DHSS MO
MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES

SECTION FOR CHILD CARE REGULATION

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

CHRISTIAN COMMUNITY CARE CENTER INC

000186525

(573) 785-7570

1601 N MAIN
POPLAR BLUFF
MO  63901

CHRISTIAN COMMUNITY CARE CENTER INC



 

BARKER, DANA LEA

RICHARDSON, AMBER WHEELER

CCCCDAYCARE@SBCGLOBAL.NET

Incorporated


MELISSA JILL SMITH

BIRTH - 12 YEARS

99

GROUP HOME AND CENTER

 
Inspection Information

11/28/2017

1:05 PM

1:42 PM

UNANNOUNCED

REINSPECTION

2318748632


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 01/15/2016
FIRE/SAFETY INSPECTION 04/20/2016
SANITATION INSPECTION 03/26/2014
EQUIPMENT LIST 05/15/2014
CERTIFICATE OF GOOD STANDING 05/15/2014
APPLICATION 04/04/2016
DIRECTOR'S QUALIFICATIONS 07/29/2015
DIAGRAM/INDOOR 05/01/2009
DIAGRAM/OUTDOOR 05/01/2009
SAMPLE WEEKLY MENU 04/24/2015
CHILD CARE PRACTICES 12/01/1982
ARTICLES OF INCORPORATION 12/01/1982
LINES OF ADMINISTRATIVE AUTHORITY 12/01/1982
POLICIES 12/01/1982
DAILY SCHEDULE 12/01/1982
DISCIPLINE POLICIES 12/01/1982
JOB RESPONSIBILITIES 12/01/1982
LOCAL ZONING APPROVAL 12/01/1982
STAFF SHEET 05/15/2014




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 4
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 11
Total Children 49
StaffChildClass AgeNote
1 3 INFANTS AND TODDLERS Brooke, Staff
2 8 INFANTS AND TODDLERS Samantha, Kinsey, and Casey
2 0 NO CHILDREN IN ATTENDANCE Rachel and Dana, Director and Assistant Director
2 11 PRESCHOOL Shelby and Katelyn, Staff
2 11 PRESCHOOL Kali and Aubree, Staff
1 8 PRESCHOOL Deidre, Staff
1 8 PRESCHOOL Sheila, Staff

 
19 CSR 30-62.032 Organization and Administration
Not Observed
19 CSR 30-62.042 Initial Licensing Information
Violation
 Provider Comments
Violation
The name, address and telephone number of the owner, board president or chairperson, or his/her designee was not prominently posted near the license.
Licensing Rule Reference
19 CSR 30-62.042 Initial Licensing Information (3) (R) states: The name(s), address(es) and telephone number(s) of the facility owner(s), or the board president or chairperson, or his/her designee shall be posted prominently near the license.
Correction Required
The name, address, and phone number of the owner/board president/chairperson/designee shall be posted.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
19 CSR 30-62.052 License Renewal
Not Observed
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The premises were not safe and suitable as evidenced by there is a box television sitting on the floor with a vcr sitting on top of it, not attached to anything.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
The premises were not safe and suitable as evidenced by televisions in the preschool rooms are not secured to the shelves they are sitting on. They are easily tippable.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Children were not restricted to approved space as evidenced by the stairway leading to the upstairs which is unapproved space is unlocked.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (C) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Hazardous items as follows were accessible to children: Germ-X hand sanitizer. The item(s) was/were located on teachers desks, shelves down low and in unlocked drawers.
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
Return Inspection

Compliance Date
11/28/2017
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Diapering requirements were not met as evidenced by the diapering table was not located where caregiver could maintain supervision of his/her group of children. The diapering table was located in the infant/toddler unit.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (4) (A) states: A safe diapering table with a waterproof washable surface shall be used for changing diapers. The diapering table shall be located within or adjacent to the group space so the caregiver using the diapering table can maintain supervision of his/her group of children at all times.
Correction Required
The facility shall provide a safe and clean diapering table as required.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
19 CSR 30-62.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located in the 2 year old room, used as an exit from the facility was locked.
Licensing Rule Reference
19 CSR 30-62.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
19 CSR 30-62.090 Disaster and Emergency Preparedness
Not Observed
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Furniture/equipment, the gate in between the infant/toddler rooms, in the infant/toddler unit was not free of sharp parts as evidenced by the plastic bar at the top of the gate was cracked causing a sharp edge.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (A) 1. states: All furniture and equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
The facility shall provide safe and clean furniture/equipment as required.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured varied.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 1. D. states: Sleeping equipment shall be arranged to provide at least a two foot (2') aisle on one (1) long side of the equipment.
Correction Required
Caregivers shall provide a two foot (2') aisle on one long side of the napping equipment.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Outdoor equipment, 1 swing, in the preschool playground across the parking lot was not in good condition as evidenced by the swing was broken and had been looped over the top of the swingset.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
Requirements for safe sleep training were not met as evidenced by LaRhonda Jackson and Shelby Ohrenberg did not complete safe sleep training in that there was no certificate on file.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 128, No. 5, November 1, 2011, and available from the University of Vermont College of Medicine, Given Building S261, 89 Beaumont Avenue, Burlington, Vermont 05405-0068, telephone number 802-656-2505, fax number 802-656-4844, or at www.pediatrics.aapublications.org/content/128/5/1030.full. This rule does not incorporate any subsequent amendments or additions.
Correction Required
Center director, group child care home provider, and other caregivers, and those volunteers counted in staff/child ratios shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Verification of safe sleep training was not documented and maintained as evidenced by there was no training on file for LaRhonda Jackson and Shelby Ohrenberg.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) (A) states: The training shall be documented and maintained as described in section (3)(B) of this rule.
Correction Required
Safe sleep training shall be documented and maintained.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Caregiver-child ratio requirements were not met as evidenced by 12 children ages 2 years were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (B) states: Age Two (2) Years. Groups composed solely of two (2)-year olds shall have no less than one (1) adult to eight (8) children, with no more than sixteen (16) children in a group;
Correction Required
Correct caregiver-child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
Violation
Caregiver-child ratio requirements were not met as evidenced by 13 children ages 3 years were cared for by 1 caregiver(s).
Licensing Rule Reference
19 CSR 30-62.112 Staff/Child Ratios (1) (C) states: Ages Three Through Four (3 - 4) Years. Groups composed solely of three (3)- and four (4)-year olds shall have no less than one (1) adult to ten (10) children;
Correction Required
Correct caregiver-child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date
11/28/2017
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report was not on file for Shelby Ohrenberg 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
Return Inspection

Compliance Date
11/28/2017
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for Shelby Ohrenberg.
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
Return Inspection

Compliance Date
11/28/2017
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 varies (2 children).
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
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Not Observed
19 CSR 30-62.142 Nighttime Care
Not Observed
19 CSR 30-62.152 Hourly Care Facilities
Not Observed
19 CSR 30-62.162 Overlap Care of Children
Not Observed
19 CSR 30-62.172 Emergency School Closings
Not Observed
19 CSR 30-62.182 Child Care Program
Not Observed
19 CSR 30-62.192 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 4 child(ren).
Licensing Rule Reference
19 CSR 30-62.192 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 immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the 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 on file as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.202 Nutrition and Food Service
Not Observed
19 CSR 30-62.212 Transportation and Field Trips
Not Observed
19 CSR 30-62.222 Records and Reports
Not Observed
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Not Observed