECTION 07/30/2015
FIRE/SAFETY INSPECTION 07/16/2015
APPLICATION 06/15/2015
EQUIPMENT LIST 06/15/2015

Overlap Start TimeOverlap End TimeOverlap Submit Date
  11:15AM   12:00PM   8/5/2009
  3:45PM   5:00PM   8/5/2009



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 2
Total Children 8
StaffChildClass AgeNote
2 8 MIXED Brenda and Ron Raterman present today with 8 children including 5 2-year olds

 
19 CSR 30-61.025 Organization and Administration
Compliance
19 CSR 30-61.045 Initial Licensing Information
Compliance
19 CSR 30-61.055 License Renewal
Compliance
19 CSR 30-61.085 Physical Requirements of the Family Day Care Home
Compliance
19 CSR 30-61.086 Fire Safety
Compliance
19 CSR 30-61.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-61.095 Furniture, Equipment and Materials
Compliance
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel
Violation
 Provider Comments
Violation
A caregiver was not knowledgeable of the needs of children as evidenced by four 2-year old children were being napped in porta cribs that were too small for them to be napping comfortably; in addition, it is not developmentally appropriate for children over 2 years to be napping in porta cribs.
Licensing Rule Reference
19 CSR 30-61.105 The Day Care Provider and Other Day Care Personnel 1 (C) states: Caregivers shall be eighteen (18) years of age or older, have knowledge of the needs of children, and be sensitive to the capabilities, interests, and problems of children in care.
Correction Required
Caregivers shall be 18 years of age or older and meet childcare personnel requirements.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.115 Day Care Family and Household
Compliance
19 CSR 30-61.125 Medical Examination Reports
Compliance
19 CSR 30-61.135 Admission Policies and Procedures
Compliance
19 CSR 30-61.145 Nighttime Care
Compliance
19 CSR 30-61.155 Overlap Care of Children
Not Observed
19 CSR 30-61.165 Emergency School Closings
Not Observed
19 CSR 30-61.175 Child Care Program
Violation
 Provider Comments
Violation
The daily activities for preschool and school-age children did not include developmentally appropriate play experience and activities as evidenced by four two-year old children (25 month - 32 month) were observed sleeping in a porta crib. Children over two-years old developmentally should be napping on cots; sleep equipment should be properly sized for the children napping on/in it .
Licensing Rule Reference
19 CSR 30-61.175 Child Care Program 2 (B) 1 states: Developmentally appropriate play experiences and activities planned to meet the interests, needs, and desires of the children.
Correction Required
Daily activities for preschool and school-age children shall be provided as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.185 Health Care
Violation
 Provider Comments
Violation
Requirements for immunization reports on file were not met as evidenced by required immunizations verifying the type of vaccine and the month, day and year of administration was not on file for 2 child(ren).
Licensing Rule Reference
19 CSR 30-61.185 Health Care 4 (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been adequately immunized against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-61.190 Nutrition and Food Service
Compliance
19 CSR 30-61.200 Transportation and Field Trips
Compliance
19 CSR 30-61.210 Records and Reports
Violation
 Provider Comments
Violation
One child(ren) records did not include employers' address of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-61.210 Records and Reports 2 (B) states: Full name of the parent(s), guardian or legal custodian, home address, employers’ name and address, work schedule and home and work telephone numbers.
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
8/23/2016
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance
RSMo 210.252 Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance