DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

SHEPHERD'S TREE HOUSE LLC

002423201

(417) 778-6003

308 SHEPHERDS LANE
ALTON
MO  65606

SHEPHERD'S TREE HOUSE LLC

PO BOX 429
ALTON
MO  65606-0429


shepherdstreehouse@outlook.com


RONDA TUSCHHOFF

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/20/2018

10:30 AM

12:37 PM

UNANNOUNCED

COMPLIANCE MONITORING

2322872440


DocumentDocument-Date
LOCAL FIRE DEPARTMENT NOTIFICATION 07/14/2017
APPLICATION 05/24/2017
STAFF SHEET 05/24/2017
SAMPLE WEEKLY MENU 08/26/2013
SANITATION INSPECTION 07/28/2017
POLICIES 08/26/2013
LOCAL ZONING APPROVAL 08/26/2013
LOCAL BUILDING APPROVAL 08/26/2013
LLC ARTICLES OF ORGANIZATION 09/05/2013
LINES OF ADMINISTRATIVE AUTHORITY 08/26/2013
JOB RESPONSIBILITIES 08/26/2013
FIRE/SAFETY INSPECTION 04/26/2017
EQUIPMENT LIST 05/24/2017
DISCIPLINE POLICIES 08/26/2013
DIRECTOR'S QUALIFICATIONS 08/23/2013
DIAGRAM/OUTDOOR 08/26/2013
DIAGRAM/INDOOR 08/26/2013
DAILY SCHEDULE 08/26/2013
CHILD CARE PRACTICES 08/26/2013
CERTIFICATE OF GOOD STANDING 09/05/2013

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:45PM   5:00PM   2/22/2017
  7:15AM   8:00AM   2/22/2017



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 4
Total Children 17
StaffChildClass AgeNote
4 17 MIXED Staff Present: Ginger Gazaway; Chelsea Gwaltney; Micheala King; Brittany Fettig. Children Present: 17 children present including 4 under age 2 years and 4 children age 2 years.

 
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
Children were not restricted to approved space as evidenced by the latch on the office no longer engages. Staff personal supplies are kept in the office.
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
Submit Documentation

Compliance Date

Violation
A stairwell with a drop-off of more than 24 inches had a railing/barrier was not constructed safely as evidenced by the lattice work is not secured. Gaps (4 1/2) are exposed and presents an entrapment hazard.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (E) states: Porches, decks, stairwells or other areas in approved child care space having a drop-off of more than twenty-four inches (24") from which children might fall and be injured shall have an approved railing or approved barrier. The railing or barrier shall be constructed to prevent the child from crawling or falling through or becoming entrapped.
Correction Required
The facility shall provide an approved railing or barrier 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
Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a crib mattress/pad was not sized correctly.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. D. states: The crib mattress or playpen pad shall be sized correctly to the crib or playpen, in good condition, waterproof and kept clean and dry, be firm and maintain its shape even when the fitted sheet designated for that model is used, such that there are no gaps between the mattress and the side of the crib or playpen. Only fitted sheets shall be used. Only fitted sheet shall be used and shall be changed immediately when soiled or wet.
Correction Required
Sleeping equipment shall meet safety and sanitation requirements.

Correction Verification
Corrected on Site

Compliance Date
2/20/2018
Violation
Infant sleeping requirements were not met as evidenced by soft materials or objects were placed under a sleeping infant in that a couple of small stuffed toys were in one playpen with a sleeping infant.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (B) 2. F. states: Soft materials or objects such as pillows, quilts, comforters, or sheepskins, even if covered by a sheet, shall not be placed under a sleeping infant. If a mattress cover to protect against wetness is used, it shall be tightly fitting and thin.
Correction Required
Infant sleeping requirements shall be met.

Correction Verification
Corrected on Site

Compliance Date
2/20/2018
Violation
Outdoor equipment, the bouncy horse, in the outdoor playground was unsafe as evidenced by the metal posts do not have covering over them.
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
Submit Documentation

Compliance Date

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
The requirements for documentation of 12 clock hours of annual training were not met as evidenced by there were insufficient training documents on file. The staff listed need the following documentation: Virginia Gazaway must obtain 9 additional training hours to complete 2017 requirements; Brittany Fettig must obtain 10 additional training hours to complete 2017 training hours; Chelsa Gwaltney must obtain 10 additional training hours to complete 2017 requirements.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (3) (A) states: The center director, group day care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each year of employment in training which is approved by the department in - health, safety, nutrition, guidance and discipline, appropriate activities and learning experiences for children, positive communication and interaction with parents, planning and setting up an appropriate environment for children, professional and administrative practices, or other child related areas.
Correction Required
Required training hours shall be documented for each employee.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Compliance
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
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
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