DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

WEE TOTS DAY CARE CENTER, LLC

002102423

(417) 624-9500

2302 S MOFFETT
JOPLIN
MO  64801

WEE TOTS DAY CARE CENTER, LLC



 

BIGLEY, CAROL JEANNE

weetotsjoplin@att.net


PENNY KREITZER

BIRTH - 12 YEARS

40

GROUP HOME AND CENTER

12 CHILDREN IN THE INFANT/TODDLER UNIT; 10 CHILDREN UNDER 12 MONTHS; 12 CHILDREN UNDER 24 MONTHS
 
Inspection Information

04/10/2018

8:40 AM

12:22 PM

ANNOUNCED

RENEWAL

2328772054


DocumentDocument-Date
LINES OF ADMINISTRATIVE AUTHORITY 05/25/2012
JOB RESPONSIBILITIES 05/25/2012
DIRECTOR'S QUALIFICATIONS 03/25/2013
SAMPLE FORMS 05/25/2012
CHILD CARE PRACTICES 01/11/2010
SAMPLE WEEKLY MENU 01/28/2008
DAILY SCHEDULE 05/17/2012
POLICIES 01/11/2010
DIAGRAM/OUTDOOR 05/25/2012
DIAGRAM/INDOOR 05/25/2012
LLC OPERATING AGREEMENT 08/01/2007
LLC ARTICLES OF ORGANIZATION 05/31/2012
EQUIPMENT LIST 04/01/2014
LOCAL ZONING APPROVAL 04/01/2014
DISCIPLINE POLICIES 01/11/2010
SANITATION INSPECTION 03/15/2018
FIRE/SAFETY INSPECTION 03/07/2016
STAFF SHEET 02/29/2016
APPLICATION 03/14/2016




Inspection determined facility to be in compliance with licensing rules.
Open Violations: 13
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 6
Total Children 33
StaffChildClass AgeNote
1 4 INFANTS AND TODDLERS
1 3 INFANTS AND TODDLERS
1 10 PRESCHOOL 3-5 year old children
1 8 TWO YEAR OLDS 3 year old children
2 8 TWO YEAR OLDS

 
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
Violation
 Provider Comments
Violation
The provider did not meet requirements for requests/results of background reviews. Reviews were missing/out of date for the following owner(s), board president or chairperson, center director or group day care home provider, person(s) employed or volunteer(s) counted in staff/child ratio: R Miller and N Johnson.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (3) states: After the child care provider applies for renewal of the license, the provider shall request the results of a criminal record review from the Missouri State Highway Patrol for the child care provider, the owner(s), board president or chairperson, the center director or group day care home provider, all persons employed by the child care provider, and all volunteers counted in staff/child ratios. The child care provider shall request a criminal record review within ten (10) days following a change of the facility owner(s), board president or chairperson, the center director or group day care home provider, employees of the provider, or volunteers counted in staff/child ratios. The department may request a criminal record review from the Missouri State Highway Patrol for any adult present in the facility when child care children are present. The criminal record reviews shall include records of criminal convictions, pending criminal charges, and suspended imposition of sentence during the term of probation. Requests for criminal record reviews shall be made on a form provided by the highway patrol.
Correction Required
Required requests/results of current background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
The equipment list was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (I) states: A current list of available equipment;
Correction Required
The facility shall submit an equipment list as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

Violation
The staff sheet was not submitted.
Licensing Rule Reference
19 CSR 30-62.052 License Renewal (1) (J) states: Current staff sheet;
Correction Required
The facility shall submit a current staff sheet as required for renewal.

Correction Verification
Submit Documentation

Compliance Date

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: shaving cream. The item(s) was/were located in an unlocked cabinet in reach of children.
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
4/10/2018
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

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 feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (1) (C) 2. states: Infants and toddlers. Infants and toddlers who are unable to sit at a table shall have one (1) piece of mealtime feeding equipment for every four (4) infant/toddlers which may include feeding tables, high chairs, infant seats or other safely designed infant seating equipment. Equipment shall be provided which will allow the child to sit comfortably and securely while being fed. Appropriate restraints shall be used.
Correction Required
Safe and secure feeding equipment shall be provided as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
Outdoor equipment, the Little Tykes slide/climber, in the large outdoor play area was not in good condition as evidenced by a hole in the pink section.
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

Violation
Outdoor play equipment, the wood climber, 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

Violation
Outdoor equipment, the net, in the school house on the large outdoor play area was not in good condition as evidenced by a hole in the net of entrapment size (approximately five inches).
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

Violation
Outdoor equipment, the school house closest to the building, in the large outdoor play area was not in good condition as evidenced by the play house had a hose attached which appeared to be moldy. The hose had a handle on the end which 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

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: J McAllister 4 clock hours for 2017; L Noakes 1 clock hour for 2017; K Davis 1.5 clock hours for 2017; M. Lawson .5 clock hours for 2017; E Sturgis 3.5 clock hours for 2017.
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

Violation
Verification of safe sleep training was not documented and maintained as evidenced by there was no documentation on file at the facility to show K Noakes had completed safe sleep training.
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
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report did not include a completed Risk Assessment for Tuberculosis form for N Johnson.
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
Submit Documentation

Compliance Date

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
Violation
 Provider Comments
Violation
The requirements for infant napping were not met as evidenced by the provider did not have written instructions signed by a licensed health care provider to allow an infant to sleep in an alternate sleeping position or special sleeping arrangements.
Licensing Rule Reference
19 CSR 30-62.182 Child Care Program (2) (C) 4. E. states: When, in the opinion of the infant's licensed health care provider, an infant requires alternative sleep positions or special sleeping arrangements that differ from those set forth in this rule, the provider shall have on file at the facility written instructions, signed by the infant's licensed health care provider, detailing the alternative sleep positions or special sleeping arrangements for such infant. The caregiver(s) shall put the infant to sleep in accordance with such written instructions.
Correction Required
Licensed health care providers written instructions shall be on file and followed for infants who require alternative sleeping positions or special sleeping arrangements.

Correction Verification
Corrected on Site

Compliance Date
4/10/2018
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
1 child(ren) records did not include employers' address 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

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