DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

KIDS INTERNATIONAL

002120261

(636) 391-6061

412 OLD STATE RD
ELLISVILLE
MO  63021

AK EXCELLENT ADVENTURES INC



 

BOHRER, CYNTHIA

KIDSINTERNATIONAL@HOTMAIL.COM

Incorporated

ALYSSA MARIE RILEY

6 WEEKS - 9 YEARS

76

GROUP HOME AND CENTER

12 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

12/14/2017

12:55 PM

2:16 PM

UNANNOUNCED

COMPLIANCE MONITORING

2320150607


DocumentDocument-Date
LOCAL BUILDING APPROVAL 05/09/2012
DIAGRAM/INDOOR 09/10/2009
LINES OF ADMINISTRATIVE AUTHORITY 10/28/2008
JOB RESPONSIBILITIES 10/28/2008
DIRECTOR'S QUALIFICATIONS 10/28/2008
SAMPLE FORMS 10/28/2008
SAMPLE WEEKLY MENU 10/28/2008
POLICIES 10/28/2008
DISCIPLINE POLICIES 10/28/2008
DIAGRAM/OUTDOOR 10/28/2008
DAILY SCHEDULE 10/28/2008
CHILD CARE PRACTICES 10/28/2008
CERTIFICATE OF GOOD STANDING 04/26/2016
ARTICLES OF INCORPORATION 08/04/2008
STAFF SHEET 06/07/2016
LOCAL ZONING APPROVAL 07/01/2015
APPLICATION 04/26/2016
REGISTERING FICTITIOUS NAMES 09/17/2008
EQUIPMENT LIST 06/07/2016
FIRE/SAFETY INSPECTION 05/15/2017
SANITATION INSPECTION 04/17/2017




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 7
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 10
Total Children 38
StaffChildClass AgeNote
3 3 INFANTS AND TODDLERS toddlers with Ms. Jessica, Ms. Jennifer, and Ms. Rachel
2 2 INFANTS AND TODDLERS toddlers with Ms. Kara and Ms. Christina
1 9 PRESCHOOL 3-4 year olds with Ms. Stacy
2 12 PRESCHOOL 4-6 year olds with Ms. Katie and Ms. Yasmine
2 12 TWO YEAR OLDS with Ms. Madison and Ms. Amber

 
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
The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 7. states: Areas under and around outdoor equipment shall have continuous maintenance to ensure that the material remains in place and retains its cushioning properties. The resilient material shall be supplemented immediately or replaced as needed.
Correction Required
The facility shall maintain approved resilient material in all fall-zone areas.

Correction Verification
Submit Documentation

Compliance Date

Violation
A clear glass door was not marked plainly at varying heights as evidenced by a glass door in the I/T unit was not marked at varying heights.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 3. states: Clear glass doors shall be marked plainly at varying heights to avoid impact.
Correction Required
Clear glass doors shall be marked as required.

Correction Verification
Submit Documentation

Compliance Date

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
Sleeping equipment was not arranged to provide required spacing as evidenced by the required two foot aisle was on the short side of the napping equipment.
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
Corrected on Site

Compliance Date
12/14/2017
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 the medical examination report was older than 12 months prior to admission - the admission date(s) and date(s) of medical was/were admission date was 8/29/17 and medical was conducted on 1/2/2015.
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
Violation
 Provider Comments
Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. E. states: They have received a copy of the provider's safe sleep policy when enrolling children less than one (1) year of age.
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

Violation
The facility did not meet requirements for child enrollment and health information on file as evidenced by 2 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (8) (E) 8. F. states: They have been notified that they may request notice at initial enrollment in or attendance at the facility or upon request of whether there are children for whom an immunization exemption has been filed currently enrolled in or attending the facility
Correction Required
Child enrollment information shall be completed and on file as requested.

Correction Verification
Submit Documentation

Compliance Date

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
3 child(ren) records did not include work schedule of parent(s), guardian or legal custodian.
Licensing Rule Reference
19 CSR 30-62.222 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
Submit Documentation

Compliance Date

Violation
1 child(ren) records did not include name of another individual who might be reached in an emergency.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (C) states: Name, address and telephone number of another individual (friend or relative) who might be reached in an emergency when the parent(s), guardian or legal custodian cannot be reached;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date

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