DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

ADVANCE R-IV SCHOOL DISTRICT

002536385

(573) 722-3898

420 INDUSTRIAL DR
ADVANCE
MO  63730-8317

ADVANCE R-IV SCHOOL DISTRICT



 

CLARK, MISTY NICOLE

mclark@advance.k12.mo.us


JESSICA GRAHAM

36 MONTHS - 6 YEARS

30

GROUP HOME AND CENTER

 
Inspection Information

03/07/2018

N/A

N/A

N/A

COMPLIANCE VERIFICATION

2326041461


DocumentDocument-Date
DAILY SCHEDULE 08/12/2016
EQUIPMENT LIST 08/14/2017
SAMPLE WEEKLY MENU 09/08/2015
LOCAL ZONING APPROVAL 09/25/2015
DISCIPLINE POLICIES 10/05/2015
CHILD CARE PRACTICES 10/05/2015
POLICIES 10/05/2015
JOB RESPONSIBILITIES 10/12/2015
LINES OF ADMINISTRATIVE AUTHORITY 10/20/2015
DIAGRAM/INDOOR 10/20/2015
DIAGRAM/OUTDOOR 10/20/2015
APPLICATION 08/14/2017
STAFF SHEET 08/14/2017
LOCAL FIRE DEPARTMENT NOTIFICATION 10/21/2015
FIRE/SAFETY INSPECTION 08/22/2017
SANITATION INSPECTION 09/18/2017
DIRECTOR'S QUALIFICATIONS 10/13/2015




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.

 
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
Compliance
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
Outdoor play equipment, the black boarder around the pea gravel area, was not safe as evidenced by exposed bolts or screws were not recessed into the frame, covered or filed to avoid sharp edges.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (H) states: Exposed bolts and screws shall be recessed into the frame, covered or filed to avoid sharp edges.
Correction Required
Outdoor equipment shall have no exposed hazards.

Correction Verification
Submit Documentation

Compliance Date
3/6/2018
Violation
Outdoor equipment, little tykes plastic slide, in the outdoor space was not in good condition as evidenced by a plastic bar located under the slide was broken.
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
3/6/2018
19 CSR 30-62.102 Personnel
Compliance
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
Violation
 Provider Comments
Violation
An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not met as evidenced by there was no plan on file for a child with special needs.
Licensing Rule Reference
19 CSR 30-62.132 Admission Policies and Procedures (6) states: A child who has a special physical, developmental or behavioral need shall have on file an individualized plan for specialized care from a professionally qualified source.
Correction Required
An individualized plan from a professional source shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/6/2018
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
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 1 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
3/6/2018
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
2 child(ren) records did not include name of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/6/2018
Violation
2 child(ren) records did not include telephone number of family physician or hospital.
Licensing Rule Reference
19 CSR 30-62.222 Records and Reports (2) (D) states: Name and phone number of the family physician, hospital, or both, to be used in an emergency;
Correction Required
Child enrollment information shall be completed and on file as required.

Correction Verification
Submit Documentation

Compliance Date
3/6/2018
RSMo 210.003 Immunizations of children required, when, exceptions--duties of administrator, report--notification of parents, when.
Compliance