DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

INDEPENDENCE SCHOOL DISTRICT

000468300

(816) 521-5422

2601 N LIBERTY
INDEPENDENCE
MO  64050

INDEPENDENCE SCHOOL DISTRICT

201 N FOREST AVE
INDEPENDENCE
MO  64050-2513

RINNE, KAREN LYNN

Karen-rinne@isdschools.org


AMY CELESTIA NOLTE

36 MONTHS - 5 YEARS

40

GROUP HOME AND CENTER

 
Inspection Information

04/04/2017

9:00 AM

10:20 AM

ANNOUNCED

RENEWAL

2302564296


DocumentDocument-Date
FIRE/SAFETY INSPECTION 01/31/2017
DIRECTOR'S QUALIFICATIONS 03/11/2013
SAMPLE WEEKLY MENU 06/14/2001
LOCAL BUILDING APPROVAL 05/02/2001
SAMPLE FORMS 06/14/2001
LOCAL ZONING APPROVAL 05/02/2001
DIAGRAM/OUTDOOR 05/24/2001
DIAGRAM/INDOOR 05/24/2001
DAILY SCHEDULE 06/14/2001
POLICIES 09/13/2013
LINES OF ADMINISTRATIVE AUTHORITY 09/13/2013
JOB RESPONSIBILITIES 09/13/2013
DISCIPLINE POLICIES 09/13/2013
CHILD CARE PRACTICES 09/13/2013
SANITATION INSPECTION 02/02/2017
STAFF SHEET 01/27/2017
EQUIPMENT LIST 01/27/2017
APPLICATION 03/29/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: NA
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 21
StaffChildClass AgeNote
2 8 PRESCHOOL
2 13 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
Violation
 Provider Comments
Violation
Hazardous items as follows were accessible to children: bleach and bleach wipes. The item(s) was/were located under the sink in the classroom.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (I) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.

Correction Verification
Corrected on Site

Compliance Date
4/4/2017
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
Compliance
19 CSR 30-62.102 Personnel
Compliance
19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were fall of 2016.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (2) (A) states: The provider, within thirty (30) days following the admission of each infant, toddler or preschool child, shall require a medical examination report signed by a licensed physician or registered nurse who is under the supervision of a licensed physician and completed not more than twelve (12) months prior to admission.
Correction Required
Child medical requirements shall be completed and on file as required.

Correction Verification
Corrected on Site

Compliance Date
4/4/2017
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
Compliance
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance